ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN THÂN HAI XƯƠNG CẲNG TAY BẰNG PHẪU THUẬT KẾT HỢP XƯƠNG NẸP KHÓA

Abstract

Background: Fracture of forearm  is a common injury in orthopedic trauma. The current standard surgical method for restoring the anatomical alignment of the radius and ulna is locked plating, especially in complex fractures or patients with poor bone quality. Objective: To evaluate the clinical characteristics, X-ray findings, causes, and treatment outcomes of closed diaphyseal fractures of the forearm bones treated with locked plate fixation. Materials and methods: A cross-sectional descriptive study of 49 patients diagnosed with closed diaphyseal fractures of both forearm bones who underwent locked plate fixation surgery at Can Tho Central General Hospital and Can Tho University of Medicine and Pharmacy Hospital from April 2023 to March 2025. Results: Fractures of both forearm bones are most commonly observed in male patients of working age, mainly caused by traffic accidents. The most frequent fracture sites are in the middle and distal thirds of the forearm. Locked plate fixation surgery resulted in 100% bone union, with excellent functional recovery of the hand in 95.9% of cases, and acceptable outcomes in the remaining 4.1%. Conclusion: Locked plate fixation is a safe and effective method that helps restore supination and pronation function and provides effective immobilization of the fracture site, particularly for complex fractures or patients with poor bone quality.