Articles Vol. 65 No. CĐ 1 - Liên chi hội Phẫu thuật bàn tay 12/03/2024

39. INITIAL RESULTS OF SURGICAL TREATMENT FOR ACETABULAR FRACTURES USING THE SCREW PLATE METHOD AT THONG NHAT DONG NAI GENERAL HOSPITAL

Nguyen Tuong Quang1,2, Le The Gioi1,2, Dinh Tien Vuong1,2
1 Thong Nhat general Hospital of Dong Nai province
2 Bệnh viện Đa khoa Thống Nhất tỉnh Đồng Nai
Corresponding author: bstuongquang@gmail.com
DOI: 10.52163/yhc.v65iCD1.1000
16 Views
10 Downloads
Keywords
Acetabular fracture, acetabulum.
Abstract

Background: Acetabular fractures often result from severe trauma, and incorrect treatment can lead to serious complications.

Objectives:

1. Evaluate the effectiveness of surgical treatment for acetabular fractures.

2. Determine the incidence of complications related to acetabular fracture surgery.

Subjects and Methods:

- Patients diagnosed with and treated surgically for acetabular fractures due to trauma.

- Fracture types included:

• Displaced intra-articular fragments.

• Marginal rim fractures.

• Wide articular surface fractures.

• Instability fractures

Results: Over a 5-year period (2015–2020), with assistance from Cho Ray Hospital, Thong Nhat Dong Nai General Hospital performed surgical procedures on 21 cases of acetabular fractures, with an average follow-up time of 28.6 months. Excellent and very good results were achieved in 16 cases (76.2%). Fair results in 3 cases (14.2%). Poor results in 2 cases (9.5%).

Conclusions: The earlier the surgery, the better the results. Early surgical management of acetabular fractures, with minimal articular cartilage damage, precise reduction, and avoidance of complications, leads to good outcomes. In other words, the more anatomically precise the acetabular reduction, the better the achieved functional outcomes.

References
[1]
Huỳnh Phiến, Những nhận xét bước đầu của Google Scholar
[2]
các trường hợp chấn thương khung chậu vỡ ổ Google Scholar
[3]
cối được cố định ổ gãy bằng nẹp vít tại Bệnh Google Scholar
[4]
viện Đà Nẵng. Trích Báo cáo khoa học Đại hội Google Scholar
[5]
ngoại khoa Việt Nam lần thứ II 1999; Tập 2 : Google Scholar
[6]
-76,1999. Google Scholar
[7]
Ngô Bảo Khang, Điều trị gãy ổ chảo xương chậu Google Scholar
[8]
bằng phẫu thuật. Trích Báo cáo khoa học Đại học Google Scholar
[9]
ngoại khoa Việt Nam lần thứ II 1999; Tập 2 : Google Scholar
[10]
-71. 1999. Google Scholar
[11]
Nguyễn Vĩnh Thống, Kết quả điều trị gãy ổ cối Google Scholar
[12]
di lệch bằng phẫu thuật, Y học thành phố Hồ Chí Google Scholar
[13]
Minh, tập 12; số 2, 2008. Google Scholar
[14]
Judet, R Judet, J and Leoutnel, E. Fracture of Google Scholar
[15]
the Acetabulum: Classification and surgical Google Scholar
[16]
approaches for open reduction J. Bone Joint Surg Google Scholar
[17]
; 46A; 1615, 1964. Google Scholar
[18]
Tile M, Describing the injury: Classification Google Scholar
[19]
of acetabular fracture. In: Tile Marvin. Fracture Google Scholar
[20]
of the pelvis and acetabulum, third edittion, Google Scholar
[21]
Lippincott Williams & Wilkins, Philadelphia Google Scholar
[22]
USA, pp 427-475, 2003. Google Scholar
[23]
Matta JM, The goal of acetabular fracrure Google Scholar
[24]
surgery, J. Orthop. Trauma, Lippincott Williams Google Scholar
[25]
& Wilkins, vol. 20(1), pp. S20-S29, 1996. Google Scholar