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Russian Medical Academy of Postgraduate Education, Moscow

Examination and treatment results of 120 patients with closed injuries of the ankle joint are presented. In 76 patients with various patterns and severity of closed injuries duplex crus veins examination using color Doppler to evaluate the venous blood circulation was performed within the first 24 hours. Mural deep vein thrombus of the crus was diagnosed in 26 (34.2%)) patients. Deep vein occlusion (posterior tibial vein) was detected in type B2 injuries 14 (45.2%) out of 31 examined patients, in type B3 11 (36. 7%)) out of 30 patients and in type C2 1 (9.1%)) out of 11 patients. Elaborated diagnostic curative scheme gave a two times decrease of the ratio of chronic venous circulation disturbance as compared to control and in 34.2%) of patients the development of postthrombophlebitic syndrome was prevented.