vẹo khuỷu
TRANSCRIPT
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TRÆÅÌNG ÂAÛI HOÜC Y KHOA HUÃÚTRÆÅÌNG ÂAÛI HOÜC Y KHOA HUÃÚBÃÛNH VIÃÛN TRÆÅÌNG ÂAÛI HOÜC Y BÃÛNH VIÃÛN TRÆÅÌNG ÂAÛI HOÜC Y
KHOA HUÃÚKHOA HUÃÚHÄÜI THAÍO CHÁÚN THÆÅNG CHÈNH HÇNH VIÃÛT HÄÜI THAÍO CHÁÚN THÆÅNG CHÈNH HÇNH VIÃÛT
ÂÆÏCÂÆÏC
ÂAÏNH GIAÏ KÃÚT QUAÍ ÂIÃÖU TRË VEO TRONG CUÍA ÂAÏNH GIAÏ KÃÚT QUAÍ ÂIÃÖU TRË VEO TRONG CUÍA KHUYÍU ÅÍ TREÍ EM BÀÒNG PHÁÙU THUÁÛT CHÈNH KHUYÍU ÅÍ TREÍ EM BÀÒNG PHÁÙU THUÁÛT CHÈNH TRUÛC TAÛI BÃÛNH VIÃÛN TRÆÅÌNG ÂAÛI HOÜC Y TRUÛC TAÛI BÃÛNH VIÃÛN TRÆÅÌNG ÂAÛI HOÜC Y
KHOA HUÃÚ.KHOA HUÃÚ.
ThS. BS. Læ ThåïiThS. BS. Læ Thåïi
Huãú, 4/ 2004Huãú, 4/ 2004
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ÂÀÛT VÁÚN ÂÃÖ - ÂÀÛT VÁÚN ÂÃÖ - INTRODUCTIONINTRODUCTION
Veûo khuyíu vaìo trong
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MUÛC TIÃU - AIMSMUÛC TIÃU - AIMS Phán têch, âaïnh giaï caïc âàûc âiãøm lám Phán têch, âaïnh giaï caïc âàûc âiãøm lám
saìng, X Quang cuía lãûch veûo khuyíu sau saìng, X Quang cuía lãûch veûo khuyíu sau cháún thæång åí treí emcháún thæång åí treí em
To analyse and evaluate the radiography, the To analyse and evaluate the radiography, the characteristic of the clinic of elbow varus characteristic of the clinic of elbow varus after trauma in childrent.after trauma in childrent.
Âaïnh giaï kãút quaí âiãöu trë træåïc màõt vaì Âaïnh giaï kãút quaí âiãöu trë træåïc màõt vaì láu daìi nhàòm hoaìn thiãûn hån vãö kyî láu daìi nhàòm hoaìn thiãûn hån vãö kyî thuáût.thuáût.
Immediatetly and long term evaluation in Immediatetly and long term evaluation in order to correct the technicorder to correct the technic
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ÂÄÚI TÆÅÜNG VAÌ PHÆÅNG PHAÏP ÂÄÚI TÆÅÜNG VAÌ PHÆÅNG PHAÏP NGHIÃN CÆÏUNGHIÃN CÆÏU
PATIENTS AND METHODSPATIENTS AND METHODS
Tæì thaïng 1/2001 âãún thaïng 8/2003
From 1/20001 to 8/2003
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CÅ SÅÍ NGHIÃN CÆÏU - BASE OF CÅ SÅÍ NGHIÃN CÆÏU - BASE OF STUDYSTUDY
Træåïc mäø Sau mäø
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KÃÚT QUAÍ VAÌ BAÌN LUÁÛNKÃÚT QUAÍ VAÌ BAÌN LUÁÛNRESULTS AND DISCUSSIONRESULTS AND DISCUSSION
Tuäøi (Ages) Tuäøi (Ages) Säú læåüngSäú læåüng %%5-95-9 19 19 29.729.7
10-1410-14 3333 51.651.615-2015-20 1212 18.718.7
Täøng säúTäøng säú 6464 100100
Giåïi (Gender)Giåïi (Gender) Säú læåüngSäú læåüng %%
NamNam 4747 73.473.4
NæîNæî 1717 26.626.6
Täøng säúTäøng säú 6464 100100
Baíng 2(Table 2): Sæû phán bäú theo tuäøi - Age distribution
Baíng 3(Table 3): Sæû phán bäú theo giåïi - Gender distribution
Kãút quaí chung
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Baíng 4 (Table 4):Sæû phán bäú trãn Baíng 4 (Table 4):Sæû phán bäú trãn hai tay hai tay
