ĐẶC ĐIỂM LÂM SÀNG, X QUANG VÀ KẾT QUẢ ĐIỀU TRỊ GÃY THÂN XƯƠNG ĐÙI BẰNG PHƯƠNG PHÁP ĐÓNG ĐINH NỘI TỦY CÓ CHỐT DƯỚI MÀN TĂNG SÁNG TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2018-2020

Abstract

Background: Fractures of the femoral shaft are common injuries, especially in adulthood. Today, femoral shaft fractures are mainly treated by surgery to reduce and fix fractures allowing patients to mobilize and rehabitate early. Intramedullary nailing under imaging scanner intensifier was applied many years ago and obtained very satisfactory results. Objectives: This study was conducted to determine clinical, radiological characteristics and treatment results of locking intramedullary nailing fixation under imaging scanner for femoral shaft fractures at Can Tho Central General Hospital in 2018-2020. Materials and method: From May 2018 to March 2020, all data of 40 patients with a diagnosis of femoral shaft fracture and undergoing intramedullary nailing under imaging scanner were collected. Results: Mean age was 34.45±16.21. The ratio of male/female was 33/7. The main cause was traffic accidents accounting for 82.5%. The main clinical findings were swollen and deformed thigh. On X-ray, the middle 1/3 fracture accounted for 72.5%. The early postoperative results: very good 72.5%; good 25%, good and pretty 2.5%. Long-term results: very good accounted for 80%; good 12.5% and average 7.5%. There were one case with superficial wound infection and one case of slowing bone healing. Conclusions: This technique is an effective and safe option to treat fractures of the femoral shaft.