KẾT QUẢ SỚM PHẪU THUẬT ĐIỀU TRỊ GÃY KÍN XƯƠNG GÓT TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ VÀ BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Objective: To describe the early outcomes of closed calcaneal fracture treatment using plate and screw fixation at Can Tho Central General Hospital and Can Tho City General Hospital from 2022 to 2024. Methods: This was a descriptive retrospective study of 57 patients diagnosed with closed calcaneal fractures and treated surgically with plate and screw fixation at Can Tho Central General Hospital and Can Tho City General Hospital from January 2022 to December 2024. Result: Among the 57 patients with closed calcaneal fractures, the majority were workers (61.41%), with bricklayers being the most common subgroup (38.6%). The main cause of injury was high-energy falls, accounting for 87.72%, including occupational falls (70.18%) and traffic accidents (12.28%). Spinal anesthesia was the primary method used in 87.72% of cases. Most surgeries lasted 60–90 minutes (70.18%). The mean postoperative Bohler’s angle was 34.37° ± 8.76°, with 87.72% of patients achieving good reduction and no cases of poor reduction. The rates of wound edge necrosis and infection were low (1.75%). Sensory disturbances in the foot occurred in 12.28% of patients and generally resolved postoperatively. The mean hospital stay was 5.14 ± 1.85 days, with the majority discharged within 5–7 days; prolonged hospitalization was mainly due to associated injuries or complications.