Prevention of the development of initial signs of venous insufficiency associated with intraoperative damage to the large saphenous vein in the surgical treatment of ankle and lower leg fractures

Kukushkin Evgeni Petrovich, Midlenko Vladimir Ilyich, Midlenko Oleg Vladimirovich

Objective: to assess the probability of developing initial signs of venous insufficiency when restoring the integrity of the large saphenous vein damaged during surgical treatment of fractures of the ankle and lower leg and without its restoration. Materials and methods: We observed 215 patients with closed fractures of the lower and middle third of the lower leg and ankle, who were operated at the G. A. Zakharyin State Medical Institution KB No. 6 in Penza from 2016 to 2018. The patients were divided into 3 groups. In all the patients we observed in the postoperative period, the presence and dynamics of clinical and instrumental signs of venous insufficiency were evaluated. Results of the study: In patients operated on for fractures of the ankles and lower third of the lower leg, in the case of iatrogenic damage to the great saphenous vein in the postoperative period, the initial signs of venous insufficiency develop, which was confirmed clinically and by the data of instrumental studies. If the integrity of the vessel was restored immediately after the completion of the main stages of the operation, venous insufficiency did not develop.

Keywords:venous insufficiency, large saphenous vein, fracture of the ankles and lower third of the lower leg.