ĐẶC ĐIỂM LÂM SÀNG, X-QUANG VÀ HIỆU QUẢ ĐIỀU TRỊ KHỚP GIẢ THÂN XƯƠNG CÁNH TAY SAU PHẪU THUẬT TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Purposes: Describe the clinical, radiological characteristics and evaluate the effectiveness of treatment of patients with humeral pseudarthrosis after surgery. Subjects and methods: a retrospective and prospective cross-sectional study on 48 patients with humeral pseudarthrosis complications after previous surgical treatment or procedures, who came to the clinic for examination and surgical treatment at the Department of Trauma and Orthopedics, Viet Duc Hospital from April 2016 to March 2019. Results: Most of the patients were men of working age. Closed fractures are more common than open fractures, and hypertrophic pseudarthrosis is more common than atrophic pseudarthrosis. Pain and limited range of motion are the main symptoms. Most patients develop pseudarthrosis joints after only 1 intervention or surgery. After surgery, 70.8% of patients had no pain. The proportion of patients with straight humerus on X-ray before and after surgery increased from 16.7% to 97.9%. 89.6% bone healing reached a good level, only 1 case did not heal. Conclusion: The majority of patients with humeral prosthesis are men of working age, with a previous injury that is a closed 1/3 lower humeral fracture. 75% of prosthetic joints are hypertrophic. All patients had previous surgical treatment or procedures, of which 72.9% were screwed, but the symptoms of pain, limitation of motion and flexion of the limb were still affected. After surgery, 89.6% of cases had very good results and no patient had complications afterwards.