COMPARATIVE ANALYSIS OF THE RESULTS OF A CONSERVATIVE TREATMENT METHOD AND PERCUTANEOUS OSTEOSYNTHESIS WITH WIRES FOR INTRA-ARTICULAR FRACTURES OF THE DISTAL METAEPIPHYSIS OF THE RADIUS

Abstract

Fractures of the distal metaepiphysis of the radius remain an urgent problem of modern traumatology and orthopedics not only in the Kyrgyz Republic but throughout the world, the reason for this is an increase in average life expectancy, urbanization, pronounced osteoporosis in postmenopausal women, an increase in the general well-being of people, an increase in the number of cars per capita, consequently, an increase in the number of car accidents on the roads of large cities, villages, as well as the popularity of dangerous "sports" like kok-boru, parkour, new types of transportation high-speed bicycles, scooters that many citizens are fond of, most of the victims are people of working age (18-59 years old) who need full recovery and rehabilitation in a short period. The frequency of fractures of the forearm bones, including fractures in the projection of the distal metaepiphysis of the radius, occupy a significant position in the structure of injuries. Despite the variety of surgical treatment methods, the percentage of unsatisfactory results remains high. This is due not only to the severity of the injury, the complexity of the anatomical structure and the subtlety of the physiological functions of the hand, but also to the large number of errors allowed in the diagnosis, choice of treatment method and management tactics of patients with fractures of the distal metaepiphysis of the radius. Considering that most complications after treatment of fractures of the distal metaepiphysis of the radius are associated with prolonged immobilization of the wrist joint, a minimally invasive method is needed in which sufficient fixation of fragments, even in patients with osteoporosis, will prevent the likelihood of secondary displacement and allow patients to begin movements in the operated joint in the coming days after surgery, in connection with which in a Clinical emergency hospital The help of G. Bishkek clinical studies and observations of patients with traumatic injuries of the distal metaepiphysis of the radius and a comparative analysis of the data obtained from various treatment methods are carried out.