103 patients with ankle injuries were examined. 81.3% of patients complained of pain. In 78.0% of patients, joint function was impaired, in 58.8% — joint deformation, in 72.9% — swelling in the joint area, in 79.6% — soreness in the projection of interbercular syndesmosis, in 87.7% — different severity of joint movement restriction. When analyzing radiographs, fractures of one or two ankles, foot subvisions both outside and behind, fractures of the posterior edge of the tibia were detected. The Foot and Ankle Disease Assessment Scale of the American Foot and Ankle Orthopedic Association (AOFAS) was used to objectively assess the functional state of the ankle joint. Known clinical and radiological methods of examination of the ankle joint make it possible for a person skilled in the art to detect damage to both the bone structure and the ligament apparatus. However, for objective assessment of the functional state of the ankle joint and foot, it is recommended to use scales of clinical assessment of the ankle joint state.
The authors presented the results of surgical treatment of 103 patients with posterior facet fractures of the distal tibial metaepiphysis, treated at the BNICTO from 2014 to 2021. 58 (56.3%) patients made up the control group, who underwent osteosynthesis of the posterior facet fractures of the distal tibial metaepiphysis using previously known methods. In the postoperative period, the ankle joint was immobilized with a plaster cast and the patients received rehabilitation according to the traditional method. The main group included 45 (43.7%) patients. He underwent osteosynthesis of the posterior margin fracture using a new technique, postoperative rehabilitation was carried out using an improved rehabilitation technique. Complex treatment of patients with posterior facet fractures of the distal tibial metaepiphysis, including a new method of osteosynthesis of the posterior facet fractures of the distal tibial metaepiphysis made it possible to increase the number of excellent treatment results from 8.7% to 16.3% 3 times (1.9%), good results from 56.5% to 70.3% 2 times (1.2%), reduce the percentage of unsatisfactory results from 17.3% to 5.4% – in 2 times (by 3.2%) (p <0.001), the average length of hospital stay is 1.5 times (from 11.5 to 7.6 days) (p <0.001) and to increase the efficiency of restoring the function of the ankle joint in 1, 2 times (p <0.001) compared with patients in the control group.
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