Kết quả phẫu thuật nội soi tái tạo dây chằng chéo trước một bó kỹ thuật tất cả bên trong tại Bệnh Viện E

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Tác giả: Văn Hiếu Đặng, Hem Sovanda, Khánh Trình Lê, Đình Hiếu Nguyễn, Trung Tuyến Nguyễn, Sơn Tùng Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2023

Mô tả vật lý: tr.115-120

Bộ sưu tập: Metadata

ID: 341694

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Đặt vấn đề: Đứt dây chằng chéo trước là một trong những chấn thương hay gặp nhất. Mục đích của phẫu thuật tái tạo dây chằng chéo trước là phục hồi lại dây chằng theo đúng giải phẫu, chức năng và tránh tổn thương thứ phát do đứt dây chằng chéo trước gây ra. Kỹ thuật nội soi tái tạo dây chằng chéo trước một bó tất cả bên trong là kỹ thuật mới với nhiều ưu điểm vượt trội. Đối tượng, phương pháp: Chúng tôi đã tiến cứu 35 bệnh nhân phẫu thuật nội soi tái tạo dây chằng chéo trước với kỹ thuật một bó tất cả bên trong tại khoa Phẫu thuật Chấn thương chỉnh hình và Y học thể thao - Bệnh viện E từ tháng 3/2021 đến tháng 3/2022. Kết quả: 100% bệnh nhân liền vết mổ tốt, không nhiễm khuẩn
100% bệnh nhân đều phục hồi biên độ vận động gấp khớp gối trở về bình thường, không có bệnh nhân hạn chế biên độ vận động duỗi
điểm Lysholm trung bình là 95,52 điểm, tốt và rất tốt 34 bệnh nhân (95,4%), trung bình 1 bệnh nhân (4,6%). Kết luận: Những kết quả khả quan của phẫu thuật tái tạo dây chằng chéo trước khớp gối sử dụng kĩ thuật tất cả bên trong đã mang tới thêm một lựa chọn về phương pháp điều trị cho người bệnh khi bị đứt dây chằng chéo trước với mục đích phục hồi tối đa độ vững chắc của khớp gối. Từ khóa: Đứt dây chằng chéo trước, một bó, tất cả bên trong. ABSTRACT Results of arthroscopy anterior cruciate ligament reconstruction with single - bundle all - inside technique at E Hospital Pham Son Tung2, Nguyen Trung Tuyen1,2, Le Khanh Trinh2, Nguyen Dinh Hieu2, Dang Van Hieu2, Hem Sovanda3 Background: Anterior cruciate ligament rupture is one of the most common injuries. The purpose of anterior cruciate ligament reconstruction surgery is to restore the ligament according to anatomy and function and avoid secondary injury caused by anterior cruciate ligament rupture. Single - bundle all - inside arthroscopy reconstruction is a new technique with many outstanding advantages. Methods: We conducted a prospective study of 35 patients undergoing arthroscopic anterior cruciate ligament reconstruction with an all - inside single - bundle technique at the Department of Orthopedic Surgery and Sports Medicine - Hospital E from March 2021 to March 2022. Results: 100% of patients have good wound healing, no infection
100% of patients recovered the range of motion of knee flexion back to normal, no patients with limited range of extensor range of motion
The average Lysholm score was 95.52 points, good and very good 34 patients (95.4%), fair 1 patient (4.6%). Conclusion: The positive results of anterior cruciate ligament reconstruction surgery using single - bundle all - inside techniques have provided an additional treatment option for patients with anterior cruciate ligament rupture with the aim of restoring Maximum recovery of knee stiffness.

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