KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ GÃY PHỨC HỢP GÒ MÁ BẰNG NẸP VÍT NHỎ TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2022-2024

Abstract

Background: The zygoma plays an important role in the facial contour. Therefore, zygomatic complex fractures with displacement of the fractured segment directly affect the aesthetics and function. Miniplate can help to firmly fix the zygomatic bone to the buttresses and pillars of the craniofacial skeleton, the zygomatic complex achieves long-term stability immediately after surgery. Objectives: Evaluate the results of zygomatic complex fractures with displacement of the fractured segment treated using miniplates. Materials and methods: An uncontrolled clinical trials study was conducted on 45 patients diagnosed with complex zygomatic fractures with segment displacement on CT-scan at Can Tho Central General Hospital from August 2022 to May 2024. Results: The male-to-female ratio was 2.46; the average age was 29.31±10.95 years old; the main cause of complex zygomatic fractures was traffic accidents (84.4%). The most common clinical symptoms in the study were swelling, sharp pain, bone discontinuity, and numbness (95.6% - 97.8%). After 6 months of surgery, the rates of patients with good anatomical, functional, and aesthetic results were 86,7%, 100%, and 84,4%, respectively; no patients had poor results; fixed position does not affect the treatment outcome in terms of surgical criteria (p>0.05) Conclusion: The treatment of complex zygomatic fractures with minimal plate and screw fixation is an effective method with good treatment results after 6 months.