STUDY ON CLINICAL, RADIOGRAPHIC AND RESULTS OF CLOSED GALEAZZI FRACTURE SURGERY IN ADULTS WITH LOCKING PLATES SCREW AT VIET TIEP HOSITAL

Văn Dương Nguyễn1,, Thế Hùng Đinh2, Văn Việt Nguyễn2
1 Ha Noi Thanh Nhan hospital
2 Viet Tiep Hospital

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Abstract

Objective: To evaluate the results of operative surgery Galeazzi fracture with locking plates screw at Viet Tiep Hospital. Research subjects and methods: 35 patients (patients) with Galeazzi fractures operative surgery with locking plates screws at Vietnam Tiep Hospital. Immediate results are based on post-operative X-ray images and the progress of the incision, early complications. Later results are based on the assessment scale of advanced Mayo-based post-operative outcomes, the patient's wrist pronation movement according to Brunelli, and bone healing on X-ray. Results: Early results: First stage wound healing on 35/35 patients. There were no early complications after surgery. fixation radial bone of fractures combined with non-displaced radial bone: 28/35 patients, accounting for 80.0% of total number of patients; little displacement: 7/35 patients, accounting for 20.0%. X-ray of the distal radioulnar joint after osteopathy: 30 patients with the distal radioulnar joint returning to the anatomical position, accounting for 83.3%; 5 patients with subluxation, accounting for 16.7%. Later results: 30/31 patients with bone healing, accounting for 96.8%; 1 patient with nonunion and locking plate fracture, accounting for 3.2%. Forearm and wrist pronation according to Brunelli: 51.6% good; 45.2% average; 3.2% poor. Post-operative treatment results according to Mayo scale: 22/31 patients with excellent results, accounting for 71.0%; 8/31 patients with good results, accounting for 25.8%; 1/31 patients with average results, accounting for 3.2%; and no patients with poor results. Conclusion: operative surgery fixation radial bone with locking plates screw brace with fixation of the lower ulnar radial joint in the treatment of Galeazzi fractures brought good results, helping to restore wrist function early, avoiding nonunion complications, dislocation of the distal radioulnar joint

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