KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG CHÀY BẰNG ĐINH NỘI TỦY CÓ CHỐT ĐIỀU TRỊ GÃY HAI XƯƠNG CẲNG CHÂN TẠI BỆNH VIỆN ĐA KHOA TỈNH PHÚ THỌ

Abstract

Background: Tibial fracture fixation with interlocking intramedullary nails is currently considered the gold standard for many cases of tibial shaft fractures, especially diaphyseal fractures. This method provides good outcomes, early functional recovery, and fewer complications. Objective: To evaluate the surgical outcomes of tibial fracture fixation using interlocking intramedullary nails for tibia-fibula fractures at Phu Tho Province General Hospital. Subjects and Methods: A descriptive study of 112 patients who underwent tibial fracture fixation with interlocking intramedullary nails for tibia-fibula fractures at Phu Tho Province General Hospital from January 2023 to June 2025. Results: Male patients accounted for 69.6%, while females accounted for 30.4%. The mean age was 38.2 ± 17.7 years, with patients under 40 years old comprising 52.7%. The most common occupation was manual labor (44.6%). Road traffic accidents were the main cause (66.1%). Left-sided fractures were more common (59.8%). Closed fractures accounted for 91.1%, while open fractures accounted for 8.9%. The rate of patients without postoperative complications was 99.1%. Only 1 patient (0.9%) developed pin tract infection. Malunion occurred in 18.8% of cases, angular deformity in 6.3%, and shortening in 12.5%. The bone union rate was 86.2%, with an average union time of 4.6 ± 1.2 months. Functional outcomes: good in 90.9%, fair in 5.5%, and poor in 3.6%. Conclusion: Surgical fixation of tibial fractures with interlocking intramedullary nails generally provides good results and is currently the leading choice for the treatment of tibial shaft fractures.