{"id":338,"date":"2026-10-11T08:57:49","date_gmt":"2026-10-11T01:57:49","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/"},"modified":"2026-10-11T08:57:49","modified_gmt":"2026-10-11T01:57:49","slug":"dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis"},"content":{"rendered":"<p>\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i (Hallux Rigidus)<\/p>\n<p>Ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i, hay c\u00f2n g\u1ecdi l\u00e0 Hallux Rigidus, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng tho\u00e1i h\u00f3a kh\u1edbp \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1edbp gi\u1eefa ng\u00f3n ch\u00e2n c\u00e1i v\u00e0 b\u00e0n ch\u00e2n, g\u00e2y \u0111au \u0111\u1edbn v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng. Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p ph\u1ee5 thu\u1ed9c ch\u1eb7t ch\u1ebd v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a kh\u1edbp.<\/p>\n<h2>\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh<\/h2>\n<p>Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 b\u1ec7nh \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n k\u1ebft qu\u1ea3. H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i Coughlin v\u00e0 Shurnas \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i, chia b\u1ec7nh th\u00e0nh 4 c\u1ea5p \u0111\u1ed9 d\u1ef1a tr\u00ean c\u00e1c x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 X-quang [1].<\/p>\n<ul>\n<li><strong>C\u1ea5p \u0111\u1ed9 0-1:<\/strong> Kh\u1edbp c\u00f2n nguy\u00ean v\u1eb9n ho\u1eb7c c\u00f3 h\u1eb9p nh\u1eb9, \u0111au kh\u00f4ng li\u00ean t\u1ee5c.<\/li>\n<li><strong>C\u1ea5p \u0111\u1ed9 2-3:<\/strong> S\u1ee5n kh\u1edbp b\u1ecb m\u1ea5t \u0111i \u0111\u00e1ng k\u1ec3, h\u00ecnh th\u00e0nh gai x\u01b0\u01a1ng (ostophyte), g\u00e2y h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng r\u00f5 r\u1ec7t v\u00e0 \u0111au \u0111\u1edbn khi c\u1eed \u0111\u1ed9ng.<\/li>\n<li><strong>C\u1ea5p \u0111\u1ed9 4:<\/strong> T\u1ed5n th\u01b0\u01a1ng n\u1eb7ng nh\u1ea5t, c\u00f3 th\u1ec3 k\u00e8m theo vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p ho\u1eb7c bi\u1ebfn d\u1ea1ng ph\u1ee9c t\u1ea1p.<\/li>\n<\/ul>\n<p>H\u1ec7 th\u1ed1ng n\u00e0y gi\u00fap b\u00e1c s\u0129 d\u1ef1 \u0111o\u00e1n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb: c\u00e1c c\u1ea5p \u0111\u1ed9 nh\u1eb9 h\u01a1n th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n kh\u1edbp, trong khi c\u1ea5p \u0111\u1ed9 n\u1eb7ng c\u1ea7n \u0111\u1ebfn c\u00e1c bi\u1ec7n ph\u00e1p tri\u1ec7t \u0111\u1ec3 h\u01a1n [1].<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt<\/h2>\n<p>\u0110\u1ed1i v\u1edbi giai \u0111o\u1ea1n \u0111\u1ea7u ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n ph\u1eabu thu\u1eadt, c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p kh\u00f4ng x\u00e2m l\u1ea5n l\u00e0 l\u1ef1a ch\u1ecdn \u01b0u ti\u00ean. M\u1ee5c ti\u00eau l\u00e0 gi\u1ea3m vi\u00eam v\u00e0 h\u1ea1n ch\u1ebf c\u1eed \u0111\u1ed9ng g\u00e2y \u0111au.<\/p>\n<ul>\n<li><strong>D\u00f9ng thu\u1ed1c:<\/strong> Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAIDs) v\u00e0 ti\u00eam corticosteroid v\u00e0o kh\u1edbp \u0111\u1ec3 gi\u1ea3m s\u01b0ng \u0111au [4].<\/li>\n<li><strong>S\u1eeda \u0111\u1ed5i gi\u00e0y d\u00e9p:<\/strong> S\u1eed d\u1ee5ng gi\u00e0y \u0111\u1ebf c\u1ee9ng ho\u1eb7c c\u00e1c thi\u1ebft b\u1ecb ch\u1ec9nh h\u00ecnh b\u1eb1ng s\u1ee3i carbon (carbon fiber orthosis). Nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng thi\u1ebft b\u1ecb b\u1eb1ng s\u1ee3i carbon to\u00e0n b\u1ed9 c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n so v\u1edbi c\u00e1c lo\u1ea1i m\u1edf r\u1ed9ng ki\u1ec3u Morton&#8217;s do \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh cao h\u01a1n [4].