R.Z. SALIKHOV, I.O. PANKOV, Y.A. PLAKSEYCHUK, V.V. SOLOVYEV

Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

Salikhov R.Z. — traumatologist-orthopedist, Senior Researcher of Scientific Department, tel. +7-917-285-28-28, е-mail: ramils@list.ru

Pankov I.O. — D. Med. Sc., Leading Researcher of the Research Department, tel.: (843) 279-41-11, +7-987-296-31-40, e-mail: igor.pankov.52@mail.ru

Plakseychuk Y.A. — Cand. Med. Sc., Leading Researcher of Scientific Department, Head of Orthopedics Department № 1, tel. +7-917-269-60-01, e-mail: rkb_nauka@rambler.ru

Solovyev V.V. — traumatologist-orthopedist, Researcher of Scientific Department, tel. +7-927-672-42-99, e-mail: rkb_nauka@rambler.ru

We performed a study of biomechanical parameters of the foot by Neurocom Balance Master® 7.0. system in 12 patients with old injuries of the distal tibiofibular syndesmosis before and after surgery. Time before surgery ranged from 3 months to 28 months. All patients had 3 types of tests: Weight Bearing/Squat (WBS), Walk Across (WA), modified clinical test of sensory interaction on balance (mCTSIB). We found violations of the distribution of body weight, decrease walking speed, increase the width of the step length reduction step, asymmetry, breach of sensory balance. All 12 patients were operated: close reduction and fixation by Ilizarov frame. After the surgery and the course of rehabilitation treatment all patients showed recovery of the strength and mobility of the of leg (as evidenced by the reduction of the step width, increase of step length and speed), and improvement of the balance. Surgical correction of the distal tibiofibular syndesmosis injuries prevents the development of osteoarthritis. This tests can also be used to document progress in a rehabilitation program.

Key words: ankle, tibiofibular syndesmosis injury, foot, balance and mobility disorders.

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