KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG CHÀY KHÔNG MỞ Ổ GÃY BẰNG ĐINH NỘI TUỶ CÓ CHỐT TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To evaluate the outcomes of closed reduction and tibial fixation using intramedullary nailing with locking screws at Viet Duc university hospital. Methods: A descriptive cross-sectional study involving 64 patients with close tibial shaft fractures who carried out closed reduction and tibial fixation using intramedullary nailing with locking screws from January 2021 to February 2024 at Viet Duc university hospital. The outcomes of fracture reduction were evaluated according to the Larson- Bostman scale, and bone healing was assessed using RUST at least 6 months after surgery. Results: Closed tibia shaft fractures are more common in men than women, accounting for 73.40%, most common in the age group of 18-60, accounting for 86%, and the leading cause of closed tibia shaft fractures is traffic accidents. 67.2%, the fracture location in closed tibial shaft fractures is at 1/3G, accounting for 60.9%. According to the AO classification, simple fractures of type A account for the highest rate of 76.6%, fractures with loose fragments of type B account for 23.4%, and no injuries of type C. The correction evaluated according to the Larson-Brosman scale showed that very good fractures accounted for 90.6% and good results accounted for 9.4%, with no cases of average or poor results. Bone healing results assessed by the RUST scale were 100% of patients with good bone healing results. Normal knee joint range of motion accounts for 92.2%, and minimal limitation accounts for 7.8%. The normal range of motion of the ankle joint accounts for 93.8%, and the minor limitation accounts for 6.2%. According to Ter- Schiphort scale, all patients had overall good and very good results. Conclusion: Closed reduction and internal fixation of tibial shaft fractures using locked intramedullary nails is an effective method for treating close tibial shaft fractures.