Đánh giá kết quả điều trị gãy liên mấu chuyển xương đùi bằng phẫu thuật tại Bệnh viện Hữu Nghị Đa khoa Nghệ An năm 2023=Assessment outcomes of surgical treatment of intertrochanteric fracture at Nghe An General Hospital in 2023

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Tác giả: Hồng Quang Đặng, Quốc Đạt Nguyễn, Cương Trần

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.86-92

Bộ sưu tập: Metadata

ID: 477965

Thêm vào giỏ

Đánh giá kết quả điều trị gãy liên mấu chuyển xương đùi bằng phẫu thuật tại Bệnh viện Hữu Nghị Đa Khoa Nghệ An. Phương pháp nghiên cứu: Nghiên cứu tiến cứu với cỡ mẫu là 32 bao gồm các bệnh nhân gãy liên mấu chuyển xương đùi được điều trị phẫu thuật kết hợp xương bằng nẹp DHS và nẹp vít khóa đầu trên xương đùi tại Bệnh viện Hữu Nghị Đa Khoa Nghệ An từ tháng 01 năm 2023 đến tháng 05 năm 2023. Sử dụng bệnh án nghiên cứu để thu thập số liệu. Kết quả: Có 100% bệnh nhân được vô cảm trong phẫu thuật bằng gây tê tủy sống
Nẹp DHS được sử dụng 40,6%, nẹp vít khóa đầu trên xương đùi được sử dụng 59,4%
Chiều dài vết mổ <
10 cm chiếm 71,88%, >
10 cm chiếm 28,12%
Thời gian phẫu thuật trung bình là 74,06 ± 16,63 phút (ngắn nhất là 60 phút, dài nhất 120 phút)
100% không xảy ra tai biến trong phẫu thuật, không có biến chứng toàn thân hoặc tử vong trong phẫu thuật
Kết quả kết hợp xương trên phim chụp X quang sau phẫu thuật: nắn chỉnh tốt, trục xương thẳng, ổ gãy không di lệch đạt 15/32 bệnh nhân (46,88%), không có bệnh nhân nào kết quả nắn chỉnh xương kém
Đánh giá kết quả chung: Rất tốt chiếm 46,87%
Tốt chiếm 46,87%
Trung bình chiếm 6,26%, không có bệnh nhân nào kết quả kém. Kết luận: Gãy liên mấu chuyển xương đùi là kiểu gãy xương khá phổ biến và có nhiều phương pháp điều trị. Phẫu thuật kết hợp xương bằng nẹp DHS và nẹp vít khóa đầu trên xương đùi nhằm nắn chỉnh phục hồi về giải phẫu, cố định ổ gãy vững chắc, tạo điều kiện để tập phục hồi chức năng sớm sau phẫu thuật.To evaluate the outcomes of surgical treatment for intertrochanteric femur fractures at Nghe An General Friendship Hospital. Methodology: A prospective study involving 32 patients with intertrochanteric femur fractures treated with DHS plates and proximal femoral locking plates at Nghe An General Friendship Hospital from January 2023 to May 2023. Data were collected using patient medical records. Results: All patients (100%) underwent spinal anesthesia during surgery. DHS plates were used in 40.6% of cases, while proximal femoral locking plates were used in 59.4%. Incision length was <
10 cm in 71.88% of cases and >
10 cm in 28.12%. The average surgery duration was 74.06 ± 16.63 minutes (ranging from 60 to 120 minutes). There were no intraoperative complications, systemic complications, or fatalities. Postoperative X-ray results showed good fracture alignment, with 15/32 patients (46.88%) having satisfactory bone alignment and no poor outcomes in any patient. Overall treatment outcomes were: 46.87% very good, 46.87% good, and 6.26% fair, with no poor outcomes. Conclusion: Intertrochanteric femur fractures are common and can be treated through various methods. Surgical fixation using DHS plates and proximal femoral locking plates restores anatomical alignment and stabilizes the fracture, facilitating early rehabilitation post-surgery.

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