H\u1ed9i ch\u1ee9ng Cyclops sau ph\u1eabu thu\u1eadt d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc: Nguy\u00ean nh\u00e2n v\u00e0 Gi\u1ea3i ph\u00e1p<\/p>\n
V\u1ea5n \u0111\u1ec1 h\u1ed9i ch\u1ee9ng cyclops<\/strong> (cyclops syndrome) l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn th\u1ea5t b\u1ea1i c\u1ee7a ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (ACL reconstruction). \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng h\u00ecnh th\u00e0nh c\u00e1c kh\u1ed1i u ho\u1eb7c s\u1eb9o c\u1ee9ng t\u1ea1i h\u1ed1c x\u01b0\u01a1ng, g\u00e2y c\u1ea3n tr\u1edf c\u01a1 ch\u1ebf co gi\u00e3n c\u1ee7a kh\u1edbp g\u1ed1i v\u00e0 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng du\u1ed7i kh\u1edbp. Vi\u1ec7c nh\u1eadn di\u1ec7n s\u1edbm v\u00e0 x\u1eed l\u00fd \u0111\u00fang k\u1ef9 thu\u1eadt l\u00e0 y\u1ebfu t\u1ed1 then ch\u1ed1t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt l\u00e2u d\u00e0i.<\/p>\n M\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t d\u1eabn \u0111\u1ebfn th\u1ea5t b\u1ea1i c\u1ee7a ph\u1eabu thu\u1eadt ACL l\u00e0 vi\u1ec7c \u0111\u1eb7t h\u1ed1c x\u01b0\u01a1ng kh\u00f4ng ch\u00ednh x\u00e1c. C\u00e1c b\u00e1o c\u00e1o g\u1ea7n \u0111\u00e2y cho th\u1ea5y t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i t\u1eeb 10% \u0111\u1ebfn 25%, v\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 k\u1ef9 thu\u1eadt c\u1ee5 th\u1ec3 g\u00e2y ra c\u0103ng d\u00e2y ch\u1eb1ng l\u00e0 vi\u1ec7c \u0111\u1eb7t h\u1ed1c x\u01b0\u01a1ng \u0111\u00f9i qu\u00e1 ti\u1ebfn v\u1ec1 ph\u00eda tr\u01b0\u1edbc [1]. Khi h\u1ed1c b\u1ecb \u0111\u1eb7t sai v\u1ecb tr\u00ed, d\u00e2y ch\u1eb1ng \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p s\u1ebd b\u1ecb k\u00e9o c\u0103ng, d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng l\u1ecfng kh\u1edbp (knee laxity) v\u00e0 gi\u1ea3m hi\u1ec7u qu\u1ea3 t\u00e1i t\u1ea1o.<\/p>\n Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh kh\u1ed1i u cyclops \u2013 m\u1ed9t c\u1ea5u tr\u00fac s\u1ee3i m\u1ec1m ph\u00e1t tri\u1ec3n t\u1ea1i h\u1ed1c x\u01b0\u01a1ng. Kh\u1ed1i u n\u00e0y ng\u0103n c\u1ea3n d\u00e2y ch\u1eb1ng b\u1ecb k\u00e9o d\u00e3n khi kh\u1edbp g\u1ed1i du\u1ed7i, g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng. Do \u0111\u00f3, k\u1ef9 thu\u1eadt \u0111\u1eb7t h\u1ed1c ch\u00ednh x\u00e1c kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 d\u00e0i c\u1ee7a d\u00e2y ch\u1eb1ng m\u00e0 c\u00f2n gi\u00fap tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt.<\/p>\n B\u00ean c\u1ea1nh h\u1ed9i ch\u1ee9ng cyclops, t\u1ef7 l\u1ec7 t\u00e1i ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc c\u0169ng l\u00e0 m\u1ed9t m\u1ed1i lo ng\u1ea1i l\u1edbn. T\u1ef7 l\u1ec7 x\u1ea3y ra ch\u1ea5n th\u01b0\u01a1ng th\u1ee9 hai trong 12 th\u00e1ng \u0111\u1ea7u sau ph\u1eabu thu\u1eadt \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb, ho\u1ea1t \u0111\u1ed9ng cao \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o cao h\u01a1n 15 l\u1ea7n so v\u1edbi nh\u00f3m \u0111\u1ed1i ch\u1ee9ng ch\u01b0a t\u1eebng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng [1]. T\u1ed5ng th\u1ec3, t\u1ea7n su\u1ea5t ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng th\u1ee9 hai trong 24 th\u00e1ng sau ph\u1eabu thu\u1eadt g\u1ea7n g\u1ea5p 6 l\u1ea7n so v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh [1].