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CLINICAL, X-RAY CHARACTERISTICS AND EARLY RESULTS OF BONE FIXATION WITH PLATE AND SCREWS IN PATIENTS WITH CLAVULAR FRACTURES AT VO TRUONG TOAN UNIVERSITY HOSPITAL
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Abstract
Background: Surgical treatment of clavicle fractures is currently considered a superior method, overcoming many limitations of conservative treatment. This method can be applied to complex fractures, helping to restore the anatomical structure and physiological function of the clavicle thanks to firm fixation, minimizing the risk of secondary displacement and complications. Through clinical practice in Hau Giang province, we found that the above technique has many advantages over other techniques, so we carried out this topic.. Objectives: 1. Research on clinical and paraclinical characteristics of clavicle fracture patients undergoing bone fusion surgery at Vo Truong Toan University Hospital. 2. Research on early results of bone fusion surgery to treat closed clavicle fractures at Vo Truong Toan University Hospital. Materials and methods: Retrospective study of 33 patients with closed clavicle fractures operated on at Vo Truong Toan University Hospital from January 2016 to January 2022. Results: The study included 81.8% men, 18.2% women, the age group 20-39 was the most common. Common symptoms included swelling (51.5%), limited mobility (45.5%), sharp pain (33.3%) and bruising (30.3%). All patients had limb deformities (100%), abnormal movement was recorded in 12.1%, and no cases of bone crepitus were found. Among the 33 patients, fractures of the middle third of the bone accounted for the highest proportion (87.9%), followed by fractures of the outer third (9.1%) and the inner third (3.0%). Common displacements included shortening (84.8%), lateralization (78.8%) and angulation (18.2%); there was no rotational displacement. Regarding fracture type, oblique fractures accounted for 45.5%, transverse fractures 24.2%, fractures with loose fragments 30.3%; there were no spiral or comminuted fractures. All patients had postoperative X-ray results without deviation (100%). No early complications such as infection, vascular or nerve damage were recorded. Early treatment results were assessed as good in all patients (100%). Conclusion: Surgical treatment of patients with clavicle.
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Keywords
Clavicle fracture, surgery, X-ray.
References
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