Kết quả phẫu thuật kết hợp xương điều trị gãy kín ba mắt cá chân tại Bệnh viện Hữu Nghị Việt Đức

To evaluate the outcomes of open reduction and internal fixation surgery for closed trimalleolar fractures at Viet Duc University Hospital. Subjects and Methods: A cross-sectional retrospective study of 34 patients with trimalleolar fractures at Viet Duc University Hospital from 01/2022 to 06/2024. Results: The mean age of the patients was 53.5 ± 13,2 years. The female-to-male ratio was 2:1. Half of the patients were admitted due to traffic accidents. The most common injury mechanisms were supination-external rotation and supination-adduction. The majority of fractures were classified as type B according to the AO classification. The mean pre-operative posterior malleolar displacement was 5.21 ± 4,31 mm. In 67.7% of cases, there was a tibiofibular syndesmosis injury. The mean pre-operative tibiofibular clear space was 8.01 ± 3,06 mm. The superficial wound infection rate was 5,9% (2 patients). The mean post-operative posterior malleolar displacement was 0,650 ± 1,11 mm. 95.7% of patients had complete healing of the tibiofibular syndesmosis. The mean post-operative tibiofibular clear space was 4,65 ± 0,75 mm. At the 3-month follow-up, the mean (AOFAS) score was 92,6 ± 5,78 Conclusions: Open reduction and internal fixation is an effective treatment for closed trimalleolar fractures, achieving good ankle function for patients.