ĐỘ CHÍNH XÁC CỦA XQUANG TRƯỚC PHẪU THUẬT TRONG ĐIỀU TRỊ GÃY KÍN THÂN XƯƠNG ĐÒN BẰNG PHƯƠNG PHÁP KẾT XƯƠNG BÊN TRONG

Abstract

Objectives: Survey and evaluate accuracy of preoperative X-ray in the treatment of closed clavicle midshaft fracture by open reduction internal fixation. Subjects and methods: A prospective study from January 2022 to April 2024 at Military Hospital 175, on 169 adult patients with closed midshaft fracture of the clavicle, treated by open reduction and internal fixation method. Results and conclusion: The average age of the study group was 40.11 ± 14.93 years old, with 31.95% female patients and 68.05% male patients. Fractures with separate fragments accounted for 65.1%, displacement was mainly short overlap type, accounting for 67.5%. In 32/169 patients, the number of fragments detected at surgery was greater than the preoperative X-ray, among them, 31/32 patients changed their fracture classification according to the AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification, and 10/32 cases had to change surgical methods. The results of this study show that radiological diagnosis of the clavicle does not always accurately describe the complexity of the fracture. In clinical practice, surgeons should be aware, anticipate additional and alternative approaches, and advise patients on possible scenarios