ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY MẤT VỮNG KHUNG CHẬU BẰNG PHƯƠNG PHÁP KẾT HỢP XƯƠNG BÊN TRONG

Abstract

Background:  Pelvic fracture management is a challenging obstacle for orthopedic surgeons.  Open reduction and internal fixation surgery is currently an effective procedure for treating unstable pelvic fractures, which enhances anatomical reduction and patients’ quality of life postoperatively. Objectives: (1) Identifying some clinical characteristics of patients with unstable pelvic fractures; (2) Evaluating the surgical outcomes by open reduction and internal fixation on these patients. Material and methods: A cross-sectional descriptive and prospective study was carried out on 38 unstable pelvic fracture patients from June 2022 to June 2024 at Can Tho Central General Hospital. Results: the average age: 40,89 ± 14,91 years; the majority of fractures were classified in Tile B2.1 with 57.9%. Traffic accident was the most common reason for pelvic injury with 89,5%. The percentage of excellent and good anatomical reductions as well as Majeed’s score were 86,8% and 92,1%, respectively; bone union duration was an average of 12,2 ± 2,3 weeks. There was correlation between the 6^th month Majeed score and the Short Form Health Survey 36 questionnaire version 1.0 (SF–36) (r = 0,529, p = 0,001, R² = 0,280). Conclusions: Surgically treated unstable pelvic fracture with internal fixation brought very good functional outcomes.