KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG BÁNH CHÈ Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: To evaluate the outcomes of patella fracture fixation  in the elderly at Thai Binh general hospital. Methods: A retrospective descriptive study was conducted among 98 elderly patients with patella fractures, treated with patella fracture fixation at Thai Binh General Hospital from January 2020 to December 2022. Results: 98 patients included 57 males (58.2%), 41 females (41.8%); Average age 71.58 ± 8.7 years (ranging from 61 to 93 years old); 79 patients lived in rural areas (80.6%). Household injuries accounted for 59/98 (60.2%), traffic accidents were 34/98 (34.7%). Most the patellar fractures were type C according to the AO classification with 80/98 patients (81.6%). Among them, type C3 (multifragmentary fracture) accounted for the highest rate of 34.7%; type C1 (transverse fracture): 29.6%; type C2: 17.3%. Comorbidities: 60/98 (61.2%) patients having from 1 to 2; 3 or more comorbidities accounted for 27.6%; 76 patients were operated with circumferential cerclage wire (77.6%); 22 patients with 8-shaped cerclage wire (22.4%). Results of re-examination of 78 patients, average follow-up time was 19.9 months (range 8 to 34 months). Evaluation according to the Lysholm knee score: 60.2% good and very good functional recovery, 29.5% moderate, 10.3% poor. Conclusion: Patella fractures in the elderly are often caused by  household injuries, most of them have comorbidities. Poor results are common in elderly patients with many comorbidities.