Đánh giá kết quả phẫu thuật gãy bong gai chày ở trẻ em=Evaluation of surgical outcomes of tibial spine avulsion in children

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Tác giả: Quang Đình Nam Võ, Việt Thành Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.265-272

Bộ sưu tập: Metadata

ID: 243615

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To evaluate the arthroscopic cannulated screw fixation and open fixation for treatment of tibial spine avulsion in children. Methods: This is a case series study of 44 cases of tibial spine avulsion fixed from 2011 to 2017. The method was indicated for displaced tibial spine avulsions according to Mayer and McKeevers’ classification. Follow-up evaluation was according to Lysholm’s scale. Results: 52,2% of cases were 13-15 years of age. The displacements were mostly grade 3. The combined injuries included 2 cases of meniscal tear. They were followed up 6-66 months. The functional results were 80-100 points of Lysholm’s scale. Conclusion: The study showed good results of both open fixation and arthroscopic fixation, both screw fixation and sutures. Howevver, arthroscopic fixation was cosmetic, and screw should be removed in 3-4 months after fixation if going through growth plate.Tổn thương bong gai chày có thể gặp mọi lứa tuổi nhưng hay gặp là tuổi thanh thiếu niên từ 8 - 14 tuổi. Đề tài đánh giá kết quả của các phương pháp cố định mảnh gãy ở trẻ em. Phương pháp: Nghiên cứu tiến cứu loạt ca 44 trường hợp bong gai chày được cố định qua mổ hở hoặc nội soi từ năm 2011 đến năm 2017. Chỉ định cho bong gai chày di lệch theo phân loại Mayer và McKeevers. Đánh giá theo dõi theo thang điểm Lysholm. Kết quả: Nhóm tuổi 13 - 15 tuổi chiếm 52,3%
9 bệnh nhân (BN) có tổn thương độ II chiếm 20,5%, có 23 BN độ IIIA chiếm 52,2%, có 9 BN độ IIIB chiếm 20,4%, có 3 BN độ IV chiếm 6,9%. Tổn thương kèm theo: 2 trường hợp rách sụn nêm (chẩn đoán và xử trí qua nội soi). Thời gian theo dõi: 6 - 66 tháng. Kết quả theo dõi đạt 80 - 100 điểm, trung bình 95,6 theo thang điểm Lysholm. Kết luận: Công trình này đã cho thấy mổ nội soi hoặc hở, cố định bong gai chày bằng ốc hoặc chỉ đều cho kết quả tốt (điểm trung bình 95,6 theo thang điểm Lysholm). Tuy nhiên mổ nội soi không để lại sẹo, và nếu cố định ốc qua sụn tiếp hợp thì nên lấy ra sớm sau 3 - 4 tháng.

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