ĐIỀU TRỊ GÃY CHỎM QUAY TRẬT KHỦYU BẰNG PHƯƠNG PHÁP LẤY BỎ CHỎM, CHÈN CƠ KHUỶU

Abstract

Objective: To evaluate the functional recovery of patients after surgery and to record complications following radial head excision with anconeus interposition in patients with comminuted radial head fracture and elbow dislocation at the Trauma and Orthopedic Hospital, Ho Chi Minh City. Methods: A descriptive report of 10 clinical cases. Discussion: In the 10 cases studied, the patients recovered an average range of motion in elbow flexion-extension of 0° - 0° - 130° and pronation-supination of 80° - 0° - 80°. All patients had no pain at rest, and the level of pain during movement, as measured by the VAS scale, was 2.5. The average ASES-e score was 90.3, indicating good functional outcomes. There was grade 2 elbow instability in 3 cases, but it did not affect the patients' daily activities. There were no cases of re-dislocation. This method produced relatively similar results to radial head excision in isolated radial head fractures, as well as in comminuted radial head fractures treated with previous locked plating. Conclusion: Treatment of comminuted radial head fractures with elbow dislocation using radial head excision with anconeus interposition yields promising initial results that are applicable in current clinical practice.