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Osteosynthesis of Ankle Fractures: Problems and Solutions
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| Author:
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M.AKRAA, E.I. SOLOD, N.V. ZAGORODNIY, M.A. ABDULKHABIROV, A.F. LAZAREV , M.H. DZHANIBEKOV
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| Abstract:
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A topical problem in traumatology is the choice of treatment methods for ankle fractures. The consideration of the
anatomical and functional features of the ankle, condition of soft tissues in the area of fractures and the degree of
edema in the ankle region is of great importance when choosing a particular treatment method. Therefore, reducing
the degree of surgical aggression during surgical treatment of these injuries is an important task.. The aim of this study
was to examine the possibilities of improving the results of surgical treatment of patients with ankle fractures with
minimally invasive osteosynthesis technologies. This study presents the experience of treating 62 patients with
fractures of the ankle joint. Two statistically homogeneous groups of patients with ankle fractures were identified. In
one group, osteosynthesis with minimally invasive osteosynthesis techniques was used in 34 patients; in the other,
osteosynthesis was performed in a conventional manner in 28 patients. A comparative analysis of the immediate and
long-term results of treatment of patients in the study groups was carried out. The advantage of closed technology of
osteosynthesis was proved. The preservation of the blood supply to the surrounding soft tissues with closed
osteosynthesis provides a greater likelihood of fracture fusion, therefore the only condition in such cases is to
eliminate the interposition of soft tissues in the area of lateral and medial ankle fractures.. The analysis of the obtained
immediate and remote results of osteosynthesis in the two groups showed the best efficiency when using minimally
invasive closed metal implantationtechnologies, especially when there are skin problems in the area of the injured
ankle joint.
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| Keyword:
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ankle fractures, minimally invasive, rehabilitation, prevention of complications.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2019.11.03.066
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| Download:
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