ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT GÃY HỞ ĐỘ III THÂN XƯƠNG CẲNG CHÂN BẰNG PHƯƠNG PHÁP KHUNG CỐ ĐỊNH NGOÀI TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objective: To evaluate the surgical outcomes of Grade III open tibial shaft fractures treated with external fixation at Can Tho Central General Hospital. Methods: A retrospective descriptive study was conducted on 31 patients with Grade IIIA and IIIB open tibial shaft fractures treated with external fixation at the Department of Orthopedic Trauma Surgery, Can Tho Central General Hospital, from January 2022 to January 2024. Result: Among 31 patients, males accounted for 71% and females 29% (male/female ratio = 2.44:1). The mean age was 44.6 ± 17.9 years, with the 31–45 age group being most common (32.2%). Patients aged 16–60 years comprised the majority (80.6%), while those over 60 had higher complication risks. Urban residents represented 67.7%, double that of rural areas (32.3%), mainly due to higher traffic density and exposure. Traffic accidents were the leading cause (90.3%). Postoperatively, 41.9% of patients achieved complete fracture alignment, 58.1% had minor displacement, and none had major displacement. Pin-tract infections occurred in 25.8% of cases, all responding well to conservative management; deep fracture site infection was found in 6.5%. Primary wound healing occurred in 61.3%, good healing in 22.6%, and superficial infection in 16.1%. Age was significantly associated with wound healing outcomes, with the 16–45 age group showing better results than those over 60 (p = 0.011).