EVALUATE THE RESULTS OF COMBINED SURGERY WITH PLATE SCREWS TO TREATMENT CLAVICLE FRACTURES IN ADULTS AT VIET DUC UNIVERSITY HOSPITAL

Duy Thanh Dương 1,, Trường Thịnh Vũ 2,3, Văn Tuấn Hà 4
1 Viet Duc hospital
2 Viet Duc hopsital
3 Hanoi medical university
4 Thanh Nhan hospital

Main Article Content

Abstract

Introduction: Study and evaluate the results of combined surgery with plate screws to treatment clavicle fractures in adults at Viet Duc University Hospital. Subjects and methodology: A retrospective and non-controlled cross-sectional descriptive study on 80 patients diagnosed with closed clavicle fracture over 18 years old who were treated with ostomy surgery with plate screw at Viet Duc Univesity Hospital - Hanoi from January 2020 to January 2021. Result: The majority of patients were between 18 and 50 years old (82.4%), in which men accounted for a higher proportion (81.2%); Traffic accidents and daily-life accidents account for the highest percentage of injuries (95%) and simple fractures without major organ trauma with the highest proportion (66, 25%). Indirect injury mechanism accounted for all case studies (100%). The overall good result accounted for a high rate of 95.59%, the average was 4.41%, there was no poor case. Conclusion: Clavicle fracture is a common fracture in upper extremity trauma and affects shoulder mobility function. ORIF to correct and restore anatomy, fix the fracture firmly, create conditions for early rehabilitation after surgery and bring good results to the patient.

Article Details

References

1. Chen C.E. Anterior-inferior plating of middle-third fractures of the clavicle. Arch Orthop Trauma Surg. 2009;130:507-511.
2. Sang Q.H, Gou Z.G, Zhen H.Y, et al. The Treatment of Mid-shaft Clavicle Fractures. Chinese Medical Journal. 2015;128 (21):2946-2951.
3. Phạm Ngọc Nhữ. Một số nhận xét qua 151 bệnh nhân gãy xương đòn được điều trị bằng phương pháp phẫu thuật kết hợp xương bên trong. Luận văn thạc sĩ Y học. Học viện Quân Y; 1995.
4. Hillen R.J, Burger B.J, et al. Malunion after midshaft clavicle fractures in adults: The current view on clavicular malunion in the literature. Acta Orthopaedica. 2010;81(3):273 - 279.
5. Crenshaw A.H. Campbell’s operative orthopedic of Canal and Beauty. Fractures of the Shoulder Chapter 54 – Fractures of the Shoulder, Arm, and Forearm. 2007.
6. Phạm Đình Vinh, Lê Nghi Thành Nhân. Đánh giá kết quả điều trị gãy xương đòn bằng nẹp tạo hình. Báo cáo Hội nghị khoa học trường Đại học Y Dược Huế 2013. 2013;
7. Nguyễn Đình Chiến. Đánh giá kết quả điều trị gãy kín thân xương đòn bằng kết xương nẹp vít tại Bệnh Viện 103. Luận văn Thạc Sỹ Y học. Học viện Quân Y; 2009.
8. Trần Trung Dũng. Nhận xét kết quả phẫu thuật điều trị gãy xương đòn tại Bệnh Viện Đại Học Y Hà Nội. Y học việt nam 2014;Tháng 2 số 1/2014
9. Taylor L Simonian, Lauren E Simonian, Peter T Simonian. Clavicle Fracture Open Reduction Internal Fixation: Results of Modern Technique. MOJ Orthop Rheumatol. 2017;8(1):00298.
10. Nowak J, Mallmin H, Larsson S. The aetiology and epidemiology of clavicular fractures. A prospective study during a two-year period in Uppsala, Sweden. Injury. 2000;31(5):353-8.