<\/li>\n<li><strong>S\u1eeda \u0111\u1ed5i ho\u1ea1t \u0111\u1ed9ng:<\/strong> Tr\u00e1nh c\u00e1c b\u00e0i t\u1eadp l\u00e0m t\u0103ng \u00e1p l\u1ef1c l\u00ean kh\u1edbp nh\u01b0 lunges ho\u1eb7c plank.<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, n\u1ebfu \u0111au \u0111\u1edbn v\u00e0 bi\u1ebfn d\u1ea1ng ti\u1ebfp t\u1ee5c ti\u1ebfn tri\u1ec3n, ph\u1eabu thu\u1eadt th\u01b0\u1eddng l\u00e0 gi\u1ea3i ph\u00e1p cu\u1ed1i c\u00f9ng [5].<\/p>\n<h2>Ph\u1eabu thu\u1eadt cheilectomy (X\u1ebb b\u1ecf gai x\u01b0\u01a1ng)<\/h2>\n<p>Cheilectomy l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n m\u1eafc ch\u1ee9ng c\u1ee9ng kh\u1edbp m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh (c\u1ea5p \u0111\u1ed9 II v\u00e0 III). M\u1ee5c ti\u00eau c\u1ee7a th\u1ee7 thu\u1eadt n\u00e0y l\u00e0 lo\u1ea1i b\u1ecf c\u00e1c gai x\u01b0\u01a1ng \u1edf m\u1eb7t sau \u0111\u1ea7u \u0111\u1ed1t metatarsal th\u1ee9 nh\u1ea5t, nh\u1eefng c\u1ea5u tr\u00fac g\u00e2y ch\u00e8n \u00e9p c\u01a1 h\u1ecdc khi ng\u00f3n ch\u00e2n c\u1eed \u0111\u1ed9ng l\u00ean [1].<\/p>\n<p>Quy tr\u00ecnh bao g\u1ed3m c\u1eaft b\u1ecf ph\u1ea7n s\u1ee5n kh\u1edbp b\u1ecb tho\u00e1i h\u00f3a v\u00e0 gai x\u01b0\u01a1ng \u0111\u1ec3 t\u1ea1o ra kho\u1ea3ng tr\u1ed1ng, cho ph\u00e9p ng\u00f3n ch\u00e2n c\u1eed \u0111\u1ed9ng l\u00ean \u00edt nh\u1ea5t 70 \u0111\u1ed9. T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a cheilectomy dao \u0111\u1ed9ng t\u1eeb 56% \u0111\u1ebfn 92%, v\u1edbi k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh nh\u1eb9 ho\u1eb7c ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i [1].<\/p>\n<p>M\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 trong gi\u1ea3m \u0111au v\u00e0 ph\u1ee5c h\u1ed3i v\u1eadn \u0111\u1ed9ng, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u v\u1eabn ghi nh\u1eadn t\u1ef7 l\u1ec7 c\u1ee9ng kh\u1edbp sau ph\u1eabu thu\u1eadt kho\u1ea3ng 35% \u1edf ph\u1ee5 n\u1eef, \u0111\u1ed3ng th\u1eddi h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng mang gi\u00e0y cao g\u00f3t ho\u1eb7c th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111\u00f2i h\u1ecfi b\u01b0\u1edbc nh\u1ea3y m\u1ea1nh [3].<\/p>\n<h2>Ph\u1eabu thu\u1eadt h\u1ee3p nh\u1ea5t kh\u1edbp (Arthrodesis)<\/h2>\n<p>\u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh n\u1eb7ng (c\u1ea5p \u0111\u1ed9 IV) ho\u1eb7c khi cheilectomy kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c, ph\u1eabu thu\u1eadt h\u1ee3p nh\u1ea5t kh\u1edbp \u0111\u1ea7u \u0111\u1ed1t metatarsal th\u1ee9 nh\u1ea5t (first metatarsophalangeal joint arthrodesis) l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng [1].<\/p>\n<p>Trong th\u1ee7 thu\u1eadt n\u00e0y, hai \u0111\u1ea7u x\u01b0\u01a1ng c\u1ee7a kh\u1edbp s\u1ebd b\u1ecb h\u00e0n g\u1eafn l\u1ea1i v\u1edbi nhau, bi\u1ebfn kh\u1edbp th\u00e0nh m\u1ed9t kh\u1ed1i x\u01b0\u01a1ng ch\u1eafc ch\u1eafn. \u0110i\u1ec1u n\u00e0y mang l\u1ea1i s\u1ef1 \u1ed5n \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i nh\u01b0ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c m\u1ea5t ho\u00e0n to\u00e0n kh\u1ea3 n\u0103ng c\u1eed \u0111\u1ed9ng c\u1ee7a ng\u00f3n ch\u00e2n c\u00e1i.<\/p>\n<ul>\n<li><strong>L\u1ee3i \u00edch:<\/strong> Gi\u1ea3m \u0111au tri\u1ec7t \u0111\u1ec3 v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn h\u00e0nh t\u1ed1t cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/li>\n<li><strong>H\u1ea1n ch\u1ebf:<\/strong> Kh\u00f4ng th\u1ec3 c\u1eed \u0111\u1ed9ng ng\u00f3n ch\u00e2n, khi\u1ebfn vi\u1ec7c mang gi\u00e0y cao g\u00f3t ho\u1eb7c th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp nh\u01b0 telemark skiing tr\u1edf n\u00ean r\u1ea5t kh\u00f3 kh\u0103n ho\u1eb7c b\u1ea5t kh\u1ea3 thi [1].