KẾT QUẢ KẾT HỢP XƯƠNG NẸP VÍT CÓ GHÉP XƯƠNG ĐIỀU TRỊ KHỚP GIẢ THÂN XƯƠNG CÁNH TAY TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Purposes: Describe the clinical, radiological characteristics and evaluate the effectiveness of screw fixation combined with bone graft in treating pseudarthrosis of a humeral shaft fracture. Subjects and methods: a retrospective and prospective study on 41 patients with humeral pseudarthrosis complications, who were treated with internal fixation with a plate and bone graft at Viet Duc Hospital from January 2019 to June 2023. Results: Most of the patients were men of working age. Closed fractures were more common than open fractures, and hypertrophic pseudarthrosis was more common than atrophic pseudarthrosis. Pain and limited range of motion were the main symptoms. Most patients developed pseudarthrosis joints after only 1 intervention or surgery. After treatment, 70,73% of patients had no pain. The proportion of patients with straight humerus on X-ray before and after surgery increased from 2,44% to 97,56%. 82,93% bone healing reached a very good level, only 3 cases did not heal.Conclusion: The majority of patients with humeral pseudarthrosis were men of working age, with a closed humeral fracture (78,05%). 80,49 % of pseudarthrosis are hypertrophic. All patients had previous surgical treatment or procedures, of which 78,05% were screwed, but the symptoms of pain, limitation of motion and flexion of the limb were still existed. After screw fixation combined with bone graft, 82,93% of cases had very good results.