Complex Rehabilitation Treatment of Patients with Intra-Articular Fractures of the Knee Joint Area.

Abstract

Fractures of the knee joint occupy a special place in the series of peri-and intra-articular fractures of the limb bones and are one of the most severe injuries of the musculoskeletal system. Most authors note a significantly higher incidence of fractures of the proximal articular end of the tibia compared with fractures of the distal end of the femur. (2) The treatment of such fractures is difficult. The frequency of such fractures is from 4.0 to 6.1% of all fractures of the bones of the lower extremities and from 4.0 to 12.0% of all intra-articular fractures (1,2,3,5,6). Various complications and unsatisfactory outcomes of treatment of fractures of the knee joint area reach 50% and more. Disability, according to various authors, is over 34.8% (1.5.6).

The most frequent complications of such fractures are the development of contractures and deforming arthrosis of the joints of the damaged segments of the extremities, 57.0% of fractures of the femoral and tibial condyles are complicated by the development of deforming arthrosis of the knee joint. (1,6)