Optimization of Surgical Treatment of Distal Metaepiphyseal Fractures of the Tibia

In recent years, in Ukraine and in the world as a whole, there has been an increase in the number of victims with injuries to the distal metaepiphysis of the tibia. First of all, this is due to the increase in the pace of life, hostilities, mechanization of processes that occur in conditions of scientific and technological progress. The lack of full recommendations for choosing general treatment tactics in this category of patients and a sufficiently high percentage of unsatisfactory treatment results indicate the need for further study of the problem of treating fractures of the distal metaepiphysis of the tibia and the creation of additional studies in this direction. The purpose of the work is to publish an analysis of the long-term results of physiotherapy treatment for fractures of the distal metaepiphysis of tibia fractures. Material and methods of the study. During the work, 132 patients were examined. The average age of the patients was (45.15±15.98) years, varying from 18 to 86 years. The distribution by age group was as follows: up to 30 years old – 26 people (19.62 %), from 30 to 40 – 26 (19.62 %), from 40 to 50 – 26 (19.62 %), from 50 to 60 – 23 (17.42 %), over 60 years old – 31 (23.72 %). Research results and their discussion. The results of the correlation-regression analysis confirmed the presence of a reliable relationship between the total score on the Ankle-Hindfoot Scale and such parameters as: pain level, degree of activity limitation, ability to move, presence of gait changes, stability and axial balance. The most clear relationship was observed in patients of group I, somewhat smaller - in group III, and the lowest – in group II. Conclusions. Thus, the results obtained allow us to reasonably recommend minimally invasive osteosynthesis with early rehabilitation treatment as the most effective approach to the surgical treatment of intra-articular fractures of the distal tibia from the point of view of both clinical effectiveness and biomechanical feasibility.