KẾT QUẢ ĐIỀU TRỊ GÃY KÍN ĐẦU DƯỚI XƯƠNG ĐÙI Ở NGƯỜI TRƯỞNG THÀNH BẰNG NẸP VÍT KHOÁ TẠI BỆNH VIỆN ĐA KHOA ĐỨC GIANG

Abstract

Objectives: Evaluating the initial outcome of treatment of distal femur fractures in adults by locking plate fixation in Duc Giang hospital. Material and methods: A retrospective and prospective study without control on 35 patients who underwent internal osteosynthesis treatment of closed distal femus fracture, from 1/2018 to 4/2022 in Duc Giang hospital. Results: There were 15 (42,86%) males and 20 (57,14%) females with a mean age of 48,60 ± 19,07 years (range 18 – 81). 74,29 % were of types A, and the main cause was traffic accidents. The rate of bone union was 94,29%. Range of knee motion: 51,43% achieved a complete flexion ≥125⁰, 28,57% range 100⁰ – 124⁰, 14,29% range 90⁰ – 99⁰, 5,71% knee flexion <  90⁰. Results  of rehabilitation by Sanders.R: excellent: 48,57%, good: 34,28%, average: 14,29% and poor 2,86 %. Conclusion: Results of treatment of distal femur fractures by locking plateis very positive, including older patients with osteoporosis, which is now the optimal treatment choice for this type of fracture to improve early rehabilitation after surgery