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ASSESSMENT OF TREATMENT OUTCOMES FOR CLOSED FRACTURES OF THE LOWER HEAD OF THE RADIUS USING SURGICAL TRACTION AND CASTING AT VIET DUC FRIENDSHIP HOSPITAL
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Abstract
Object: Assess the outcomes of non-surgical management of distal radius fractures using traction and casting at the Orthopaedic and Outpatient Clinic - Viet Duc Hospital during the period of 2021-2022. Subject and method: A comprehensive analysis was conducted on a cohort of more than 200 patients who were diagnosed with lower radius fractures and underwent rotational treatment involving traction and casting at the Orthopaedic and Outpatient Clinic at Viet Duc Hospital between 2021 and 2022. Results: 74% of cases were due to traffic accidents, 65.5% were in the right hand, mainly type A fractures (78.5%). Patients were examined within an average of 8.75 ± 5.5 hours, 13.5% encountered complications during treatment, including allergies and compression due to the casting material. During treatment, 13.5% experienced complications, including allergies to the powder material and compression caused by the powder. Outcomes were evaluated based on the Lidstrom scale, 59.0% of the cases showed very good results, 27.0% showed good results, and 4.0% showed moderate results. 4 weeks after the removal of the cast, the percentage of individuals with an RUSS score of less than 2 is 25.0%, those with a score of 2-4 points is 57.5%, and those with a score beyond 4 points is 22.5%. Over the course of 24 weeks, the RUSS scores of all individuals showed consistent improvement, with 100% of them achieving scores ranging from 7 to 8 points. The Green and O'Brien modified by Cooney showed significant improvement, reaching a commendable level of 95.9±19.1 points, 12 months after the removal of the cast. The mean length of immobilisation was 5.4 ± 0.7 weeks. A significant proportion of patients, specifically 69.5%, achieved favourable outcomes in terms of regaining mobility in the wrist joint. Conclusion: Treatment outcomes for closed fractures of the lower head of the radius using surgical traction and casting at the Orthopaedic and Outpatient Clinic - Viet Duc Hospital in 2021-2022 are quite positive.
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References
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