ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CÁC BỆNH NHÂN GÃY KÍN ĐẦU DƯỚI XƯƠNG QUAY ĐƯỢC PHẪU THUẬT KẾT HỢP XƯƠNG NẸP KHÓA TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with closed distal radius fractures who underwent open reduction and internal fixation with a locking plate at Can Tho Central General Hospital. Methods: A descriptive cross-sectional study was conducted on 40 patients diagnosed with closed distal radius fractures and treated with open reduction and internal fixation using a locking plate at the Department of Trauma Surgery, Can Tho Central General Hospital, from March 2019 to March 2024. Result: Distal radius fractures were mainly caused by traffic accidents (60.0%), with indirect injury mechanisms predominating (77.5%). Common clinical signs included wrist swelling, tenderness, and deformity, observed in all patients. No cases of vascular or nerve injury, or fracture-related complications, were reported. Associated injuries were found in 12.5% of patients, primarily soft-tissue and other minor injuries. On radiographs, transverse fracture lines accounted for 92.5%, and extra-articular fractures made up 70.0%. According to the AO classification, type A fractures were the most common (70.0%), followed by type B (25.0%) and type C (5.0%).