ANALYSIS OF THE STRUCTURE OF DISTAL TIBIA AND ANKLE FRACTURES IN THE CITY MULTI-PROFILE HOSPITAL
Objective: Based on the analysis of the group of patients with distal tibia fractures and ankle fractures, referring to methods of treatment to estimate the efficacy of clinical use of ICD codes and AO/ASIF classification in termes of improving outcomes of treatment was done. The retrospective analysis of patients with distal tibia and ankle fractures treated in Alexandrovskiy city hospital in 2015-2017 years was performed. The first group consisted of 752 patients with distal tibia and fibula fractures discharged with ICD codes: S82.2, S82.3, S82.5, S82.7, S82.8. The second group included 963 patients with ankle fractures discharged with ICD codes: S82.3, S82.5, S82.6, S82.7, S82.8, S72.8. According to AO classification during this period we treated 185 to 266 patients with ankle fractures annually (673) and 53 to 67 patients with pilon fractures annually (182). Out of patients with ankle fractures encoded ICD 69,9% match to types 44 according to the AO/ASIF classification. Out of patients with pilon fractures encoded ICD 24,2% match to types 43 according to the AO/ASIF classification. The operative activity was correlated with type of fracture in patients with pilon fractures (types 43 - 75,3%) and ankle fractures (types 44 - 75%) and was higher in patients with types 43 C (90,1%) and 44B (81,4%). The ICD codes of patients with distal tibia and ankle fractures are not representative and is not sufficient for scientific purposes. Use of AO/ASIF classification in addition to ICD is advisable in order to improve clinical results and financial expenses of trauma centers.