X-RAY ASSESSMENT OF THE EFFICIENCY OF HYBRID STABLE-ELASTIC FIXATION UNSTABLE ANKLE FRACTURES

The level of complications after treatment patients with bone fractures stays high 22–60 %. Understanding ankle-foot joint biomechanics is critical for choosing trendy methods hybrid fixation or the traditional fibula plate and positional screw distal syndesmosis. Objective. To analyze effectiveness surgical unstable trans- suprasyndesmosis stable-elastic (HSEF) in comparison method a positioning according to X-ray morphometric parameters. Methods. 82 suprasyndesmotic fibula. main (I group) study consisted 18 (21,95 %) an average age (41,6 ± 15,5) years who operated fixation, control (II — 64 (78.05 (52,4 15,7) years, screw. Results. TTA was 0.63 times lower than fixation. For type C HSEF, value also 0.78 (p = 0.0005). Conclusions. analysis parameters angle inclination talus talus-tibia confirms advantage supra-syndesmotic damage inter-tibial According index risks instability p/o period were found osteosynthesis. Median values indicated tendency shorten