KẾT QUẢ ĐIỀU TRỊ GÃY KÍN ĐẦU DƯỚI XƯƠNG CẲNG CHÂN BẰNG PHẪU THUẬT KẾT HỢP XƯƠNG NẸP VÍT VỚI KỸ THUẬT ÍT XÂM LẤN

Abstract

Background: Distal tibial fracture is a common type of injury that can be treated in many ways. In recent years, bone union and complications in those fractures have been the main factors for consideration in patients treated by original surgery. Minimally invasive plate osteosynthesis is a new procedure which is considered as a potential treatment with a low rate of complication and excellent bone healing percentage. Objectives: Evaluation outcomes of minimally invasive plate osteosynthesis for closed distal tibia fractures and some factors affecting treatment results at Can Tho Central General Hospital and Dong Thap General Hospital. Materials and Methods: Patients who had closed distal tibia fractures and had undergone minimally invasive plate osteosynthesis were included in the study. We noted some characteristics of patients, clinical, X-ray, and evaluation outcomes including fixation results, bone healing results through JL Haas and JY De la Cafinière, rehabilitation according to AOFAS, and patient satisfaction. Results: The average age was 52,73 ± 15,3. The main AO/OTA type was 43A1. 100% patients union with an average bone healing time was 12,51 weeks. The average AOFAS score after 6 months postoperative of 27patients was 95,44 ± 4,136, very good rehabilitation was 92,59% and good was 7,41%. The union and rehabilitation results were satisfactory in 94,59% of patients. Conclusion: Minimally invasive plate osteosynthesis of distal tibial fracture brings significant results with high rate of union and resuming early return to activities.