ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ÍT XÂM LẤN ĐIỀU TRỊ GÃY TRÊN LỒI CẦU XƯƠNG ĐÙI BẰNG NẸP VÍT KHÓA TẠI BỆNH VIỆN CHẤN THƯƠNG CHỈNH HÌNH NGHỆ AN

Abstract

Background: Supracondylar femur fractures is a trauma large, complex fractures, which often affects to the motor function of the knee. The locking compression plates for supracondylar femur fracture helps firmly fix, early rehabilitation. Besides, using Less Invasive Stabilisation System preserving the soft tissue and nurturing it, creates good conditions for bone healing and aesthetic. Objectives: Outcome of supracondylar femur fracture managed by locking compression plate use Less Invasive Stabilisation System (LISS) at Nghe An Trauma and Orthopaedic Hospital. Subjects: 40patients: 10 males, 30 females, from 17 to 92 ages, with diagnosis supracondylar femur fracture, were treated by locking plate in Less Invasive Stabilisation System at Nghe An Trauma and Orthopaedic Hospital from May 2020 to March 2023. Methods: Prospective, clinical description without control group, sectional description and follow-up. Results: Short-term results: 100% primary wound healing. Long-term results: 27.79% excellent, 61.11 % good, 5.55 % average, 5.55% poor. Complications: limitation of knee flexion (<90⁰): 2 patients (5.55%), malalignment: 5 patient (13.89%), non-union 0 patient. Conclusion: Locking plate osteosynthesis has many advantages, besides using Less Invasive Stabilisation System techniques achieve positive results, high efficiency, early rehabilitation as well as avoid muscular atrophy, knee stiffness.