RESEARCH CHARACTERISTICS OF CLINICAL, PARACLINICAL AND EVALUATE THE SURGICAL TREATMENT RESULT OF PATELLA FRACTURE AT CAN THO CENTRAL GENERAL HOSPITAL AND CAN THO CITY GENERAL HOSPITAL IN 2021-2022

Hoang Anh Tran1,, Dinh Mung Phan2, Le Hoan Nguyen1, Nu Thu Phuc Nguyen1
1 Can Tho University of Medicine and Pharmacy
2 Military Hospital 175- Ministry of National Defence

Main Article Content

Abstract

Background:  Patellar fractures account for 1% of all fractures and surgery to fuse the kneecap using the tension band wiring technique is commonly used. Through clinical practice in Can Tho City, we realized that the above technique has many advantages over other techniques, so we made this study. Objectives: 1. Survey on clinical and subclinical characteristics of patellar fracture patients treated by combined bone surgery; 2. Evaluation of the surgical results of patellar fractures with the tension band wiring technique at Can Tho Central General Hospital and Can Tho City General Hospital from June 2021 to May 2022. Materials and methods: Prospective study of 41 patellar fracture patients who underwent surgery the tension band wiring technique at Can Tho Central General Hospital and Can Tho City General Hospital from June 2021 to May 2022. Results: The study included 58.54% male, 41.46% female, the average age of 49.98 years old. Fracture of the left kneecap is 1.56 times higher than that of the right kneecap, 70.73% closed fracture, 29.27% open fracture. On radiographic images, 41.46% transverse fracture, 19.54% lower pole fracture. After 2 months, 100% had bone resorption. After 4 months, 85.37% achieved knee range of motion > 120°, knee rehabilitation results according to Bostman: 70.73% very good, 26.83% good and not reached 2.44%. Conclusion: Treatment of patients with patellar fractures with the tension band wiring technique gives good results and can be widely applied.  

Article Details

References

1. Trần Trung Dũng (2014), “Nhận xét kết quả phẫu thuật gãy xương bánh chè tại Bệnh viện Đại học Y Hà Nội”, Tạp chí Y học thực hành, (4), tr.74-76.
2. Nguyễn Triết Hiền và cộng sự (2016), “Đánh giá kết quả phẫu thuật gãy xương bánh chè tại bệnh viện đa khoa trung tâm An Giang”, Kỷ yếu Hội nghị Khoa học Bệnh viện An Giang, (10), tr.59. 3. Tô Đức Khôi (2018), Đánh giá kết quả phẫu thuật gãy kín xương bánh chè tại Bệnh viện Việt Đức, Luận văn chuyên khoa cấp II chuyên ngành Chấn thương chỉnh hình, Trường Đại học Y Hà Nội.
4. Văn Đức Minh Lý (2008), “Phẫu thuật điều trị gãy xương bánh chè”, Hội nghị thường niên lần thứ XV Hội chấn thương chỉnh hình Tp. Hồ Chí Minh, tr. 22-28.
5. Nguyễn Đức Phúc và cộng sự (2019), “Vỡ xương bánh chè”, Chấn thương chỉnh hình, tr.432-435.
6. Trần Quang Sơn (2014), “Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả phẫu thuật xuyên đinh néo ép trong điều trị gãy xương bánh chè tại Bệnh viện Đa Khoa Trung Ương Cần Thơ năm 2013-2014”, Luận văn tốt nghiệp Bác sĩ đa khoa, Trường Đại học Y Dược Cần Thơ.
7. Akhilesh Rathi and Others (2012), “Percutaneous tension band wiring for patellar Fractures”, Journal of orthopaedic surgery 2012, 20, pp.166-169.
8. Anand B. Jabshetty (2005), “A comparative study of modified tension band wiring and cerclage wiring in management of tranverse fractures of patella”, Indian Jounal of Science and Technology, 4, pp. 1314-1321.
9. Bonnaig NS. And Others (2015), “Fix it or discard it? A retrospective analysis of functional outcomes after surgically treated patella fractures comparing ORIF with partial pallectomy”, J Orthop Trauma, 29(2), pp. 80-84.
10. Böstman A and Others (1983), “Fractures of the patella treated by operation”, Arch. Orthop Trauma Surg, 102, pp. 78-81.
11. Clement Gwinner and Others (2016), “Current concepts review: Fractures of the patella”, GMS Interdiscip plast reconstr surg DGPW 2016.
12. S. Abdolhossein Mehdinasab (2012), “Assessment Results of Patellar Fractures Treatment after Tension Band Wiring”, Zahedan Journal of Research in Medical Sciences, 15, pp. 60-62.
13. Wu, C. C., Tai, C. L., & Chen, W. J. (2001), “Patellar tension band wiring: a revised technique”, Archives of Orthopaedic and Trauma Surgery, 121(1-2), pp. 12-16.