Comparative evaluation of the use results of internal fixation osteosynthesis at treatment of diafizaric fractures of crus bones

This article is devoted to the study of the results of the use of osteosynthesis in traumatology in the treatment of fractures of the lower leg bones. In the course of the study, an assessment of the results of the use of osteosynthesis in fractures of the shin bones in the department of traumatology of the Regional Clinical Hospital of the Republic of Moldova “Republican Clinical Hospital no. 4” in Saransk was carried out. Our comparative analysis showed a significant dependence of the number of complications from the timing of surgical treatment for osteosynthesis of the shin bone. Thus, in patients with fractures of the shin bone, which was performed osteosynthesis, we found 7 (10.1%) episodes of thrombovenous complications in the early postoperative period. The main reasons for the development of thrombovenous complications in patients with fractures of the lower leg bones were inadequate planning of the operative allowance, incorrect operation technique - significant traumatization of soft tissues, inaccurate implant placement, disagreement among practical doctors on the timing and types of prophylaxis of thrombovenous complications. The correct choice of the method of operational assistance with appropriate technical equipment, as well as the competent management of the patient in the postoperative and rehabilitation periods, guarantee a good result in the treatment of crus fractures.