ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG NẸP VÍT KHÓA XÂM LẤN TỐI THIỂU ĐIỀU TRỊ GÃY XƯƠNG ĐÒN

Abstract

Objective: To analyze the radiological, clinical, and functional outcomes of clavicle fractures treated with the minimally-invasive plate osteosynthesis (MIPO) technique. Materials and Methods: From June 2021 to December 2022, 25 cases of clavicular fractures were managed using the MIPO technique under C-arm fluoroscopy. The functional outcomes were assessed using the Constant-Murley score and the Disabilities of the Arm, Shoulder and Hand (DASH) questionare. The clinical results of union, the complication, the operative time, the hospital stay, as well as infection, were analyzed. Results: The mean operative time was of 30.5±3.21 minutes; minimum is 15 minutes. The mean length of the hospital stay was 2,1 ± 1,4 days. The mean length of surgical wound is 2.5± 1cm. The percentage of Constant-Murley score (good and excellent) was 87.5% after 12 months. After 6 months of surgery, 100% bone healing. Conclusion: Minimally invasive plate osteosynthesis for mid-shaft clavicle fracture is an alternative method for fixation of clavicle fractures. Early exercise, small incision, quick time of surgery and bone healing but it is technically more demanding, and requires well-equipped operating room facilities.