ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN THÂN XƯƠNG CÁNH TAY BẰNG NẸP KHÓA

Abstract

Introduction: Various surgical methods exist to treat closed humeral shaft fractures. Locked plating, which allows the use of both conventional and locking screws, provides enhanced stability, reduces complications, and enables early mobilization. Objective: To describe the general characteristics and evaluate the treatment outcomes of closed humeral shaft fractures using locked plates at Can Tho Central General Hospital. Subjects and Methods: A prospective interventional study without a control group was conducted on 31 patients diagnosed with unilateral or bilateral closed humeral shaft fractures who underwent locked plate fixation surgery. Results: The most common age group was 16–40 years, with farmers accounting for the highest proportion (29%). Type A fractures in the middle third of the humerus, classified by the AO system, were the most frequent (48.4%). The highest rate of bone union was observed in 96.8% of cases, with no patients experiencing poor or moderate bone healing outcomes. Regarding functional recovery of the shoulder and elbow joints, 96.8% of patients achieved excellent recovery, with no cases of mild or poor outcomes. Conclusion: Locked plate fixation is a safe and effective surgical method for treating closed humeral shaft fractures.