<\/li>\n<\/ul>\n<p>B\u00e1c s\u0129 c\u1ea7n gi\u1ea3i th\u00edch r\u00f5 r\u00e0ng cho b\u1ec7nh nh\u00e2n v\u1ec1 s\u1ef1 \u0111\u00e1nh \u0111\u1ed5i n\u00e0y tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n<h2>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c<\/h2>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng mu\u1ed1n h\u1ee3p nh\u1ea5t kh\u1edbp nh\u01b0ng t\u00ecnh tr\u1ea1ng l\u1ea1i qu\u00e1 n\u1eb7ng \u0111\u1ec3 ch\u1ec9 th\u1ef1c hi\u1ec7n cheilectomy, c\u00e1c l\u1ef1a ch\u1ecdn thay th\u1ebf bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Interpositional arthroplasty (Thay s\u1ee5n kh\u1edbp):<\/strong> \u0110\u01b0a v\u1eadt li\u1ec7u \u0111\u1ec7m (tissue) v\u00e0o gi\u1eefa hai b\u1ec1 m\u1eb7t kh\u1edbp b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 gi\u1ea3m ma s\u00e1t. M\u1eb7c d\u00f9 b\u1eb1ng ch\u1ee9ng d\u00e0i h\u1ea1n c\u00f2n h\u1ea1n ch\u1ebf, c\u00e1c nghi\u00ean c\u1ee9u c\u1ea5p th\u1ea5p v\u1eabn h\u1ed7 tr\u1ee3 \u0111\u00e2y l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn kh\u1ea3 thi cho b\u1ec7nh trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng [2].<\/li>\n<li><strong>Resection arthroplasty (V\u00ed d\u1ee5: Keller):<\/strong> C\u1eaft b\u1ecf ph\u1ea7n g\u1ed1c \u0111\u1ed1t ng\u00f3n ch\u00e2n. M\u1eb7c d\u00f9 c\u00f3 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng v\u00e0 \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng quy, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u1eabn c\u00f3 vai tr\u00f2 \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n gi\u00e0 tu\u1ed5i, \u00edt v\u1eadn \u0111\u1ed9ng [2].<\/li>\n<li><strong>Osteotomies:<\/strong> C\u00e1c ph\u1eabu thu\u1eadt c\u1eaft x\u01b0\u01a1ng nh\u01b0 Youngswick-Austin ho\u1eb7c distal oblique osteotomy gi\u00fap \u0111i\u1ec1u ch\u1ec9nh v\u1ecb tr\u00ed kh\u1edbp v\u00e0 gi\u1ea3m \u0111au, tuy nhi\u00ean k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 kh\u00f4ng b\u1eb1ng arthrodesis \u1edf giai \u0111o\u1ea1n mu\u1ed9n [6] [7].<\/li>\n<\/ul>\n<p>M\u1ecdi kh\u1eb3ng \u0111\u1ecbnh v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec1u d\u1ef1a tr\u00ean d\u1eef li\u1ec7u t\u1eeb s\u00e1ch gi\u00e1o khoa ph\u1eabu thu\u1eadt ch\u00ednh th\u1ed1ng, nh\u1ea5n m\u1ea1nh r\u1eb1ng ch\u01b0a c\u00f3 th\u1ee7 thu\u1eadt n\u00e0o \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 v\u01b0\u1ee3t tr\u1ed9i h\u01a1n t\u1ea5t c\u1ea3 m\u1ecdi tr\u01b0\u1eddng h\u1ee3p [1].<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4807<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4812<\/li>\n<li>[3] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4810<\/li>\n<li>[4] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4806<\/li>\n<li>[5] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 5021<\/li>\n<li>[6] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4810<\/li>\n<li>[7] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4811<\/li>\n<\/ul>\n<p><!-- aiwriter:78abf76ba8424dbb96de1b4e --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i (Hallux Rigidus) c\u1ea7n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00f9y theo m\u1ee9c \u0111\u1ed9. B\u00e0i vi\u1ebft t\u1ed5ng h\u1ee3p c\u00e1c l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt t\u1eeb cheilectomy cho tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u0111\u1ebfn arthrodesis cho b\u1ec7nh n\u1eb7ng.