ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT KẾT XƯƠNG BÊN TRONG Ở BỆNH NHÂN GÃY KÍN DUPUYTREN TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: Dupuytren fracture is a special type of ankle’s injury which are popular in clinic. The aim of this study is to evaluate the results of surgical treatment of these fractures.Patients and methods: The data of 38 patients with closed Dupuytren fracture from September 2015 to June 2020, who were treated with open reduction and internal fixation in the 108 Central Military Hospital were analyzed. There were 22 males and 16 females, the average age was 46.26 years (range, 22 to 72 years), the fractures occurred on the left side in 23 patients and on the right side in 15 patients. The cause of injuries were traffic accidents in 20 patients, labor accident in 2 patients, and falling injury in 13 patients, sports injury in 3 patients. Evaluate the results based on the American Orthopedics Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score. Results: 20 patients had triple trimalleolar fractures. 17 patients had bimalleolar fractures and 1 patient had simple lateral malleolar fracture. There were 2 patients with type I fracture, 8 patients with type II fracture, 4 patients with type III, 2 patients with type IV fracture according to the Bartonicek classification of posterior malleolus fracture. There were 23 patients with type B and 15 patients with type C according to the Weber classification of malleolus fracture. Evaluation after 6 months on 34 patients re-examined. The average AOFAS score is 91.79. Good to excellent results in 32 patients, there were 2 patients with average results accounting for 5.9% and no patients with poor results. Superficial infection occurred in 3 patients, 100% of the patients had anatomic X-ray images after surgery. Conclusions: Internal fixation for anatomical structures and functions of ankles were well restored in malleolar fractures.