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.

Some opinions of femoral head replacement in Viet Duc hospital

Hip-prothesis with the Thomson, moore endoprothesis in Viet Duc Hospital Hanoi’s. Proximal prothesis of the hip used about 50 years, for old patients over 60 years with fractures of the neck of the femur. 62 proximal prothesis since 1983 were done in Viet Duc Hospital. Fractures of the neck of the femur: 27. Necrosis of the femoral head: 35. Out - dated fractures: 22. After osteosynthesis: 9. Tumor: 4. Best: 40. Good: 21. Bad: 1.

Some opinions of treatment of total hip replacement

Partial and total hip arthroplasty were now very common in our country. Partial hip prothesis was indicated for fractures of the neck of the femur of old patients (>60 years old). Total hip prothesis was indicated for necroris or hip arthrosis. The incidence of excellent and good results was 82.5% for total hip prothesis and 77.1% for partial hip prothesis.

Some opinions of surgical treatment of lumbodorsal spine injury in combination with the fixation by pedicle screws and plates

Thoraco Lumbar spine injury is about 3-5%. But the neurological lesion and sequela was very severe, many of patients became handicap. Early intervention with pedicle screws and plates give us good result for patients with Thoraco Lumbar spine injury