ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT GÃY KÍN THÂN XƯƠNG ĐÙI Ở NGƯỜI LỚN BẰNG ĐINH SIGN CÓ CHỐT DƯỚI MÀN TĂNG SÁNG TẠI BỆNH VIỆN ĐA KHOA THÁI BÌNH

Abstract

Objectives: To evaluate the surgical outcomes of closed femoral shaft fractures in adults treated with interlocking SIGN nails and the postoperative quality of life at Thai Binh General Hospital. Materials and Methods: A prospective cross-sectional descriptive study was conducted on 44 adult patients with closed femoral shaft fractures classified as types A, B, or C according to the AO classification, who underwent intramedullary fixation using interlocking SIGN nails under C-arm fluoroscopy. Results: The mean operative time was 75.5 ± 15.2 minutes, with an average blood loss of 120.5 ± 40.6 mL. After 12 months, bone union was achieved in 97.7% of cases. Functional recovery of the hip joint was rated as good or excellent in 90.9% of patients. The overall complication rate was 13.6%, including delayed union (2 cases), nonunion (1 case), surgical site infection (1 case), and limited hip mobility (2 cases). Quality of life improved significantly, with a mean SF-36 score of 80.2 ± 11.0. Conclusions: Surgical fixation using interlocking SIGN nails under C-arm guidance provides favorable outcomes in the treatment of closed femoral shaft fractures, with a high union rate, low complication rate, and significant improvement in patients’ quality of life.