THE RESULTS OF TIBIA FRACTURE TREATMENT WITH CLOSED INTRAMEDULLARY NAILING WITH PINS FOR CLOSED LONG OBLIQUE FRACTURES AT THE FIELD SURGERY DEPARTMENT OF 103 MILITARY HOSPITAL

Hải Lê Văn, Cường Lê Hùng

Main Article Content

Abstract

Background: The method of closed intramedullary nailing with pins in the treatment of closed fractures of the long bone shaft is a major advance in the field of orthopedic trauma. At Military Hospital 103, the treatment of closed fractures of the tibia shaft by closed intramedullary nailing with pins by Sanatmetal has been applied and has achieved positive results. Objectives: Evaluation of the results of treating tibia fractures with Sanatmetal nails at the field surgery department of Military Hospital 103. Methods: Retrospective study of 33 patients with closed clavicle fractures operated at Military Hospital 103 01/2018 - 12/2018. Results: The youngest patient was 16, the oldest was 85, the average age was 32.23. The age group 16 - 40 accounted for the highest proportion (76.19%). The number of patients with long oblique fractures (Al), fractures with fragments (Bi, B2, B3) and complex fractures (Cl, C2, C3) was 30 patients. 42 patients (100%) had initial surgical wound healing and drainage at the incision at the upper end of the tibia. 39 patients (92.86%) had complete reduction of all fracture types. 3 patients (7.14%) still had little displacement, including 2 patients with 3-segment fractures. Conclusion: Closed intramedullary nailing with a pin is a widely indicated method, applicable to all forms and locations of tibial shaft fractures.

Article Details

References

1. Bộ Y tế (2013),"Gãy cẳng chân", Kỹ thuật điều trị bảo tồn trong chấn thương chỉnh hình, Nhà xuất bản Y học, tr. 150 - 157.
2. Nguyễn Văn Dương, Nguyễn Tiến Bình và Vũ Nhất Định (2009), "Nhận xét kết quả điều trị gãy hở hai xương cẳng chân bằng cọc ép ren ngược chiều tại bệnh viện Tiền Giang từ 1 - 2006 đến tháng 12 - 2008", Y học thực hành. số 1 - 2009, tr. 1 - 6.
3. Trịnh Xuân Đàn, Đinh Thị Hương và Nguyễn Huỳnh (2008), "Giải phẫu chi dưới", Bài giảng giải phẫu học, Nhà xuất bản Y học, tr. 99 - 175.
4. Nguyễn Hạnh Quang (2007), Nghiên cứu phương pháp đóng đinh nội tủy kín có chốt ngang bằng đinh kuntscher cải biên dưới màn tăng sáng điều trị gãy kín thân xương chày, Luận án tiến sĩ y học, Học Viện Quân Y.
5. Trương Xuân Quang (2004), Đánh giá kết quả điều trị gãy hai xương cẳng chân bằng phương pháp đóng đinh SIGN kín có chốt ngang, Luận văn thạc sĩ y học, Đại học Y Hà Nội.
6. Bhandari, Mohit (2012), "Economic evaluation of reamed versus unreamed intramedullary nailing in patients with closed and open tibial fractures: Results from the study to prospectively evaluate reamed intramedullary nails in patients with tibial fractures (sprint)", Journal of Bone & Joint Surgery, British Volume. 94(Supp xxxviii), pp. 76-76.
7. Young S., Lie S. A., Hallan G., Zirkle L.G. (2011), "Low infection rates after 34,361 intramedullary nail operations in 55 low and middle income countries: Validation of the Surgical Implant Generation Network (SIGN) online surgical database", Acta orthopaedica. 82(6), pp. 737 - 743.
8. Yaligod V., Rudrappa G.H., Nagendra S., (2014), "Minimizing the complications of intramedullary nailing for distal third tibial shaft and metaphyseal fractures", Journal of Orthopaedics. 11(1), pp. 10 - 18.
9. Yu J., Li L., Wang T., Sheng L. (2015), "Intramedullary nail versus plate treatments for distal tibial fractures: A meta - analysis", International Journal of Surgery.16, Part A, pp.60–68.