EXPERIENCE IN THE SURGICAL TREATMENT OF COMMINUTED FRACTURES OF THE DISTAL END OF THE FEMUR

Abstract

Background: According to different authors, the frequency of fractures of the distal femur ranges from 6 to 25% of all femoral fractures. The most severe of them are intercondylar and supracondylar fractures, which account for up to 42% of all hip fractures, among which type C fractures account for up to 50%. the nature and severity of the fracture. In recent decades, there has been an increase in injuries in general and in particular due to medical disasters. Since these fractures often occur at working age, and the share of this population in the population is increasing. The aim of the study was to improve the results of treatment of patients with comminuted fractures of the distal end of the femur using the plate with the Liss system. Material and methods of research: in the period from 2018 to 2021, 69 patients aged 20 to 60 years with comminuted fractures of the distal end of the femur were under our observation. Distribution of patients by age: 20-25 years old – 15 patients (21.7%), 26-45 years old – 35 patients (50.7%) and 46-60 years old – 19 patients (27.6%). By gender: men – 51 (73.9%), women – 18 (26.1%). Conclusions: the analyses showed that in patients of groups 1-2, therapeutic measures and restoration of patients' ability to work lasted a long time. In the 3rd group of patients (34 patients) the time of therapeutic measures decreased, the patients' ability to work was restored within 3-4 months and there were no complications after surgery.