- Location of varus- Location of varus
Tay (Arms) Tay (Arms) Säú læåüngSäú læåüng %%
Phaíi Phaíi 2121 32.832.8
Traïi Traïi 4343 67.267.2
Täøng säúTäøng säú 6464 100100
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Baíng 5 (Table 5): Thåìi gian bë cháún thæång - The Baíng 5 (Table 5): Thåìi gian bë cháún thæång - The period after traumaperiod after trauma
Thåìi gianThåìi gian Säú læåüngSäú læåüng %%
< 2nàm< 2nàm 1010 15.615.6
2-5 nàm2-5 nàm 3131 48.548.5
> 5 nàm> 5 nàm 2323 35.935.9
Täøng säúTäøng säú 6464 100100
Âäü Âäü lãûch lãûch
Thåìi gianThåìi gian
15- 2015- 2000 21-2921-2900 >= 30>= 3000
< 2 nàm< 2 nàm 22 55 33
2-5 nàm2-5 nàm 33 1414 1414
> 5 nàm> 5 nàm 22 66 1515
Täøng säúTäøng säú
(%)(%)77
(10.9%)(10.9%)2525
(39.1%)(39.1%)3232
(50%)(50%)
Baíng 6 (Table 6): Mæïc âäü lãûch veûo khuyíu so våïi thåìi gian bë cháún thæong
Degrees of the elbow varus
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Täøn thæångTäøn thæång Säú Säú læåüng/64læåüng/64
%%
Tráût khåïp Tráût khåïp khuyíukhuyíu
44 6.36.3
Chäöi xæångChäöi xæång 22 3.13.1
Can xæång xáúuCan xæång xáúu 11 1.61.6
Täøng säúTäøng säú 77 10.910.9Cå nàng gáúp Cå nàng gáúp
duäùiduäùi
Flex and ExtendFlex and Extend
Säú læåüngSäú læåüng %%
TäútTäút 5353 82.882.8
KhaïKhaï 1010 15.615.6
XáúuXáúu 11 1.61.6
Täøng säúTäøng säú 6464 100100
Baíng 7 (Table 7): Caïc täøn thæång phäúi håüp - Combining injury
Baíng 8 (Table 8): Cå nàng gáúp duäùi træåïc pháùu thuáût - Preoperative movements
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Cå nàng sáúp ngæîaCå nàng sáúp ngæîa Säú læåüngSäú læåüng %%
TäútTäút 6363 98.498.4
KhaïKhaï 11 1.61.6
XáúuXáúu 00 00
Täøng säúTäøng säú 6464 100100
Baíng 9 (Table 9): Âaïnh giaï cå nàng sáúp ngæîa - Supine and prone
activities
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Baíng 10 (Table 10): Âaïnh giaï chung vãö cå nàng sau chènh truûc - Postoperative movement capacity
Cå nàng gáúp duäùi+ Cå nàng gáúp duäùi+ sáúp ngæîasáúp ngæîa
Säú læåüngSäú læåüng %%
TäútTäút 5858 90.690.6
KhaïKhaï 55 7.87.8
XáúuXáúu 11 1.61.6
Täøng säúTäøng säú 6464 100100Baíng 11 (Table 11): Âaïnh giaï kãút quaí âuûc chènh truûc trãn X Baíng 11 (Table 11): Âaïnh giaï kãút quaí âuûc chènh truûc trãn X quang - Radiographyquang - Radiography
TruûcTruûc Säú Säú læåünglæåüng
%%
Thàóng truûc Thàóng truûc 5151 79.779.7
Coìn veûo < 5Coìn veûo < 500 88 12.512.5
Coìn veûo 5-20Coìn veûo 5-2000 55 7.87.8
Täøng säúTäøng säú 6464 100100
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Baíng 12 (Table 12): Âaïnh giaï caïc biãún chæïng sau pháùu thuáût
Postoperative complications
Kãút quaíKãút quaí Säú Säú læåünglæåüng
%%
TäútTäút 5151 79.779.7
KhaïKhaï 88 12.512.5
XáúuXáúu 55 7.87.8
