ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN THÂN XƯƠNG CÁNH TAY BẰNG NẸP KHÓA

Abstract

 Background: The advancement of medicine has provided various methods of bone fixation for the treatment of closed humeral shaft fractures, such as plating and intramedullary nailing. Although intramedullary nailing is less invasive, the high rate of non-union makes plating the gold standard. Locking plates, which allow the use of both conventional and locking screws, provide stability and minimize complications while also enabling early mobilization for patients. Objectives: To describe general characteristics and evaluation of treatment outcomes for closed humeral shaft fractures using locking plates at Can Tho Central General Hospital. Materials and methods: Prospective clinical intervention study without a control group in 31 patients diagnosed with unilateral or bilateral closed humeral shaft fractures and indicated for surgical bone fixation using locking plates. Results: Among the 31 patients studied, the most common age group was 16-40 years, with the majority being farmers, accounting for 29%. Patients with type A fractures in the middle third, according to the AO classification, made up the highest percentage at 48.4%. Regarding fracture reduction outcomes, the highest percentage, 96.8%, achieved excellent bone union results; there were no patients with average or poor union outcomes. In terms of shoulder and elbow joint functional recovery, 96.8% of patients achieved excellent recovery, with no average or poor results. Six months after surgery, patients had normal shoulder and elbow joint movement. Conclusions: Surgical bone fixation using locking plates is a safe and effective treatment for closed humeral shaft fractures and provides good outcomes.