KẾT QUẢ ĐIỀU TRỊ GÃY KÍN ĐẦU DƯỚI XƯƠNG ĐÙI BẰNG NẸP KHÓA Ở NGƯỜI TRƯỞNG THÀNH TẠI BỆNH VIỆN BÃI CHÁY

Abstract

Background: Distal femoral fracture is a large fracture, near the knee joint, often greatly affecting the range of motion of the joint. Currently, locking splints are a commonly used means of firmly immobilizing fractures after reduction, creating favorable conditions for patients to recover function early after surgery. Research objective: Evaluate the results of bone fusion surgery with screws to treat closed femoral head fractures in adults at Bai Chay Hospital. Subjects and research methods: cross-sectional description combined with retrospective and prospective studies on 33 patients who underwent surgery with locking splints to treat closed fractures of the lower end of the femur type A and C according to the AO classification at Bai Hospital. Fire from January 2019 to October 2023. Results: The average age of the study patient group was 54.94 ± 20.99 years old (range 18 - 90 years old), male/female ratio: 12/21. According to the AO/ASIF classification, type A fractures of the lower end of the femur have 22/33 patients (66.7%), type C fractures have 11/33 patients (33.3%). Most patients had surgery in the first week, 18/33 patients (54.5%) had surgery from day 3 to 7, only 4/33 patients (12.1%) had surgery from day 3 to 7. 8th post-injury need to monitor and treat life-threatening injuries. Recent results: 100% of patients healed from the first surgical wound, no case of superficial surgical wound infection; The average hospital stay of patients is 14.97 ± 6.13 days; Orthopedic results after bone fusion surgery: 27/33 patients (81.8%) achieved very good results, 3/33 patients achieved good results (9.1%) and 3/33 patients achieved average results. (9.1%), no poor results. Long-term results: 100% of patients had bone healing after 6 months, no patients had bone non-union (pseudoarthrosis). Rehabilitation results according to Sander. R achieved good to very good results in 27/33 patients, 4/33 patients (12.1%) had average results and 2/33 patients (6.1%) had poor results. Conclusion: Treatment of closed distal femoral fractures with a locking plate brings positive results, suitable for type A and C distal femoral fractures according to the AO classification.