CHẨN ĐOÁN VÀ KẾT QUẢ PHẪU THUẬT TỔN THƯƠNG ĐỘNG MẠCH DO GÃY TRÊN LỒI CẦU XƯƠNG CÁNH TAY Ở TRẺ EM TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: Describe characteristic diagnosis, pathological morphology, surgery method and early outcome after surgery of supracondylar fracture with brachial artery injury. Methods: Descriptive cross-sectional study describes all patients that was diagnosed supracondylar fracture with brachial artery injury and was operated at Viet Duc Hospital from 01/01/2015 to 31/12/2020. Result:A total of 56 patients were included. Average age was 6.3 ± 2.7, ratio male/ female ~ 2/1 and there was no difference between right and left hand. Activities accident was about 87.5% of causes.Most patients had pink (96.4%) and warm (76.8%) hand, but pulselessness. Ultrasound was done for all patients, but the brachial artery lession was founded only in 7 cases (17.6%). MSCT was done for 37 cases, and 36 patiens (97.3%) showed arterial lession. Vasospasm was the most common pathological morphology- 38 pts-53.6%, treated with Fogarty’s dilatation. Arterial contusion was seen in 16 pts-28.5% (direct anastomosis or autologue veine graft); and thrombose in 2 pts (thrombectomy). All of patients presented warm and pink hand after surgery and radial artery can be palpated easily in 87.5% of total patients. Conclusion: Supracondylar fracture