ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG GÃY KÍN ĐẦU DƯỚI XƯƠNG CHÀY PHẠM KHỚP CÓ CHỈ ĐỊNH KẾT HỢP XƯƠNG NẸP KHÓA TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: To describe the clinical and paraclinical characteristics (X-ray, CT scan) of patients with closed intra-articular distal tibial fractures indicated for locking plate fixation at 108 Military Central Hospital.

Subjects and Methods: A cross-sectional descriptive study was conducted on 45 patients with closed intra-articular distal tibial fractures who underwent locking plate fixation at the Department of General Orthopedic Trauma, 108 Military Central Hospital, from January 2022 to June 2025.

Results: Local soft tissue injuries (according to the Tscherne classification) were distributed relatively evenly among three grades: grade 1 (28.89%), grade 2 (37.78%), and grade 3 (33.33%). The most common associated injury was traumatic brain injury (11.11%). Hypertension was the most frequent comorbidity (13.33%), followed by cancer (6.67%). According to the AO classification, type B2 fractures were the most prevalent (35.56%), followed by type B3 (28.89%). There were 24 cases of isolated distal tibial fractures and 21 cases with concomitant fibular fractures. Bilateral column involvement accounted for the majority, with 22 cases (48.89%).

Conclusion: Patients with closed intra-articular distal tibial fractures frequently presented with local soft tissue injuries (Tscherne), were prone to associated injuries, often had concomitant fibular fractures, and exhibited multi-column involvement.