KẾT QUẢ KẾT HỢP XƯƠNG NẸP VÍT ĐIỀU TRỊ GÃY KÍN MÂM CHÀY TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To evaluate the outcomes of open reduction and internal fixation (ORIF) with plate and screw for closed tibial plateau fractures at Viet Duc Hospital. Patients and Methods: A retrospective study was conducted on 45 patients with closed tibial plateau fractures classified according to the Schatzker classification system who underwent ORIF with plate and screw at Viet Duc Hospital from February 2021 to February 2024. All eligible patients were included in the study and their outcomes were evaluated using the Rasmussen scoring system at 6 months post-surgery. Results: The mean age of the patients was 46.42 ± 13.51 years (range, 22-73 years) with a male-to-female ratio of 1:1. Traffic accidents were the predominant cause of injury, accounting for 86.6% of cases. At 3 months post-surgery, the Larson - Bostman functional outcome scores were excellent in 26/45 patients (57.7%), good in 16/45 patients (35.6%), and fair in 3/45 patients (6.7%). No patient exhibited poor outcomes. At 6 months post-surgery, the Rasmussen functional outcome scores were excellent in 29/45 patients (64.4%), good in 13/45 patients (28.9%), and fair in 3/45 patients (6.7%). No patient had a poor outcome. The mean Rasmussen functional score was 26.64 ± 3.89 points (range, 14-30 points). Conclusions: ORIF with plate and screw is a safe and effective treatment for closed tibial plateau fractures, resulting in early functional recovery of the lower limb.