KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG XÂM LẤN TỐI THIỂU ĐIỀU TRỊ GÃY KÍN ĐẦU DƯỚI XƯƠNG ĐÙI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Introduction: Fracture of the femoral head was a large, complex fracture that often affected movement of the knee joint. Minimally invasive plate osteosynthesis (MIPO) for distal femoral head fractures contributed to achieving firm fracture fixation, patients could exercise shortly after surgery. Method: Retrospective and prospective cross-sectional descriptive study. From Janury 2022 to Janury 2023, 45 patients diagnosed with closed distal femoral head fracture underwent minimally invasive plate osteosynthesis. Patients had minimum 6 months follow-up. Result: In 45 patients studied, there were 25 (55.6%) male patients and 20 (44.4%) female patients. The average length of hospital stay was 4.27 days. There were 2 cases of superficial infection (4.4%) and 1 case of deep infection requiring reoperation (2.2%). Results showed 100% of patients had healed bones. Results of correction of fractures on X-ray according to Larson - Bostman: Good and very good accounted for 88.9%, average accounted for 11.1%. Rehabilitation results according to Schatzker and Lambert: very good 73.3%, good: 22.2%, average 4.4% and poor 0%. Conclusion: Minimally invasive plate osteosynthesis in the treatment of distal femoral fracture with a locking plate brought positive results with many advantages, was a good choice in the treatment of distal femoral head fracture.