ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY KÍN LIÊN MẤU CHUYỂN XƯƠNG ĐÙI BẰNG PHƯƠNG PHÁP KẾT HỢP XƯƠNG NẸP VÍT KHÓA DƯỚI MÀN TĂNG SÁNG TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Intertrochanteric fractures are common in elderly people who almost suffer from osteoporosis. These days, the method of locking plate osteosynthesis under the imaging scanner intensifier of these fractures has proven a lot of outstanding advantages. At Can Tho General Hospital, although surgeons have applied and implemented this method widely, there still has not been studied to evaluate its effectiveness. Objectives: Examining characteristics of clinical, subclinical, and evaluating the outcomes of locking plate osteosynthesis under the imaging scanner intensifier in closed intertrochanteric fractures. Materials and methods: Patients with closed intertrochanteric fractures were classified into two groups A1 and A2 (by AO classification) and treated by locking plate osteosynthesis under the imaging scanner intensifier at Can Tho General Hospital from January 2020 to January 2021. We noted some characteristics of patients, clinical, and x-ray. The outcomes include fixation results, bone healing, and rehabilitation. Results: the average age was 66.77 ± 12.39. The A2 type by AO was noted the most. The neck-shaft angle was restored to normal in 76.67%. The average bone healing time was 12.73 ± 2.23 weeks. Evaluation of Harris score shows 10% of excellent, 43.33% of good, 40% of fair, and 6.67% of poor. Conclusion: Locking plate osteosynthesis under the imaging scanner intensifier in closed intertrochanteric fractures gives very satisfactory results after surgery. It has a high rate of bone healing and good rehabilitation. Therefore, patients can take back their movement early.