KẾT QUẢ KẾT HỢP XƯƠNG BẰNG NẸP VÍT HÌNH MÓNG VUỐT ĐIỀU TRỊ GÃY KÍN XƯƠNG BÁNH CHÈ TẠI BỆNH VIỆN ĐẠI HỌC Y THÁI BÌNH

Abstract

Objective: To evaluate the outcomes of patellar claw plate fixation in the treatment of closed patellar fractures at Thai Binh Medical University Hospital. Methods: A cross-sectional descriptive study was conducted on 17 patients with closed patellar fractures who underwent fixation using a patellar claw plate at Thai Binh Medical University Hospital from January 2019 to December 2024. Results: The bone union rate was 100%. After treatment, 70.6% of patients reported no knee pain. Fifteen out of seventeen patients (88.3%) were able to perform single-leg standing for at least 20 seconds. Most patients achieved good knee flexion after surgery (88.3% had flexion greater than 110°). Knee extension recovered well in the majority of patients (88.2% achieved full extension). Functional recovery of the knee joint at least 6 months postoperatively, according to Fourati’s criteria, was excellent in 47.1% of cases, good in 41.2%, moderate in 11.8%, and none were poor. Conclusion: Patellar claw plate fixation for closed patellar fractures yields excellent bone union rates and favorable functional recovery, with no poor outcomes observed. However, further studies with larger sample sizes and classification-specific evaluations are needed to enhance clinical applicability.