COMPARATIVE ANALYSIS OF THE RESULTS OF OPERATIVE TREATMENT OF POLYSEGMENTAL FRACTURES OF THE LOWER EXTREMITIES

Abstract

This research paper presents an analysis of the treatment outcomes of 52 patients with polysegmental fractures of the long bones of the lower extremities. The study is based on the analysis of clinical data collected from patients who underwent surgical treatment at the Bishkek Scientific Research Center of Traumatology and Orthopedics. The main characteristics of these patients were studied, including the prevalence of different types of fractures. According to the author's data, the most common are bilateral fractures of both tibiae (36.5%) and ipsilateral fractures of the femur and tibia (23.1%). Special attention was given to evaluating the effectiveness of the treatment methodology used, which is based on delayed simultaneous intramedullary nailing of the femur and interosseous nailing of the tibia with the use of an external fixation device. As a result of applying this approach, successful clinical recovery was achieved in 88.9% of cases, confirming its effectiveness in the comprehensive treatment of polysegmental fractures of the lower extremities. The results of the study provide important information for clinicians involved in the treatment of lower extremity fractures in order to optimize the choice of surgical intervention techniques and improve the quality of medical care for this category of patients. The advantages of early mobilization and active participation of the patient in the recovery process are described, and data on the timing and stages of rehabilitation are presented.