[CLINICAL AND STATISTICAL ANALYSIS OF POSTERIOR FOOT INJURIES]

A clinical and statistical study of the frequency, structure and circumstances of posterior foot injury was carried out in 1047 patients admitted to the clinic in the period from 2007 to 2020. Age and gender groups have been identified, in which most often injuries leading to hospitalization occurred as a result of a fall with low kinetic energy at home or on the street, due to negligence, illegal actions and road accidents. The majority of patients were hospitalized urgently after injury, among which fractures of the calcaneus prevailed (84.82%). Two clinical groups were analyzed for the chosen treatment tactics. In the first group (comparison), depending on the severity of the injuries, conservative treatment was performed in 189 patients, operative (open reposition and internal fixation) - in 156. In the second group (studies), a closed reposition by Westhues / Essex-Lopresti and transosseous osteosynthesis according to the tactics developed by us were performed in 316 cases. Rammed arthrodesis was performed in both groups in 22 patients. The analysis of the functional results of conservative treatment according to AOFAS (88.7±5.2) and FFI (6.8±3.4) showed the advantages of closed methods and their effectiveness by 1.2 times compared with conservative treatment and internal osteosynthesis, respectively, 73.1±11.2 and 23.9±10.8 points.