Traumatological operations for closed ankle and lower/middle third of tibia fractures on venous insufficiency development

The objective of the paper is to evaluate the effect of intraoperative damage to the saphenous vein during operations for injuries of the ankles and lower/middle third of the tibia on the incidence of venous insufficiency during postoperative period. Materials and Methods. The authors examined 213 patients operated for closed fractures of the ankle and lower/middle third of the tibia. All the patients initially demonstrated no signs of venous lower extremity insufficiency. Patients with open injuries were not included in the study. The patients were divided into 2 groups. In patients of the first group (n=103), which was formed according to retrospective analysis, a large saphenous vein was damaged during the operation. In the second group (n=110), the vein was not damaged, as a result of proprietary techniques. In the postoperative period, the authors compared patient complaints and objective research data, characterizing the development of venous insufficiency of the lower extremities...