<\/p>\n Y\u1ebfu t\u1ed1 k\u1ef9 thu\u1eadt \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt. C\u00e1c l\u1ed7i v\u1ec1 k\u1ef9 thu\u1eadt nh\u01b0 \u0111\u1eb7t h\u1ed1c sai, kh\u00f4ng th\u1ef1c hi\u1ec7n notchplasty (c\u1eaft b\u1ecf ph\u1ea7n x\u01b0\u01a1ng th\u1eeba) \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c ch\u1ecdn d\u00e2y ch\u1eb1ng c\u1ea5y gh\u00e9p kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn th\u1ea5t b\u1ea1i [3]. \u0110\u1eb7c bi\u1ec7t, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a b\u1ea5t th\u01b0\u1eddng xoay tr\u01b0\u1edbc ho\u1eb7c v\u1eb9o kh\u1edbp g\u1ed1i qu\u00e1 m\u1ee9c 5 \u0111\u1ed9 tr\u01b0\u1edbc ph\u1eabu thu\u1eadt l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i [2].<\/p>\n \u0110\u1ec3 gi\u1ea3m thi\u1ec3u r\u1ee7i ro th\u1ea5t b\u1ea1i, c\u00e1c nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng vi\u1ec7c t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc k\u1ebft h\u1ee3p v\u1edbi d\u00e2y ch\u1eb1ng b\u00ean ngo\u00e0i ho\u1eb7c th\u1ef1c hi\u1ec7n tenodesis d\u00e2y ch\u1eb1ng ngo\u1ea1i x\u01b0\u01a1ng c\u00f3 th\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i xu\u1ed1ng d\u01b0\u1edbi 3% [2]. T\u1ef7 l\u1ec7 n\u00e0y th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi ph\u1eabu thu\u1eadt ACL \u0111\u01a1n thu\u1ea7n s\u1eed d\u1ee5ng c\u1ea5y gh\u00e9p x\u01b0\u01a1ng – g\u00e2n b\u00e1nh \u0111\u1ea7u g\u1ed1i – x\u01b0\u01a1ng (s\u1ed1ng) ho\u1eb7c g\u00e2n \u0111\u00f9i sau (hamstring).<\/p>\n Khi g\u1eb7p ph\u1ea3i h\u1ed9i ch\u1ee9ng cyclops ho\u1eb7c c\u00e1c kh\u1ed1i u t\u1ea1i h\u1ed1c x\u01b0\u01a1ng trong qu\u00e1 tr\u00ecnh t\u00e1i t\u1ea1o, b\u00e1c s\u0129 c\u1ea7n th\u1ef1c hi\u1ec7n c\u1eaft b\u1ecf kh\u1ed1i u v\u00e0 \u0111\u1ea3m b\u1ea3o v\u1ecb tr\u00ed m\u1edbi c\u1ee7a d\u00e2y ch\u1eb1ng \u0111\u01b0\u1ee3c \u0111\u1eb7t anatomic (t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u1ea5u tr\u00fac sinh l\u00fd ban \u0111\u1ea7u). Vi\u1ec7c n\u00e0y \u0111\u00f2i h\u1ecfi k\u1ef9 thu\u1eadt cao \u0111\u1ec3 tr\u00e1nh x\u00e2m ph\u1ea1m v\u1ecf sau c\u1ee7a x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 \u0111\u1ea3m b\u1ea3o \u0111\u1ed9 d\u00e0i d\u00e2y ch\u1eb1ng ph\u00f9 h\u1ee3p cho qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n H\u1ed9i ch\u1ee9ng cyclops l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng lo ng\u1ea1i nh\u01b0ng c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c n\u1ebfu th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt v\u1edbi k\u1ef9 thu\u1eadt ch\u00ednh x\u00e1c. Vi\u1ec7c nh\u1eadn di\u1ec7n nguy\u00ean nh\u00e2n nh\u01b0 v\u1ecb tr\u00ed h\u1ed1c sai l\u1ec7ch v\u00e0 k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o \u1ed5n \u0111\u1ecbnh h\u01a1n (nh\u01b0 th\u00eam d\u00e2y ch\u1eb1ng b\u00ean ngo\u00e0i) gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a ph\u1eabu thu\u1eadt ACL. C\u00e1c b\u00e1c s\u0129 ch\u1ec9nh h\u00ecnh c\u1ea7n ch\u00fa tr\u1ecdng \u0111\u1ebfn quy tr\u00ecnh ti\u1ec1n ph\u1eabu, k\u1ef9 thu\u1eadt m\u1ed5 v\u00e0 k\u1ebf ho\u1ea1ch ph\u1ee5c h\u1ed3i \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y.<\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Hi\u1ec3u r\u00f5 nguy\u00ean nh\u00e2n g\u00e2y h\u1ed9i ch\u1ee9ng cyclops nh\u01b0 v\u1ecb tr\u00ed sai l\u1ec7ch h\u1ed1c x\u01b0\u01a1ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba th\u1ea5t b\u1ea1i t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-380","post","type-post","status-publish","format-standard","hentry","category-noi-soi-khop"],"yoast_head":"\nNguy\u00ean nh\u00e2n ch\u00ednh: V\u1ecb tr\u00ed sai l\u1ec7ch h\u1ed1c x\u01b0\u01a1ng<\/h2>\n
T\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan<\/h2>\n
Gi\u1ea3i ph\u00e1p: T\u00e1i t\u1ea1o k\u1ebft h\u1ee3p v\u00e0 k\u1ef9 thu\u1eadt ch\u00ednh x\u00e1c<\/h3>\n
K\u1ebft lu\u1eadn<\/h2>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
\n