Täøng kãútTäøng kãút 6464 100100
Baíng 13 (Table 13): Âaïnh giaï kãút quaí chung cuía pháùu thuáût
- Common operative results
Biãún chæïngBiãún chæïng Säú Säú læåünglæåüng
%%
Nhiãùm truìng vãút Nhiãùm truìng vãút mäømäø
22 3.13.1
Nhiãùm truìng chán Nhiãùm truìng chán âinhâinh
33 4.74.7
Viãm xæångViãm xæång 33 4.74.7
Täøng säúTäøng säú 8/648/64 12.512.5
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Baíng 14 (Table 14): Kãút quaí liãn quan âãún tuäøi - Baíng 14 (Table 14): Kãút quaí liãn quan âãún tuäøi - Results involve in ageResults involve in age
TäútTäút Khaï Khaï XáúuXáúu
5-95-9 15(23.4%15(23.4%))
3(4.7%)3(4.7%) 1(1.6%)1(1.6%)
10-1410-14 29(45.4%29(45.4%))
2(3.1%)2(3.1%) 2(3.1%)2(3.1%)
15-2015-20 7(10.9%)7(10.9%) 3(4.7%)3(4.7%) 2(3.1%)2(3.1%)
Täøng säúTäøng säú 51(79.7%51(79.7%))
7(12.5%)7(12.5%) 5(7.8%)5(7.8%)TäútTäút KhaïKhaï XáúuXáúu
< 2 nàm< 2 nàm 19(29.7%19(29.7%))
00 00
2-5 nàm2-5 nàm 18(28.1%18(28.1%))
4(6.2%)4(6.2%) 2(3.1%)2(3.1%)
> 5 nàm> 5 nàm 14(21.9%14(21.9%))
4(6.2%)4(6.2%) 3(4.7%)3(4.7%)
Täøng säúTäøng säú 51(79.7%51(79.7%))
8(12.4%)8(12.4%) 5(7.8%)5(7.8%)
Baíng 15 (Table 15): Kãút quaí liãn quan våïi thåìi gian bë cháún thæång - Results involve in time
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Thàõng
Træåïc mäø
Preoperative
Sau mäø
Postoperative
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Nhán
Træåïc mäø
Preoperative
Sau mäø
Postoperative
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Máùn
Træåïc mäø
Preoperative
Sau mäø
Postop3erative
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Phæåïc
Træåïc mäø
Preoperative
Sau mäø
Postoperative
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Quyãn
Sau mäø
Postoperative
Træåïc mäø
Preoperative
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Tæåìng Vy
Træåïc mäø
Preoperative
Sau mäø
Postoperative
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LaìnhTræåïc mäø
Preoperative
Sau mäø
Postoperative
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KÃÚT LUÁÛN - CONCLUSIONKÃÚT LUÁÛN - CONCLUSION1. 1. Lãûch veûo trong cuía khuyíu thæåìng gàûp åí treí 5-14
tuäøi (81.3%). Giåïi nam chiãúm tyí lãû 73.4%. Tiãön sæí cháún thæång cuî > 2 nàm chiãúm 84.4%.
2. Phæång phaïp âuûc xæång chènh truûc vaì cäú âënh bàòng Kirschner våïi mäüt voìng theïp säú 8 laì phæång phaïp âån giaín coï tênh khoa hoüc, cäú âënh tæång âäúi væîng chàõc âaím baío giæî truûc täút trong quaï trçnh liãön xæång.
3. Kãút quaí sau pháøu thuáût treí láúy laûi cå nàng nhæ ban âáöu:Truûc khuyíu âaût yãu cáöu täút vaì khaï chiãúm tyí lãû 92.2%.Biãún chæïng sau mäø tháúp: 3/64 træåìng håüp bë viãm xæång vaì âaût kãút quaí täút sau pháùu thuáût láön 2 vaì 3.
Nhoïm kãút quaí xáúu 5/64 træåìng håüp chiãúm 7.8%.