KẾT QUẢ PHẪU THUẬT GÃY KÍN MÂM CHÀY BẰNG NẸP VÍT KHÓA TẠI BỆNH VIỆN BÃI CHÁY

Abstract

Objectives: Evaluating the results of closed tibial plateau fracture surgery with locking screws at Bai Chay hospital, Quang Ninh province. Subjects and Methods: Patients with closed tibial plateau fractures underwent bone fusion surgery with a locking plate at Bai Chay Hospital - Quang Ninh from January 2017 to the end of October 2023. Retrospective cross-sectional descriptive study from January 2017 by March 2023, there will be 20 patients and prospectively from April 2023 to October 2023, there will be 15 patients. Postoperative evaluation at 1, 3, and 6 months. Results: The average age was 39.5 ± 14.5 years. Males account for 68.6%, females 31.4%. The main cause of injury is traffic accidents, accounting for 68.6%. According to the Schatzker classification: The most common closed tibial plateau fracture in the study was type VI, accounting for 31.4%. The anterolateral incision is the most used with a rate of 91.4%. There were 34/35 patients with initial surgical wound healing, with only 1 case of superficial infection (2.9%). Clinical soft tissue damage according to Tscherne grade 0, grade 1 (88.6%), grade 2 (11.4%). The average hospital stay was 10.3 ± 3.4 days. Most patients have good bone healing on X-ray. The results of knee joint functional recovery were good and fair, accounting for 94.2% according to Rasmussen's standards. Conclusions: Surgery to combine tibial plateau fractures with locking screws provides good results in anatomical bone correction and functional recovery.