EVALUATION OF SURGICAL TREATMENT RESULTS FOR FRACTURES IN THE TROCHANTERIC AREA USING LOCKING PLATES AT HA DONG GENERAL HOSPITAL

Abstract

Objectives: To evaluate the results of surgery to treat adult fractures in the trochanteric area using locking plates at Ha Dong General Hospital. Methods: A retrospective, cross-sectional descriptive study on 30 patients with fractures in the trochanteric area who underwent surgery with locking plates, followed up, and re-examined at Ha Dong General Hospital from January 2018 to February 2022. Results: The main cause of injury was daily life accidents (63.3%). Classification according to AO: Type A1 fractures accounted for 13.3%, type A2 fractures were 56.7%, and type A3 fractures were 30%. The average hospital stay was 12.3 days. The anatomical correction results were 90% good and 10% not good. Bone healing results: Good bone healing was 96.7%; poor bone healing was 3.3%, with no cases of osteoarthritis or pseudoarthritis. The results of good and very good walking function were 86.7%, and poor walking function was 3.3%. Overall results: Very good and good accounted for 86.7%, average was 10%, and poor results was 3.3%. Conclusion: Fractures in the femoral trochanter area are mainly caused by daily life accidents. Bone union with locking plates is a good treatment method for patients with fractures in the trochanteric area helping to firmly fix fractures, allowing patients to exercise and practice early rehabilitation. It is convenient for patients to return to daily life, reducing the rate of complications encountered, thereby improving the quality of life for patients and reducing the burden on families and society.