ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ CHỨC NĂNG GÃY ĐẦU DƯỚI XƯƠNG QUAY KIỂU COLLES TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ

Abstract

Background: Colles’ fracture is a common injury. Functional treatment is considered an effective conservative option for stable or minimally displaced fractures; however, evidence from domestic studies remains limited. Objectives: This study aimed to evaluate the outcomes of functional treatment in patients with Colles’ fractures at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A prospective observational study was conducted in 30 patients with distal radius Colles’ fractures who were treated with functional methods. Collected variables included clinical characteristics, radiographic findings, number of reductions, type of cast or splint, and timing of cast removal. Treatment outcomes were evaluated at 3 and 6 months based on the PRWE score, VAS pain score, wrist range of motion, fracture union rate, and patient satisfaction. Results: The mean age was 58.23 ± 15.81 years; patients aged ≥60 years accounted for 56.7%, and females accounted for 73.3%. The most common cause of fracture was domestic accidents (80%). After treatment, the PRWE score significantly decreased from 26.87 ± 11.88 to 11.1 ± 5.06 (p < 0.001). VAS pain scores indicated mild pain and improved from 1.53 ± 1.04 to 0.8 ± 0.75 (p = 0.014). Wrist range of motion significantly improved in flexion, extension, ulnar deviation, and radial deviation (p < 0.05). The fracture union rate reached 86.7% at 3 months and 100% at 6 months. Patient satisfaction increased from 60% at 3 months to 100% at 6 months. Conclusions: Functional treatment is a safe and effective method for Colles’ fractures. This approach significantly improves function, reduces pain, increases wrist range of motion, achieves a high union rate, and provides excellent patient satisfaction.