ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN MÂM CHÀY SCHATZKER V, VI BẰNG HAI NẸP VÍT KHÓA TẠI BỆNH VIỆN ĐA KHOA KHU VỰC THỦ ĐỨC

Abstract

Background: Evaluation of treatment for Schatzker Type V and VI closed tibial plateau fractures using dual locking plates at Thu Duc Regional General Hospital. Materials and Methods: This prospective, cross-sectional study included 39 patients with Schatzker Type V and VI closed tibial plateau fractures who underwent open reduction and internal fixation with lateral and posteromedial locking plates at Thu Duc Regional General Hospital from January 2022 to December 2024. Results: A total of 39 patients were included, with 15 males and 24 females. There were 13 cases of Schatzker Type V fractures and 26 cases of Type VI. The average age was 44.9±15.7 years, ranging from 21 to 80 years. The average follow-up period after surgery was 16.7±6.5 months. Bone union was achieved in 38 patients (97.4%), while 1 patient (2.6%) developed nonunion. The average postoperative Rasmussen score was 27.18±2.7. The rate of good and excellent knee joint function recovery according to the Rasmussen classification was 97.4%, with 2.6% rated as fair, and no cases rated as poor. Conclusion: Open reduction and internal fixation of Schatzker Type V – VI closed tibial plateau fractures with dual locking plates has good and excellent anatomical and functional recovery outcomes.