KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT GÃY MONTEGGIA Ở NGƯỜI TRƯỞNG THÀNH TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To describe the clinical characteristics and X-ray findings of the study patients. To evaluate the surgical outcomes of Monteggia fractures in adults treated at Vietduc University Hospital. Patients and Methods: A cross-sectional study of 35 adult patients with Monteggia fractures, all of whom underwent surgery at Vietduc University Hospital from January 2019 to December 2023, classified using the Bado classification system. All patients who met the inclusion criteria and consented to participate in the study were included. Results: The mean age of the 35 patients was 35.43 ± 13.8 years (ranging from 19 to 71 years), with a male-to-female ratio of 57.1%/42.9%. Short-term outcomes: Axis correction and complete bone fusion without displacement were achieved in 91.4% of patients (32/35), while 8.6% (3/35) showed minimal displacement. No patient exhibited poor results. Anatomical restoration of the radial head was achieved in 34/35 patients, while one patient required an additional procedure involving the humerocapitellar joint to reposition the radial head. Long-term outcomes: According to Tran Dinh Chien’s criteria, bone healing was excellent in 91.4% of patients (32/35), with poor healing in 8.6% (3/35), and no cases of pseudarthrosis. The overall results at the latest follow-up, assessed using Anderson’s criteria, were as follows: 68.6% (24/35) excellent, 25.7% (9/35) good, and 5.7% (2/35) fair. No patient exhibited poor results. The average Mayo Elbow Performance Score (MEPS) was 90.14 ± 9.4 points, with scores ranging from 70 to 100. No patients experienced redislocation of the radial head after surgery. All cases of radial nerve palsy recovered spontaneously within six months without the need for surgical intervention. Conclusions: Open reduction and internal fixation (ORIF) of Monteggia fractures in adults is a safe and effective treatment, enabling early functional recovery for patients.