EVALUATE THE RESULT OF MINIMALLY INVASIVE OSTEOSYNTHESIS PLATE IN INTERTROCHANTERIC FRACTURE

Mạnh Sơn Lê , Văn Phan Nguyễn , Thành Luân Nguyễn

Main Article Content

Abstract

Background: Femoral intertrochanteric fracture surgery with minimally invasive plate osteosynthesis is highly effective compared to conventional open surgery. Subject and methods: Conducted a research on 61 patients with intertrochanteric femoral fractures from January 2021 to October 2022. Evaluate results based on clinical and radiographic results after surgery. Results: Average amount of blood loss was 50 ± 5ml. 100% had bone healing after 6 months. The average surgical time was 22.6 ± 5.61 minutes. The average hospital stay was 3.12 ± 1.74 days. Hip function according to the Harris scale is good and very good at 87.5%. Conclusion: Minimally invasive plate osteosynthesis is optimal method that allows early movement and functional recovery, small incisions, short surgery time, less blood loss, quick bone healing, avoiding complications due to prolonged lying down.

Article Details

References

1. Nguyễn Thanh Phong (2003). ”Điều trị gãy liên mấu chuyển xương đùi bằng nẹp vít nén ép trượt”, Luận văn tốt nghiệp chuyên khoa cấp II. Trường Đại học Y Dược thành phố Hồ Chí Minh.
2. Ahn J. and Bernstein J. (2010) "Intertrochanteric Hip Fractures", The association of bone and joint surgeons, Springer, pp.1450-1461.
3. Weilu Mu, Junlin Zhou (2021). "PFNA-II Internal Fixation Helps Hip Joint Recovery and Improves Quality of Life of Patients with Lateral-Wall Dangerous Type of Intertrochanteric Fracture", BioMed Research International, vol. 2021, Article ID 5911868, 6 pages, 2021
4. Statistisches Bundesamt, [Destatis]—Zentraler Auskunftsdienst, Wiesbaden. Krankenhausstatistik - Diagnosedaten der Patienten und Patientinnen in Krankenhäusern. Accessed 30 Dec 2020.
5. Rapp K, Büchele G, Dreinhöfer K, Bücking B, Becker C, Benzinger P. Epidemiology of hip fractures. Z Gerontol Geriatr. 2019;52(1):10–6. doi: 10.1007/s00391-018-1382-z.
6. Lei Zhang (2016). “Treatment of unstable intertrochanteric femoral fractures with locking gamma nail (LGN): A retrospective cohort study”, International Journal of Surgery, vol 26. pp 12-27.
7. Kashif Memon (2021). “Dynamic Hip Screw Fixation Vs Proximal Femur Nail For Unstable Per-Trochanteric Fractures: A Comparative Analysis Of Outcomes And Complications”.
8. Khaqan Adeel (2020). “Comparison of proximal femoral nail (PFN) and dynamic hip screw (DHS) for the treatment of AO type A2 and A3 pertrochanteric fractures of femur”.