{"id":357,"date":"2026-10-11T10:46:51","date_gmt":"2026-10-11T03:46:51","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/noi-soi-tai-tao-da-day-chang-khop-goi-sau-chan-thuong-trat-khop\/"},"modified":"2026-10-11T10:46:51","modified_gmt":"2026-10-11T03:46:51","slug":"noi-soi-tai-tao-da-day-chang-khop-goi-sau-chan-thuong-trat-khop","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/noi-soi-tai-tao-da-day-chang-khop-goi-sau-chan-thuong-trat-khop\/","title":{"rendered":"N\u1ed9i soi t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i sau ch\u1ea5n th\u01b0\u01a1ng tr\u1eadt kh\u1edbp"},"content":{"rendered":"

N\u1ed9i soi t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i<\/strong> l\u00e0 m\u1ed9t h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi ch\u1ea5n th\u01b0\u01a1ng tr\u1eadt kh\u1edbp g\u1ed1i l\u00e0m t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed3ng th\u1eddi nhi\u1ec1u d\u00e2y ch\u1eb1ng. \u0110\u00e2y l\u00e0 nh\u00f3m ch\u1ea5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn l\u1ef1c t\u00e1c \u0111\u1ed9ng m\u1ea1nh v\u00e0 c\u00f3 th\u1ec3 \u0111i k\u00e8m t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, m\u1ea1ch m\u00e1u, x\u01b0\u01a1ng ho\u1eb7c m\u00f4 m\u1ec1m. V\u00ec v\u1eady, l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m v\u00e0 chi\u1ebfn l\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a b\u1edfi \u0111\u1ed9i ng\u0169 ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh.<\/p>\n

N\u1ed9i soi t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i l\u00e0 g\u00ec?<\/h2>\n

Tr\u1eadt kh\u1edbp g\u1ed1i th\u01b0\u1eddng \u0111\u01b0\u1ee3c xem l\u00e0 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u c\u1ea5u tr\u00fac gi\u1eef v\u1eefng kh\u1edbp. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 bao g\u1ed3m kh\u00e2u s\u1eeda d\u00e2y ch\u1eb1ng b\u1ecb r\u00e1ch, t\u00e1i t\u1ea1o b\u1eb1ng m\u1ea3nh gh\u00e9p t\u1ef1 th\u00e2n, \u0111\u1ed3ng lo\u1ea1i ho\u1eb7c v\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p, ho\u1eb7c ph\u1ed1i h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.[2] Trong \u0111\u00f3, t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (ACL) v\u00e0 d\u00e2y ch\u1eb1ng ch\u00e9o sau (PCL) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi h\u1ed7 tr\u1ee3 n\u1ed9i soi; c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 g\u1ed3m nhi\u1ec1u l\u1ef1a ch\u1ecdn v\u1ec1 m\u1ea3nh gh\u00e9p v\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u1ed1 \u0111\u1ecbnh.[7]<\/p>\n

M\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt kh\u00f4ng ch\u1ec9 l\u00e0 l\u00e0m kh\u1edbp g\u1ed1i v\u1eefng h\u01a1n m\u00e0 c\u00f2n ph\u1ea3i c\u00e2n b\u1eb1ng gi\u1eefa \u0111\u1ed9 v\u1eefng v\u00e0 kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng. T\u00e0i li\u1ec7u chuy\u00ean m\u00f4n l\u01b0u \u00fd r\u1eb1ng t\u00ecnh tr\u1ea1ng l\u1ecfng kh\u1edbp t\u1ed3n d\u01b0 ho\u1eb7c c\u1ee9ng kh\u1edbp sau t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng v\u1eabn th\u01b0\u1eddng g\u1eb7p. M\u1ed9t kh\u1edbp h\u01a1i l\u1ecfng nh\u01b0ng c\u00f2n di \u0111\u1ed9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t h\u01a1n kh\u1edbp qu\u00e1 v\u1eefng nh\u01b0ng b\u1ecb x\u01a1 h\u00f3a g\u00e2y h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng.[1]<\/p>\n

Khi n\u00e0o c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt?<\/h2>\n

D\u1eef li\u1ec7u hi\u1ec7n c\u00f3 cho th\u1ea5y \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt c\u00e1c t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u d\u00e2y ch\u1eb1ng nh\u00ecn chung c\u00f3 k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng t\u1ed1t h\u01a1n \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt trong c\u00e1c t\u1ed5ng quan v\u00e0 ph\u00e2n t\u00edch g\u1ed9p \u0111\u01b0\u1ee3c tr\u00edch d\u1eabn.[9] Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a m\u1ecdi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec1u ph\u1ea3i m\u1ed5 ngay ho\u1eb7c \u00e1p d\u1ee5ng c\u00f9ng m\u1ed9t k\u1ef9 thu\u1eadt.<\/p>\n

