ĐÁNH GIÁ BƯỚC ĐẦU KẾT QUẢ ĐIỀU TRỊ GÃY XƯƠNG BÀN TAY BẰNG PHƯƠNG PHÁP KẾT HỢP XƯƠNG NẸP VÍT

Abstract

Background: Hands can perform a variety of functions in daily life, when being injured, the quality of life will be affected detrimentally. Plate fixation in treating metacarpal fractures shows its advantages on improving hands’ anatomy completely, reducing complications for joints and soft tissues, relieving pain significantly as well as preventing loss of hand function. Plate fixation as an ultimate treatment for metacarpal fractures. Objectives:  We aim to research clinical features and radiographic characteristics as well as evaluate the outcomes of metacarpal fractures treatment by using plate fixation. Materials and methods: A prospective cross-sectional study was conducted on 31 patients who had metacarpal fractures being operated with plates and screws. Results: 31 patients with 42 metacarpal fractures were treated by using plate and screw. The fifth metacarpal bone had the highest number of fractures and the first metacarpal bone was lowest, with respective figures being 12 cases (28.57%) and 5 cases (11.90%). There are 6 cases of the second metacarpal bone (14.29%), 10 cases of the third metacarpal bone (23.81%) and 9 cases of the fourth metacarpal bone (21.43%) that were fractured. Belsky’s criteria was used for assessment of the treatment outcomes in these surveyed people, showing that the results were graded as excellent in 28 patients, occupying 90.32%; good in 2 participants (6.45%) and only 1 patient had poor result, accounting for 3.23%. Delayed union was illustrated in 1 patient, valuing 3.23%. No cases were infected in the total surveyed people. Conclusion: Through the research, we realized using plates and screws in treating metacarpal fractures helps to form stable internal fixation, therefore allows early range of motion which is the key to a good functional outcome, avoiding joint stiffness as well as lessening or losing hands’ functions