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-338","post","type-post","status-publish","format-standard","hentry","category-thay-khop"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH\" \/>\n<meta property=\"og:description\" content=\"Ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i (Hallux Rigidus) c\u1ea7n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00f9y theo m\u1ee9c \u0111\u1ed9. B\u00e0i vi\u1ebft t\u1ed5ng h\u1ee3p c\u00e1c l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt t\u1eeb cheilectomy cho tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u0111\u1ebfn arthrodesis cho b\u1ec7nh n\u1eb7ng.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/\" \/>\n<meta property=\"og:site_name\" content=\"BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH\" \/>\n<meta property=\"article:published_time\" content=\"2026-10-11T01:57:49+00:00\" \/>\n<meta name=\"author\" content=\"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 ph\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/\"},\"author\":{\"name\":\"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long\",\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/#\\\/schema\\\/person\\\/338f93d6776b5639a218690143433e64\"},\"headline\":\"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis\",\"datePublished\":\"2026-10-11T01:57:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/\"},\"wordCount\":1539,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/#\\\/schema\\\/person\\\/338f93d6776b5639a218690143433e64\"},\"articleSection\":[\"Thay kh\u1edbp\"],\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/\",\"url\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/\",\"name\":\"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/#website\"},\"datePublished\":\"2026-10-11T01:57:49+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/2026\\\/10\\\/11\\\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/#website\",\"url\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/\",\"name\":\"BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/#\\\/schema\\\/person\\\/338f93d6776b5639a218690143433e64\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"vi\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/#\\\/schema\\\/person\\\/338f93d6776b5639a218690143433e64\",\"name\":\"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/NGUYEN-THANH-LONG.png\",\"url\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/NGUYEN-THANH-LONG.png\",\"contentUrl\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/NGUYEN-THANH-LONG.png\",\"width\":240,\"height\":240,\"caption\":\"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long\"},\"logo\":{\"@id\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/NGUYEN-THANH-LONG.png\"},\"sameAs\":[\"http:\\\/\\\/bscoxuongkhop.io.vn\"],\"url\":\"https:\\\/\\\/bscoxuongkhop.io.vn\\\/index.php\\\/author\\\/longndh\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/","og_locale":"vi_VN","og_type":"article","og_title":"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH","og_description":"Ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i (Hallux Rigidus) c\u1ea7n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00f9y theo m\u1ee9c \u0111\u1ed9. B\u00e0i vi\u1ebft t\u1ed5ng h\u1ee3p c\u00e1c l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt t\u1eeb cheilectomy cho tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u0111\u1ebfn arthrodesis cho b\u1ec7nh