KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG CHÀY BẰNG ĐINH NỘI TUỶ KHÔNG MỞ Ổ GÃY KÈM DOA ỐNG TỦY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: To evaluate the outcomes of closed reduction with reamed intramedullary nailing for tibial shaft fractures at Hanoi Medical University Hospital. Materials and methods: A cross-sectional descriptive study on 53 patients with closed fractures of the tibial and fibular shafts and grade I Gustilo-Anderson open fractures of the tibial and fibular shafts, with an average age of 45.9 ± 16.1 years and a male/female ratio of 1.94/1, undergoing closed reduction with reamed intramedullary nailing for tibial shaft fractures from January 2023 to the end of March 2025. Reduction results were evaluated according to Larson–Bostman, bone healing according to the RUST scale, lower leg function according to Ter-Schiphorst, and the range of motion of the knee and ankle joints, as well as complications during and after surgery at ≥ 6 months, were assessed. Results: Excellent and good reductions accounted for 100%. Good and moderate bone unions were 88.7% and 11.3%, respectively, with no cases of poor bone union. Good and excellent lower leg functions accounted for 100%, with no patients having limited ankle joint range of motion, while 5.7% of patients had limited knee flexion. Common complications included additional fractures during surgery (5.7%), delayed wound healing (7.6%), and anterior patellar tendon surgical scar pain (15.1%). Conclusion: Closed reduction with reamed intramedullary nailing for tibial shaft fractures is a safe and effective method for treating closed and grade I Gustilo-Anderson open fractures of the tibial and fibular shafts.