KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG ĐIỀU TRỊ GÃY KÍN BA MẮT CÁ CHÂN TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To evaluate the outcomes of open reduction and internal fixation surgery for closed trimalleolar fractures at Viet Duc University Hospital. Subjects and Methods: A cross-sectional retrospective study of 34 patients with trimalleolar fractures at Viet Duc University Hospital from 01/2022 to 06/2024. Results: The mean age of the patients was 53.5 ± 13,2 years. The female-to-male ratio was 2:1. Half of the patients were admitted due to traffic accidents. The most common injury mechanisms were supination-external rotation and supination-adduction. The majority of fractures were classified as type B according to the AO classification. The mean pre-operative posterior malleolar displacement was 5.21 ± 4,31 mm. In 67.7% of cases, there was a tibiofibular syndesmosis injury. The mean pre-operative tibiofibular clear space was 8.01 ± 3,06 mm. The superficial wound infection rate was 5,9% (2 patients). The mean post-operative posterior malleolar displacement was 0,650 ± 1,11 mm. 95.7% of patients had complete healing of the tibiofibular syndesmosis. The mean post-operative tibiofibular clear space was 4,65 ± 0,75 mm. At the 3-month follow-up, the mean (AOFAS) score was 92,6 ± 5,78 Conclusions: Open reduction and internal fixation is an effective treatment for closed trimalleolar fractures, achieving good ankle function for patients.