KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG BẰNG NẸP KHÓA ĐIỀU TRỊ GÃY KÍN ĐẦU TRÊN XƯƠNG CÁNH TAY TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Background: Proximal humeral fractures are the most common type of humeral fractures. Surgical fixation with locking plate has been widely applied in many hospitals with good outcomes. Objective: To evaluate the results of surgical fixation using locking plate in the treatment of proximal humeral fractures at Thai Nguyen National Hospital. Subjects and Methods: A descriptive study of 57 patients who underwent surgical fixation with locking plate for proximal humeral fractures at Thai Nguyen National Hospital from January 2020 to March 2025. Results: Male patients accounted for 31.6%, and female patients accounted for 68.4%. The mean age was 55.4 ± 17.0 years, with patients aged 40–60 making up 45.6%. Farmers accounted for 26.3%, and traffic accidents and daily activity injuries were the leading causes, at 50.9% and 45.6% respectively. Osteoporosis was present in 56.1% of patients. According to Neer’s classification, type III fractures accounted for 35.1%. Preoperative radiographs showed that fractures with displacement between 30°–60° accounted for 71.9%, and >60° for 28.1%. Postoperative anatomical reduction was achieved in 87.7% of patients.The overall rate of good and excellent outcomes was 84.2%, while 15.8% had fair or poor results.The mean VAS pain score was 2.5 ± 2.2. The mean Constant-Murley score for shoulder joint function was 29.8 ± 2.5, with pain 22.3 ± 2.5, activities of daily living 8.6 ± 0.7. Excellent outcomes were achieved in 52.6% of patients, good in 45.6%, fair in 1.8%, and no patients had poor results. Conclusion: Surgical fixation of proximal humeral fractures with a locking plate is an appropriate treatment method that provides high effectiveness.