Ph\u1eabu thu\u1eadt s\u1edbm hay tr\u00ec ho\u00e3n?<\/h3>\n

Ph\u1eabu thu\u1eadt s\u1edbm ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 v\u00e0 c\u00f3 th\u1ec3 t\u1ea1o c\u01a1 h\u1ed9i t\u1ed1t \u0111\u1ec3 t\u1ed1i \u01b0u k\u1ebft qu\u1ea3 sau ch\u1ea5n th\u01b0\u01a1ng \u0111a d\u00e2y ch\u1eb1ng.[2] M\u1ed9t s\u1ed1 d\u1eef li\u1ec7u h\u1ea1n ch\u1ebf c\u0169ng g\u1ee3i \u00fd can thi\u1ec7p s\u1edbm c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i h\u01a1n, nh\u01b0ng c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p c\u00f3 th\u1ec3 khi\u1ebfn ph\u1eabu thu\u1eadt s\u1edbm kh\u00f4ng an to\u00e0n ho\u1eb7c kh\u00f4ng ph\u00f9 h\u1ee3p; trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ph\u1ee9c t\u1ea1p, tr\u00ec ho\u00e3n ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn th\u00edch h\u1ee3p.[6]<\/p>\n

Quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m th\u01b0\u1eddng c\u1ea7n d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n, t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m, t\u00ecnh tr\u1ea1ng th\u1ea7n kinh-m\u1ea1ch m\u00e1u, g\u00e3y x\u01b0\u01a1ng k\u00e8m theo v\u00e0 kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t v\u1eadn \u0111\u1ed9ng kh\u1edbp. Ch\u1ea5n th\u01b0\u01a1ng tr\u1eadt kh\u1edbp g\u1ed1i n\u0103ng l\u01b0\u1ee3ng cao c\u00f3 th\u1ec3 \u0111i k\u00e8m t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111\u1ea7u, ng\u1ef1c ho\u1eb7c b\u1ee5ng, do \u0111\u00f3 \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u c\u1ea7n c\u00f3 t\u00ednh h\u1ec7 th\u1ed1ng v\u00e0 \u01b0u ti\u00ean c\u00e1c v\u1ea5n \u0111\u1ec1 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.[3]<\/p>\n

Nh\u1eefng nguy c\u01a1 c\u1ea7n bi\u1ebft sau t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng<\/h2>\n
    \n
  • C\u1ee9ng kh\u1edbp v\u00e0 x\u01a1 h\u00f3a:<\/strong> m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c tr\u00edch d\u1eabn ghi nh\u1eadn t\u1ef7 l\u1ec7 x\u01a1 h\u00f3a kh\u1edbp l\u00e0 21,5% \u1edf ng\u01b0\u1eddi b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u d\u00e2y ch\u1eb1ng. Tr\u1eadt kh\u1edbp g\u1ed1i v\u00e0 s\u1eeda ho\u1eb7c t\u00e1i t\u1ea1o t\u1eeb ba d\u00e2y ch\u1eb1ng tr\u1edf l\u00ean l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp.[1]<\/li>\n
  • C\u1ed1t h\u00f3a l\u1ea1c ch\u1ed7:<\/strong> bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng. C\u00e1c nghi\u00ean c\u1ee9u trong t\u00e0i li\u1ec7u ghi nh\u1eadn t\u1ef7 l\u1ec7 kho\u1ea3ng 30\u201337% \u1edf m\u1ed9t s\u1ed1 nh\u00f3m b\u1ec7nh nh\u00e2n tr\u1eadt kh\u1edbp g\u1ed1i; c\u1ed1t h\u00f3a l\u1ea1c ch\u1ed7 c\u00f3 li\u00ean quan \u0111\u1ebfn h\u1ea1n ch\u1ebf t\u1ea7m v\u1eadn \u0111\u1ed9ng, v\u00e0 t\u00e1i t\u1ea1o PCL \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 trong nhi\u1ec1u nghi\u00ean c\u1ee9u.[5]<\/li>\n
  • T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh m\u00e1c:<\/strong> li\u1ec7t th\u1ea7n kinh m\u00e1c ho\u00e0n to\u00e0n c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c ch\u1ee9c n\u0103ng k\u00e9m h\u01a1n li\u1ec7t kh\u00f4ng ho\u00e0n to\u00e0n. V\u00ec v\u1eady, \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i th\u1ea7n kinh tr\u01b0\u1edbc c\u0169ng nh\u01b0 sau \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh.[8]<\/li>\n
  • L\u1ecfng kh\u1edbp t\u1ed3n d\u01b0 ho\u1eb7c tho\u00e1i h\u00f3a v\u1ec1 sau:<\/strong> l\u1ecfng kh\u1edbp v\u00e0 c\u1ee9ng kh\u1edbp v\u1eabn c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i d\u00f9 \u0111\u00e3 t\u00e1i t\u1ea1o. T\u00e0i li\u1ec7u c\u0169ng cho bi\u1ebft hi\u1ec7n ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u d\u00e0i h\u1ea1n \u0111\u1ee7 \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c nguy c\u01a1 vi\u00eam kh\u1edbp sau tr\u1eadt kh\u1edbp g\u1ed1i; tuy nhi\u00ean, nguy c\u01a1 thay \u0111\u1ed5i tho\u00e1i h\u00f3a \u0111\u01b0\u1ee3c xem l\u00e0 \u0111\u00e1ng l\u01b0u \u00fd.[4]<\/li>\n<\/ul>\n

