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Date Published: 09/09/2023
Abstract Views: 353
Views pdf: 245
DOI: https://doi.org/10.51298/vmj.v529i2.6533
Issue
Vol. 529 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. D., Lê, T. S., & Lê, T. L. (2023). ASSESSMENT THE RESULTS OF TREATMENT OF CLOSE FRACTURE SURGERY OF DISTAL TIBIAL AND FIBULAR WITH LOCKING PLATES SCREW AT THANH NHAN HOSPITAL. Vietnam Medical Journal, 529(2). https://doi.org/10.51298/vmj.v529i2.6533

ASSESSMENT THE RESULTS OF TREATMENT OF CLOSE FRACTURE SURGERY OF DISTAL TIBIAL AND FIBULAR WITH LOCKING PLATES SCREW AT THANH NHAN HOSPITAL

Văn Dương Nguyễn1,, Thanh Sơn Lê1, Trọng Luật Lê1
1 Thanh Nhan Hospital Hanoi

Main Article Content

Abstract

Objectives: To eValuate the results of Closed fraCture surgery of distal tibial and fibular with loCking plates sCrew at Thanh Nhan Hospital. Subjects and research methods: 47 patients (patients) with distal tibial and fibular fraCtures (XCC) were Combined with a loCking plates sCrew at Thanh Nhan Hospital. Early results: surgiCal progress, early CompliCations. CorreCtion of fraCtures on postoperatiVe radiographs aCCording to Larson and Bostman's Criteria. Distant results were based on: healing time (JL Haas and JY De La Cafinière Criteria for bone healing), TersChiphort's assessment of joint mobility and musCle atrophy, Olerud and Molender's funCtional assessment, and eValuation. Results: Early results: first-time wound healing reaChed 92.5% (42/47 patients), 7.5% superfiCial infeCtion (4/47 patients), No early CompliCations after surgery. EValuation of post- operatiVe radiographiC fraCture CorreCtion results aCCording to Larson-Bostman Criteria. Later results: EValuation of bone healing results (based on radiographiC standards of JL Haas and JY De La Cafinière) 31/35 patients with Very good bone healing, aCCounting for 88.6%. 3/35 patients haVe good bone healing, equiValent to 8.6%. 1/35 of the aVerage patients aCCounted for 2.8%. Joint mobility and musCle atrophy aCCording to TersChiphort Criteria (n=35): 20.0% Very good (7/35 patients). Good was 62.9% (22/35 patients). On aVerage, 17.1% (6/35 patients), no patient aChieVed poor results. Assessment of funCtional CapaCity aCCording to the standards of Olerud and Molander: Very good 14.3% (5/35 patients), good 68.6% (24/35 patients), aVerage 17.1% (6/35). The aVerage sCore is 88.6 ± 3.5 points


The lowest is 80 points, the highest is 95 points. Results of treatment of Closed distal tibial and fibular fraCtures: Very good 4/35 patients, aCCounting for 11.4%. Well, 25/35 patients aCCounted for 71.5%. On aVerage, 6/35 patients aCCounted for 17.1%. Conclusion: Combining the bones with a loCking plates sCrew for treatment of Closed distal tibial and fibular fraCtures in adults has relatiVely positiVe results. Help patients return to moVement and aCtiVities soon, aVoiding CompliCations of musCle atrophy, stiffness, and misalignment.

Article Details

Keywords

distal tibial and fibular fraCtures, loCking plates sCrew

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