KẾT QUẢ ĐIỀU TRỊ GÃY KÍN THÂN HAI XƯƠNG CẲNG TAY BẰNG PHƯƠNG PHÁP KẾT HỢP XƯƠNG NẸP VÍT

Abstract

Background: Both-bone forearm shaft fractures are common injuries in orthopedics. At present, plate and screws fixation is a standard surgical method to restore the anatomy of the radius and ulna adequately, thereby returning the desired function, particularly pronation/supination. Objective: To study the radiographic characteristics of both-bone forearm fractures in adults and  to evaluate the surgical outcomes of plate and screws fixation in these fractures. Materials and methods: A cross-sectional study included 42 patients treated with open reduction and internal fixation for both-bone forearm shaft fractures from 01/2020 to 3/2022. Results: There were 42 patients (28 men, 14 women, the average age was 42.6416.73), the same level fracture of both bones was 76.19%, and the different level fractures were 23.81%. Evaluated by Anderson outcome classification, the treatment results were excellent, satisfactory, and unsatisfactory in 80.95%, 16.67%, and 2.38%, respectively, and there were no failures. The union rate was 100%. One patient had unsatisfactory results mainly due to segmental fractures of both bones with a severe injury of the soft tissue envelope. Conclusion: Open reduction and internal fixation for both-bones forearm fractures are safe and effective surgery, facilitating the anatomical reduction of the radial and ulnar fractures; fixation stability to early and safe mobilization; thereby restoring the necessary pronation and supination of the forearm.