ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ CAN LỆCH ĐẦU DƯỚI XƯƠNG QUAY TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: describe the clinical manifestations and radiographic index of malunions after distal radius fractures and evaluate the results of surgical method in treating malunion after distal radius fracture. Subjects and methods: prospective and retrospective cross-sectional study of 33 patients who went on surgery to treat malunion after distal radius fracture at Viet Duc Hospital from 2016 March to 2019 August. Results: All patients came to the hospital because of pain, limited wrist movement, of which 63.7% of patients had occasional pain when not working and 3% of patients had constant pain. Fracture classification according to AO showed that type A accounted for 45.5%, type B accounted for 24.2% and type C accounted for 30.3%. Preoperative radiographic characteristics showed that up to 48.5% of patients had VA below -10 degrees, 21.2% had UV above 4 mm, and 63.6% had RL less than 10 mm. The average postoperative radiographic index was as follows: VA 11.48 degrees ± 1.82, UA 20.97 degrees ± 3.40, UV - 0.03mm ± 2.84, the difference of previous radiographic indices and after surgery was statistically significant with p<0.001. Regards to function assessment after surgery according to Green and O'Brien, 87.88% of patients rated good and very good, 12.12% of patients rated moderate and bad, in which there are 9.09% of patients rated bad. Conclusions: Treating malunion after distal radius fracture by surgical method mostly gives good results, however, more similar studies are needed to confirm it.