ỨNG DỤNG NỘI SOI CỔ TAY TRONG ĐIỀU TRỊ GÃY XƯƠNG THUYỀN – BÁO CÁO BA CA LÂM SÀNG TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC TP. HỒ CHÍ MINH

Abstract

Introduction: Scaphoid fracture is the most common fracture of all wrist bones. If not properly diagnosed and treated, it easily leads to scaphoid nonunion and progressive wrist collapse. We report 3 presentative cases in which wrist arthroscopy was utilized for the treatment of scaphoid fracture at the University Medical Center, Ho Chi Minh city : (1) acute displaced unstable scaphoid fracture, (2) acute scaphoid fracture with scapholunate dissociation, and (3) scaphoid nonunion. Results: All 3 patients achieved bone union within 8-12 weeks confirmed by CT-scan, with restoration of scaphoid-lunate angle on Xray. They also demonstrated good functional and aesthetic outcomes, no complications were observed. Conclusion: Wrist arthroscopy is a minimally invasive and safe approach that allow direct intra-articular visualization, fracture reduction, debridement and bone grafting for scaphoid fracture as well as manage associated intra-articular lessions. Our preliminary results indicate this technique promotes successful bone healing, good functional recovery and satisfactory aesthetic outcomes for patients.