THE LOWER LIMB FUNCTIONAL STATE IN PATIENTS WITH THE KNEE INTRA-ARTICULAR FRACTURES AFTER TREATMENT USING THE ILIZAROV FIXATOR COMBINED WITH ARTHROSCOPY

The results of treatment using the Ilizarov fixator combined with arthroscopy in 39 patients (38±4.5 years) with the knee intra-articular fractures have been analyzed clinically and physiologically. The functional state of the lower limb muscles has been evaluated depending on the type of feet support responses using the techniques of dynamometry and electromyography. Significant changes in the stride cycle parameters were registered in case of > 40% asymmetry of the moment of force values of leg flexors/extensors and < 1.0 values of the index of antagonist muscles. When the antagonist index was < 0.5 the ability to maintain the body stable balance in walking was disordered, and the patients had to use additional supports. Attention should be primarily focused to the recovery of the anterior group of femoral muscles in patients with Type I feet support responses, and to that of both the anterior and posterior groups of femoral muscles - for patients with Type II. Treatment-and-rehabilitation measures should be directed to the function recovery of femoral and leg muscle groups for Type III of feet support responses.