n\u1eb7ng.","og_url":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/","og_site_name":"BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH","article_published_time":"2026-10-11T01:57:49+00:00","author":"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long","twitter_card":"summary_large_image","twitter_misc":{"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi":"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long","\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc":"8 ph\u00fat"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/#article","isPartOf":{"@id":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/"},"author":{"name":"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long","@id":"https:\/\/bscoxuongkhop.io.vn\/#\/schema\/person\/338f93d6776b5639a218690143433e64"},"headline":"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis","datePublished":"2026-10-11T01:57:49+00:00","mainEntityOfPage":{"@id":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/"},"wordCount":1539,"commentCount":0,"publisher":{"@id":"https:\/\/bscoxuongkhop.io.vn\/#\/schema\/person\/338f93d6776b5639a218690143433e64"},"articleSection":["Thay kh\u1edbp"],"inLanguage":"vi","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/","url":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/","name":"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH","isPartOf":{"@id":"https:\/\/bscoxuongkhop.io.vn\/#website"},"datePublished":"2026-10-11T01:57:49+00:00","breadcrumb":{"@id":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/#breadcrumb"},"inLanguage":"vi","potentialAction":[{"@type":"ReadAction","target":["https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/dieu-tri-chung-cung-khop-ngon-chan-cai-tu-phau-thuat-cheilectomy-den-arthrodesis\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Trang ch\u1ee7","item":"https:\/\/bscoxuongkhop.io.vn\/"},{"@type":"ListItem","position":2,"name":"\u0110i\u1ec1u tr\u1ecb ch\u1ee9ng c\u1ee9ng kh\u1edbp ng\u00f3n ch\u00e2n c\u00e1i: T\u1eeb ph\u1eabu thu\u1eadt cheilectomy \u0111\u1ebfn arthrodesis"}]},{"@type":"WebSite","@id":"https:\/\/bscoxuongkhop.io.vn\/#website","url":"https:\/\/bscoxuongkhop.io.vn\/","name":"BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH","description":"","publisher":{"@id":"https:\/\/bscoxuongkhop.io.vn\/#\/schema\/person\/338f93d6776b5639a218690143433e64"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/bscoxuongkhop.io.vn\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"vi"},{"@type":["Person","Organization"],"@id":"https:\/\/bscoxuongkhop.io.vn\/#\/schema\/person\/338f93d6776b5639a218690143433e64","name":"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long","image":{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/NGUYEN-THANH-LONG.png","url":"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/NGUYEN-THANH-LONG.png","contentUrl":"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/NGUYEN-THANH-LONG.png","width":240,"height":240,"caption":"B\u00e1c s\u0129 Nguy\u1ec5n Th\u00e0nh Long"},"logo":{"@id":"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/NGUYEN-THANH-LONG.png"},"sameAs":["http:\/\/bscoxuongkhop.io.vn"],"url":"https:\/\/bscoxuongkhop.io.vn\/index.php\/author\/longndh\/"}]}},"_links":{"self":[{"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/posts\/338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/comments?post=338"}],"version-history":[{"count":0,"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/posts\/338\/revisions"}],"wp:attachment":[{"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/media?parent=338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/categories?post=338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bscoxuongkhop.io.vn\/index.php\/wp-json\/wp\/v2\/tags?post=338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}