KẾT QUẢ KẾT HỢP XƯƠNG NẸP VÍT ÍT XÂM LẤN ĐIỀU TRỊ GÃY ĐẦU DƯỚI HAI XƯƠNG CẲNG CHÂN TẠI BỆNH VIỆN ĐA KHOA TỈNH HẢI DƯƠNG

Abstract

Objective: Evaluate the results of Minimally Invasive Plate Osteosynthesis to treat distal third tibial fractures at Hai Duong General Hospital. Subjects and methods: A cross-sectional descriptive study on 46 patients with distal third tibial fractures treated with Minimally Invasive Plate Osteosynthesis at Hai Duong General Hospital from January 2019 to January 2023. Results: The age group 30-50 accounted for the highest proportion with 55.2%. 73.9% of patients are men. The rate of closed fractures is 76.1%, and grade 1 open fractures is 23.9%. Grade A2 fractures account for the highest rate of 43.5%, grade A1 fractures account for 34.8% and grade A3 fractures account for 21.7% (AO grade). The average hospital stay was 6 ± 4.7 days. The postoperative infection rate is 10.9%. The majority of cases are corrected well or very well at a rate of 82.6%. Correction at an average level accounts for 17.4%. Bone healing results were excellent and good, accounting for 89.1%, and bone healing results were average, accounting for 10.9%. Regarding the rehabilitation results according to AOFAS, the good and very good categories account for a high percentage of 82.6%, the average category accounts for a small percentage of 17.4%, and there are no poor evaluation results. Conclusion: Minimally Invasive Plate Osteosynthesis is an effective option in treating distal third tibial fractures. The method can be applied to complex fracture cases with good results.