ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG BỆNH NHÂN GÃY HỞ ĐỘ III THÂN XƯƠNG CẲNG CHÂN TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objective: To describe the clinical characteristics and X-ray findings of patients undergoing surgery for Gustilo–Anderson type III open fractures of the tibial shaft using external fixation at Can Tho Central General Hospital. Methods: This was a descriptive retrospective study of 31 patients with type IIIA and IIIB open fractures of the tibial shaft who were treated with external fixation at the Department of Trauma and Orthopedic Surgery, Can Tho Central General Hospital, from January 2022 to January 2024. Result: The mean operative time was 137.4 ± 39.6 minutes, and the mean hospital stay was 8 days. All patients sustained direct trauma. Type IIIA fractures were the most common (77.4%), with the majority located at the distal third of the tibia (64.5%). Combined injuries were present in 45.2% of patients, contributing to a more severe prognosis. Simple fractures and fractures with separate fragments were predominant (45.2% and 29%, respectively), with A1 being the most common subtype (22.6%). Regarding management, 17 patients underwent Muller external fixation and 14 patients received T-shaped external fixation; the fixation maintained the ankle in a neutral position, helping to prevent Achilles tendon contracture