ĐIỀU TRỊ GÃY KÍN MÂM CHÀY SCHATZKER V-VI BẰNG NẸP KHOÁ MÂM CHÀY NGOÀI VÀ SAU TRONG QUA HAI ĐƯỜNG MỔ TẠI BỆNH VIỆN THỐNG NHẤT

Abstract

Objective: To evaluate the surgical treatment results of tibial plateau closed fracture of Schatzker V - VIusing dual locking plating at lateral and posteriomedial tibial plateau via2-incision technique at Thong Nhat hospital. Methods: The retrospective, prospective descriptive study was conducted on 18 elder patients with closed fractures of Schatzker V - VItibial plateauhad internal fixation using dual locking plate via 2-incisions at Thong Nhat hospital, from Jan 2018 to Jan 2021. All patients were followed after surgery. Results: Closed fracture of the tibial plateau Schatzker type V (14 cases) and type VI (4 cases with the ratio of male / female is 1.25. In which, from 16 to 45 years old, accounting for 83.3%. The main groups of occupations that have accidents are mainly motorbike drivers, freelance jobs and workers with the rate of 83.3% and injury causes 61.1% due to traffic accidents, 27.8% of occupational accidents. After surgery 100% bone healing as results 88.9% good and very good. Anatomic recovery has been shown to improve good anatomical structure, from which functional rehabilitation results in higher results with 66.7% achieving good and very good results. Conclusion: The surgical treatment oftibial plateau Schatzker types V-VI closed fracture using dual locking plate via 2-incisions  for good recovery anatomy and function.