NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH X QUANG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN THÂN XƯƠNG CẲNG CHÂN BẰNG ĐÓNG ĐINH NỘI TỦY CÓ CHỐT DƯỚI MÀN TĂNG SÁNG TẠI BỆNH VIỆN ĐA KHOA TỈNH KIÊN GIANG

Abstract

Background: Intramedullary interlocking nail under C-arm guidance is a standard method approved for treatment of fracture of tibia and fibula in many clinical guidelines. Objectives: Determined the clinical, X-ray characteristics and assessment treatment results of intramedullary interlocking nail under C-arm guidance on patients with close fracture of tibia and fibula at Kien Giang General Hospital. Materials and method: A cross-sectional descriptive study was conducted on 38 patients with close-fracture of tibia and fibula. They were used intramedullary interlocking nail under C-arm guidance for treatment at Kien Giang General Hospital. All the data were analyzed by SPSS 20.0. Result: Mean age of 38 patients was 39.5±13.3; the most common causes was traffic accident (94.3%). X-ray image: Fracture of the middle third was 44.7%, the lower third was 47.4%. AO/ASIF classification with 65.8% simple, 28.9% wedge and 5.3% complex. Treatment results: According to Larson-Bostman critical, there was 89.5% with totally good and 10.5% with good after 3 months. An assessment after 6 months, the rate of totally good was 74,3% and 25,7% with good according to Ter-Shiphorst classification. Conclusion: Intramedullary interlocking nail under C-arm guidance was a safe and effective method for close fracture of tibia and fibula. This method gives good quality of life and rehabilitation after treatment.