Object:To observe the clinical effect of the treatment for the type Ⅱ-Ⅲ Pilon fracture by external fixation with limited open reduction and internal fixation. Methods:from year 2000 to year 2006

17 patients suffered from type Ⅱ-Ⅲ Pilon fractures were treated by external fixation with limited open reduction and internal fixation. Among these patients

11 are males and 6 are females

aged from 20 to 54 years old with an average of 36.5 years old. According to Rueeli、ALLgower classification:3 cases were type Ⅱ

14 cases were type Ⅲ. Results:All patients were followed up 6 to 24 months with mean 11 months

14 cases were excellent and 3 cases were well evaluated by Hefet evaluation system. Conclusion:Treatment for the type Ⅱ-Ⅲ type Pilon fractures by external fixation with limited open reduction and internal fixation is a favorable method which is characterized by its simple skills

reliable fixation and satisfactory clinical effect.