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SURGICAL OUTCOMES OF INTERNAL FIXATION USING LOCKING PLATES FOR THE TREATMENT OF CLOSED SCHATZKER VI TIBIAL PLATEAU FRACTURES AT VIET DUC FRIENDSHIP HOSPITAL
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Abstract
A descriptive study was conducted on 46 patients with Schatzker VI tibial plateau fractures treated at Viet Duc Hospital from April 2021 to April 2024, aiming to evaluate the surgical outcomes of internal fixation using locking plates for the treatment of closed Schatzker VI tibial plateau fractures at Viet Duc Friendship Hospital. The results showed that the most common age group was 30-49 years (39.13%). CT scans were more effective than X-rays in determining the number of fracture fragments and the degree of tibial plateau depression. A total of 38 out of 46 patients (82.61%) had well-aligned fractures with no depression, and 38 patients had no axial deviation. Functional outcomes showed that 8 patients (17.29%) still complained of pain, 10 patients (21.74%) could walk for less than 60 minutes, 2 patients had limited extension of 0-10º, and 2 patients had knee stability within <20º. Postoperative complications included 1 patient (2.17%) with a surgical site infection, 1 patient (2.17%) with a fracture site infection, 2 patients (4.35%) with hematomas, and 1 patient (2.17%) with delayed bone healing.
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Keywords
closed tibial plateau fracture, Schatzker VI, internal fixation, locking plate
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