    Ng\u01b0\u1eddi b\u1ec7nh n\u00ean trao \u0111\u1ed5i g\u00ec v\u1edbi b\u00e1c s\u0129?<\/h2>\n

    Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh n\u1ed9i soi t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i, ng\u01b0\u1eddi b\u1ec7nh n\u00ean h\u1ecfi r\u00f5:<\/p>\n

      \n
    • D\u00e2y ch\u1eb1ng n\u00e0o b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 c\u00f3 g\u00e3y x\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ho\u1eb7c m\u1ea1ch m\u00e1u k\u00e8m theo hay kh\u00f4ng?<\/li>\n
    • M\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 s\u1eeda d\u00e2y ch\u1eb1ng, t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng hay ph\u1ed1i h\u1ee3p c\u1ea3 hai?<\/li>\n
    • V\u00ec sao n\u00ean ph\u1eabu thu\u1eadt s\u1edbm ho\u1eb7c tr\u00ec ho\u00e3n trong tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3?<\/li>\n
    • Nguy c\u01a1 c\u1ee9ng kh\u1edbp, c\u1ed1t h\u00f3a l\u1ea1c ch\u1ed7 v\u00e0 l\u1ecfng kh\u1edbp t\u1ed3n d\u01b0 \u0111\u01b0\u1ee3c theo d\u00f5i nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n
    • K\u1ebf ho\u1ea1ch ph\u1ee5c h\u1ed3i v\u1eadn \u0111\u1ed9ng v\u00e0 c\u00e1c m\u1ed1c \u0111\u00e1nh gi\u00e1 sau m\u1ed5 ra sao?<\/li>\n<\/ul>\n

      K\u1ebft lu\u1eadn<\/h2>\n

      N\u1ed9i soi t\u00e1i t\u1ea1o \u0111a d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u1ea7n trong chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ch\u1ea5n th\u01b0\u01a1ng tr\u1eadt kh\u1edbp g\u1ed1i, \u0111\u1eb7c bi\u1ec7t khi t\u1ed5n th\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn ACL, PCL v\u00e0 c\u00e1c c\u1ea5u tr\u00fac gi\u1eef v\u1eefng kh\u00e1c. B\u1eb1ng ch\u1ee9ng \u0111\u01b0\u1ee3c cung c\u1ea5p \u1ee7ng h\u1ed9 vai tr\u00f2 c\u1ee7a \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt \u1edf nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, nh\u01b0ng ch\u01b0a \u0111\u1ee7 \u0111\u1ec3 \u0111\u01b0a ra m\u1ed9t quy tr\u00ecnh n\u1ed9i soi ho\u1eb7c l\u1ecbch m\u1ed5 \u00e1p d\u1ee5ng cho t\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh. Th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt, lo\u1ea1i m\u1ea3nh gh\u00e9p v\u00e0 tr\u00ecnh t\u1ef1 t\u00e1i t\u1ea1o c\u1ea7n \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh sau khi \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n t\u1ea1i c\u01a1 s\u1edf ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh.<\/p>\n

      T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
        \n
      • [1] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3089<\/li>\n
      • [2] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3090<\/li>\n
      • [3] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3038<\/li>\n
      • [4] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3089<\/li>\n
      • [5] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3089<\/li>\n
      • [6] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3090<\/li>\n
      • [7] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3090<\/li>\n
      • [8] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3037<\/li>\n
      • [9] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 3089<\/li>\n<\/ul>\n

        <\/p>\n","protected":false},"excerpt":{"rendered":"

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