ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ GÃY ĐẦU DƯỚI XƯƠNG QUAY BẰNG NẸP VÍT KHOÁ TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: To describe the outcomes of distal radius fracture treatment using locking plates at Hanoi Medical University Hospital. Methods: A descriptive study was conducted on 31 patients with distal radius fractures treated with locking plates at Hanoi Medical University Hospital from March 2023 to March 2025. Fractures were classified according to the AO system. Anatomical recovery was assessed by radiographic criteria based on the classification of JL Hass and JY de la Caffinière, while functional recovery was evaluated using the DASH score. Results: A total of 31 patients were included, with a mean age of 47.29 ± 15.84 years. Patients aged 60 years or older accounted for the highest proportion (25.8%). The most common cause of fractures was low-energy domestic accidents (54.8%). The most frequent fracture type was C1 (29%). Patients achieved favorable recovery in both anatomical and functional aspects. No cases of surgical site infection were observed. Postoperative complications included carpal tunnel syndrome and complex regional pain syndrome. Conclusion: Distal radius fractures are common in elderly patients aged 60 years and older, usually caused by low-energy domestic trauma. Locking plate fixation provided good improvement in both anatomical alignment and functional outcomes. Postoperative complications included carpal tunnel syndrome and complex regional pain syndrome.