KẾT QUẢ ĐIỀU TRỊ GÃY KÍN ĐẦU DƯỚI XƯƠNG ĐÙI BẰNG NẸP KHÓA Ở NGƯỜI TRƯỞNG THÀNH TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Background: Distal femur fractures are a large, complex fractures, which often affects to the motor function of the knee. The locking compression plates for distal femur helps firmly fix the fracture, early rehabilitation. Objectives: Assessing results of treatment of distal femur fractures by locking plate fixation in adults. Subjects and method: Cross - sectional description. From January 2018 to June 2021, 33 patients, from 18 years old and older with distal femur fracture, were treated by locking plate fixation and observed for at least 6 months- follow up. Results: There were 12 (36.4%) males and 21 (63.6%) females. The rate of bone union was 100%. Results of fracture correction on X-ray by Larson – Bostman: Excellent: 97.0%,  good: 3.0%. Range of knee motion: 54.5% achieved a complete flexion ≥ 125⁰, 24.2% range 100⁰ – 124⁰, 15.2% range  90⁰ – 99⁰, 6% knee flexion < 90⁰. Results of rehabilitation by Sanders.R: excellent: 63.8%, good: 18.5%, average: 12.1% and poor 3.0 %. Conclusion: Results of treatment of distal femur fractures by locking plate is very positive, including older patients with osteoporosis, which is now the optimal treatment choice for this type of fracture.