ASSESSMENT OF THE TREATMENT RESULTS FOR LOWER LEG FRACTURE OF CHILDREN IN VIETDUC UNIVERSITY HOSPITAL IN 2021

Vũ Văn Khoa1,
1 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Fractures of both bone of the lower leg are common injuries. Treatment is on a case-by-case basis. Conservative treatment of closed fractures of lower legs is applied mainly in children. At the department of bone axamination and outpatient treatment, Viet Duc University Hospital, from October 2020 to October 2021, treating 61 patients with closed fractures of lower legs shape bone by casting with excellent results. The results are as follows: 93.4% patients with typ A fracture, 6.6% typ B1 fracture according to AO/ASIF classification. Treatment results according to Lyshome scale at the time 2 weeks, 4 weeks and 6 weeks after cast removal, with the rate 42.6% respectively; 60.7% and 83.6%. Results of of evaluating ankle joint funtion by FADI scale showed that the average score at 4 weeks after cast removal was 77.8±8.9, after 6 weeks was 101.9±6.9. Classification of bone healing on X-ray according to RUST scale with average score of 7.41 ± 1.12 at 4 weeks in cast; 8.28 ± 0.78 after cast removal, 9.25 ± 1.01 after 2 weeks cast removal and 10.85 ± 0.67 after 6 weeks cast removal. The rate of bone healing according to the RUST scale at the time of replacement was 42.6% and after 6 weeks of cast removal was 100%. Average bone healing time: patient in group ≤ 4 years old is 4.1 ± 0.5 weeks; in group 4-10 years old is 6.3 ±0.3 weeks

Article Details

References

1. K. K. Briggs, J. Lysholm, Y. Tegner và các cộng sự. (2009), "The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later", Am J Sports Med, 37(5), tr. 890-7.
2. T. B. Kizkapan, A. Misir, S. Oguzkaya và các cộng sự. (2021), "Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union", Jt Dis Relat Surg, 32(1), tr. 185-191.
3. B. Weber, M. Kalbitz, M. Baur và các cộng sự. (2021), "Lower Leg Fractures in Children and Adolescents-Comparison of Conservative vs. ECMES Treatment", Front Pediatr, 9, tr. 597870.
4. Lê Khánh Khang (2016), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị gãy kín thân hai xương cẳng chân bằng đinh nội tủy có chốt kiểu SIGN tại bệnh viện Quân y 121, Luận văn chuyên khoa II, Trường Đại học Y Dược Cần Thơ.
5. Võ Hoàng Minh Châu, Phạm Hoàng Lai và Huỳnh Thông Em (2019), "Kết quả điều trị gãy kín thân hai xương cẳng chân bằng nắn kín, đóng đinh nội tủy có chốt tại bệnh viện Đa khoa Trung Ương Cần Thơ", Tạp chí Y Dược Cần Thơ, 2(12), tr. 98-96.
6. Jack Lysholm và Yelverton Tegner (2007), "Knee injury rating scales", Acta orthopaedica, 78(4), tr. 445-453.
7. Itai Gans, Keith D Baldwin và Theodore J Ganley (2014), "Treatment and management outcomes of tibial eminence fractures in pediatric patients: a systematic review", The American journal of sports medicine, 42(7), tr. 1743-1750.
8. J. M. Leow, N. D. Clement, T. Tawonsawatruk và các cộng sự. (2016), "The radiographic union scale in tibial (RUST) fractures: Reliability of the outcome measure at an independent centre", Bone Joint Res, 5(4), tr. 116-21.
9. Ahmed M Thabet, Madison Craft, John Pisquiy và các cộng sự. (2021), "Tibial shaft fractures in the adolescents: treatment outcomes and the risk factors for complications", Injury.