17. Kết quả điều trị gãy kín hai xương cẳng tay bằng hai nẹp vít qua một đường mổ giữa mặt trước

Abstract

This is an intervention study without a control group evaluating the results of treatment of both-bone forearm fractures with two plates through a mid-volar incision exposing two windows. The study included 27 patients aged 16 years or older who received surgical treatment for both-bone at the Center for Trauma and Orthopedics of Can Tho Central General Hospital, between July 2023 and October 2024. All patients underwent internal fixation with plates and screws. Fractures of the left forearm were found in 51.9% of cases. Notably, 74.1% of the patients had fractures at the same level. The mean duration of surgeries was 71.85 ± 19.47 minutes, with an average incision length of 8.89 ±  1.74 cm. Postoperative complications included one patient with hematoma observed on the second day (3.7%), one patient with slight ulnar deviation post-surgery (3.7%). According to the Anderson criteria, 81.5% of patients achieved excellent outcomes and 18.5% had good results. Utilizing a volar approach with plates and screws for the surgical treatment of both-bone forearm fractures proves to be an effective strategy, yielding high success rates and minimizing complications.