ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY LIÊN MẤU CHUYỀN XƯƠNG ĐÙI BẰNG KẾT HỢP XƯƠNG NẸP VIS KHÓA TẠI BỆNH VIỆN E

Abstract

Introduction: This study aims to assess the outcomes of surgical intervention for combined fracture-dislocation of the hip using locking plate fixation at Hospital E from September 2020 to March 2022. Subject and Methods: A cross-sectional descriptive study and a non-randomized prospective study were conducted on 31 patients with fracture-dislocation of the hip who underwent surgical treatment with locking plate fixation at the Orthopedic Trauma Department of Hospital E during the period from September 2020 to March 2022. Results: The majority of patients (61.2%) were in the age group of 60-79 years, predominantly males (77.4%). Leisure accidents accounted for the highest proportion of injuries (64.6%), and the majority of fractures were classified as A2 type with displaced fragments (80.6%). According to the Merle-d'Aubigné-Postel scoring system, the overall results were good or excellent in 87.1% of cases, with an average score of 6.5%, and poor outcomes in 6.4%. Conclusions: Fracture-dislocation of the hip in adults is a severe injury that significantly affects function and lower limb mobility. Surgical intervention involving the use of locking plate fixation aims to anatomically restore and stabilize the fractured region, creating conditions for early postoperative functional rehabilitation