Assessment of result of interlocking intramedullary SIGN nailing in treatment of femoral shaft fracture in adult patients at Viet Duc hospital from 2004 to 2005

Background: Femoral shaft fracture, in company with the development of morden society and the increase in means of transport, is increasing in the number of case and the complicated degree of injury. Objectives: 1. To note indication for interlocking intramedullary SIGN nailing in femoral shaft fracture in adult patients. 2. To assess result of interlocking intramedullary SIGN nailing in treatment of femoral shaft fracture in adult patients. Subjects and method: A prospective, descriptive study was conducted in the 40 patients between the ages of 17 and 80 who were dignosed femoral shaft fracture caused by injury and operated for bone union by interlocking intramedullary SIGN nailing at Viet Duc hospital, from April/2004 to July/2005. Results: In this study: 5 patients with I degree fracture (12.5%), 20 with II degree (25%) and most of patients with III and IV degree fracture (62.5%), of which 14 patients with IV degree (35%). Because the SIGN nailing\u2019s structure was solid, so it had a good capacity for patient\u2019s weight. 4 weeks after operation, 85% patients were able to move around without crutches. There was no complications. Conclusion: SIGN nailing enables surgeons to drive interlocking intramedullary nailing for long bone without image intensifier. It also enables both surgeons and patients to appoarch modern, high effective methods without needing expensive machines.

Situation of extremity injury caused by traffic accident in Viet Duc hospital from 2000 to 2004

Background: Situation of extremity injury caused by traffic accidents and occupational accidents are increasing in Vietnam. Therefore, the prevention and fight against these accidents are one of the key objectives to reduce the burden on the families of victims as well as for society. Objectives: To outline situation of extremity injury patients caused by traffic accident, treated in Viet Duc hospital from 2000-2004. Subjects and method: A retrospective study was conducted on 19.845 patients (14.562 males, 5.283 females, aged from 1-97 years old). The subjects were divided into 3 main groups: alone upper extremity injury, alone lower extremity injury and multiple fractures. Results: Extremity injury was common seen in people of working age (78.1%), men more than women (2.76/1 ratio), left foot more than right foot and it was common been in multiple fracture situation due to complex mechanisms of injury (50.3%), alone extremity injury (49.7%). The lower extremity injury was more common seen than upper extremity injury. Open fracture injury (27.3%), in which open fractures in lower extremity were more common seen. Open fractures in both 2 leg bones was the most common seen, accounted for 57.4% among total of open fractures. Amputation accounted for 8.3% among all case of open fractures and 2.3% among all case of extremity injuries. Conclusion: Extremity injury (lower extremity and upper extremity) caused by traffic accidents is common seen. The average, there are 3 emergency surgeries due to open fracture injury were performed daily in Viet Duc hospital per a total of about 11 traumatic emergency surgeries.

Carbon monoxide poisoning disease should be added to the list of compensated occupational diseases in Viet Nam

The study was carried out in 2 groups: 65 persons in control group (non-exposed) and 254 occupational carbon monoxide exposed workers. The results: carbon monoxide concentration in some work places was higher than the allowable limit from 1.2 to 5.3 times. The pollution had influence on the health of 91 workers (influence on nervous, circulatory, respiratory, digestive systems and anemia,…). 23 among 254 exposed workers suffered from occupational carbon monoxide chronic clinical poisoning. Among 197 workers permanently exposed, 18 suffered from occupational acute CO poisoning (1 worker was dead by the acute carbon monoxide poisoning).

Primarily study on the operation of transfer of distal pedicular cutunonervous flap in the treatment of soft tissue defects in the knee and foot cerveix

Vascularized sural flap with distal pedicle is using for covering of soft tissue defect of the heel-ankle region, when there are no impossibility for the internal plantar flap. With the application on 9 patients, we have the incidence of : -Excellent result: 7- Good result: 2. We hope that we could have good appreciation in future after we have worked on many patients