ĐẶC ĐIỂM LÂM SÀNG HÌNH ẢNH X-QUANG GÃY KÍN ĐẦU DƯỚI XƯƠNG CHÀY KẾT XƯƠNG BẰNG NẸP VÍT KHÓA ÍT XÂM LẤN TẠI KHOA CHẤN THƯƠNG CHỈNH HÌNH - BỎNG, BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Aims: To describe the clinical characteristics and radiographic images of distal tibial fractures treated with locking plate fixation at the Department of Orthopedic Trauma and Burns, Thai Binh General Hospital. Method: A prospective descriptive case series study with longitudinal follow-up, including 47 patients with closed distal tibial fractures, from June 2022 to December 2023. Results: The majority of patients were female, accounting for 63.8%. Patients aged 40-59 made up 42.6%, with an average age of 50.38. The leading cause of injury was traffic accidents. Radiographic images showed that fractures of type A1 and A2 were the most common, accounting for 46.7%, followed by A3 (17.1%), C1 (19.1%), and C2 (17.1%). In 11 cases (23.4%), tibial fractures were accompanied by fibular fractures. Limb deformities were present in 32 out of 47 patients (68.1%). Conclusions: Our study demonstrates that minimally invasive locking plate fixation under the C-arm for closed distal tibial fractures of types A1, A2, A3, C1, and C2 consistently leads to good outcomes in terms of bone healing and functional recovery. This should give medical professionals optimism about the post-treatment quality of life for their patients.