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Date Published: 22/06/2022
Abstract Views: 413
Views PDF: 145
DOI: https://doi.org/10.51298/vmj.v515i1.2708
Issue
Vol. 515 No. 1 (2022)
Section
Các bài báo
How to Cite
Văn Khoa, V. . (2022). EVALUATION OF TREATMENT RESULTS OF LOWER TIBIA FRACTURES WITH DETACHMENT OF CARTILAGE IN CHILDREN BY CAST IN VIET DUC UNIVERSITY HOSPITAL. Vietnam Medical Journal, 515(1). https://doi.org/10.51298/vmj.v515i1.2708

EVALUATION OF TREATMENT RESULTS OF LOWER TIBIA FRACTURES WITH DETACHMENT OF CARTILAGE IN CHILDREN BY CAST IN VIET DUC UNIVERSITY HOSPITAL

Vũ Văn Khoa1,
1 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Lower tibia fracture with detachment of cartilage is a common injury in children, mainly in the 10-15 year old age group (accounting for 20% of the injuries) [2]. Poor choice of treatment method will affect cartilage development of bones, easy to leave short sequelae, scoliosis in children. The conservative treatment method for the cases of subsequent cartilage fractures in children has many advantages and is highly effective [3]. At the department of bone examination and outpatient treatment of Viet Duc Hospital, from January 1 to December 2021, 35 patients with broken cartilage at the lower end of the tibia were treated with scissors and casts in stages, the results showed that , mean age in the study group was 10.51 ± 4.23 years old, male/female ratio 24/11, 100% cause of injury was traffic accident and daily life accident, average time wearing powder average 20.6±2.3 days, time from kneading to partial foot rest 12.7±2.3 days, time from kneading to fully resting 20.4±1.1 days , the average time from injury to cast was 1.2 ± 5.5 days. Mainly, patients with type II cartilage fractures according to Salter- Harris, the results of the first manipulation were 91.4. % satisfactory, 100% after the second manipulation was satisfactory on X-ray, the result of bone healing after 3 months was 100%, the average healing time was 8.2±2.1 weeks. Evaluation of limb deviation, 12.4% of limb deviation <50. Evaluation of overall results according to AHS scale (ankle hindfoot score) after 3 months for 32 patients Good and very good reached 96.9%, average score average 85.47±3.34. Evaluation of results after 6 months for 25 patients with very good results accounted for 100%, average score 95.12±1.94 points.

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References

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