{"id":485,"date":"2026-10-12T12:09:54","date_gmt":"2026-10-12T05:09:54","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/tai-tao-day-chang-ben-tru-khop-khuyu-phau-thuat-tommy-john-la-gi\/"},"modified":"2026-10-12T12:09:54","modified_gmt":"2026-10-12T05:09:54","slug":"tai-tao-day-chang-ben-tru-khop-khuyu-phau-thuat-tommy-john-la-gi","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/tai-tao-day-chang-ben-tru-khop-khuyu-phau-thuat-tommy-john-la-gi\/","title":{"rendered":"T\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 kh\u1edbp khu\u1ef7u: Ph\u1eabu thu\u1eadt Tommy John l\u00e0 g\u00ec?"},"content":{"rendered":"

T\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 kh\u1edbp khu\u1ef7u<\/strong>, th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn qua t\u00ean g\u1ecdi ph\u1eabu thu\u1eadt Tommy John, l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt nh\u1eb1m ph\u1ee5c h\u1ed3i s\u1ef1 v\u1eefng ch\u1eafc ph\u00eda trong c\u1ee7a khu\u1ef7u tay khi d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng th\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi s\u1eeda ch\u1eefa \u0111\u01a1n thu\u1ea7n. N\u1ed9i dung d\u01b0\u1edbi \u0111\u00e2y t\u1eadp trung v\u00e0o vai tr\u00f2 c\u1ee7a d\u00e2y ch\u1eb1ng, c\u00e1c nguy\u00ean t\u1eafc k\u1ef9 thu\u1eadt v\u00e0 ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong t\u00e0i li\u1ec7u ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh; kh\u00f4ng thay th\u1ebf cho th\u0103m kh\u00e1m ho\u1eb7c k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u00e1 nh\u00e2n.<\/p>\n

T\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 kh\u1edbp khu\u1ef7u c\u00f3 vai tr\u00f2 g\u00ec?<\/h2>\n

D\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 kh\u1edbp khu\u1ef7u l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac quan tr\u1ecdng ch\u1ed1ng l\u1ea1i l\u1ef1c valgus, t\u1ee9c l\u1ef1c l\u00e0m khu\u1ef7u c\u00f3 xu h\u01b0\u1edbng m\u1edf v\u1ec1 ph\u00eda trong. Khi khu\u1ef7u g\u1ea5p kho\u1ea3ng 90 \u0111\u1ed9, d\u00e2y ch\u1eb1ng n\u00e0y cung c\u1ea5p kho\u1ea3ng 55% \u0111\u1ed9 v\u1eefng ch\u1ed1ng l\u1ef1c valgus; trong \u0111\u00f3 b\u00f3 tr\u01b0\u1edbc l\u00e0 th\u00e0nh ph\u1ea7n \u1ed5n \u0111\u1ecbnh ch\u1ee7 y\u1ebfu [4]. V\u00ec v\u1eady, t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea5t v\u1eefng, \u0111\u1eb7c bi\u1ec7t khi khu\u1ef7u ph\u1ea3i ch\u1ecbu l\u1ef1c l\u1eb7p l\u1ea1i trong c\u00e1c \u0111\u1ed9ng t\u00e1c n\u00e9m qua \u0111\u1ea7u.<\/p>\n

Ph\u1eabu thu\u1eadt Tommy John kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u00e1p d\u1ee5ng gi\u1ed1ng nhau cho m\u1ecdi tr\u01b0\u1eddng h\u1ee3p. T\u00e0i li\u1ec7u m\u00f4 t\u1ea3 c\u1ea3 t\u00e1i t\u1ea1o b\u1eb1ng m\u1ea3nh gh\u00e9p<\/strong> v\u00e0 s\u1eeda ch\u1eefa d\u00e2y ch\u1eb1ng k\u00e8m n\u1eb9p t\u0103ng c\u01b0\u1eddng b\u00ean trong<\/strong>. Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed r\u00e1ch, ch\u1ea5t l\u01b0\u1ee3ng m\u00f4 d\u00e2y ch\u1eb1ng v\u00e0 kh\u1ea3 n\u0103ng \u0111\u01b0a hai \u0111\u1ea7u d\u00e2y ch\u1eb1ng v\u1ec1 \u0111\u00fang v\u1ecb tr\u00ed b\u00e1m. R\u00e1ch \u1edf gi\u1eefa d\u00e2y ch\u1eb1ng, tho\u00e1i h\u00f3a r\u00f5 ho\u1eb7c m\u1ea5t m\u00f4 khi\u1ebfn d\u00e2y ch\u1eb1ng kh\u00f4ng th\u1ec3 \u00e1p s\u00e1t v\u00e0o c\u1ee7 tr\u1ee5 ho\u1eb7c m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong \u0111\u01b0\u1ee3c xem l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i v\u1edbi s\u1eeda ch\u1eefa \u0111\u01a1n thu\u1ea7n [6].<\/p>\n

Nguy\u00ean t\u1eafc c\u1ee7a ph\u1eabu thu\u1eadt Tommy John<\/h2>\n

Trong k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o ki\u1ec3u Jobe c\u1ea3i bi\u00ean, b\u00e1c s\u0129 t\u1ea1o c\u00e1c \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng t\u1ea1i nh\u1eefng v\u00f9ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u1ecb tr\u00ed b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5. M\u1ed9t m\u00f4 t\u1ea3 k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng h\u1ea7m \u1edf \u0111\u1ea7u g\u1ea7n x\u01b0\u01a1ng tr\u1ee5 v\u00e0 c\u00e1c \u0111\u01b0\u1eddng h\u1ea7m t\u1ea1i m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng c\u00e1nh tay; m\u1ea3nh gh\u00e9p \u0111\u01b0\u1ee3c lu\u1ed3n theo c\u1ea5u h\u00ecnh h\u00ecnh s\u1ed1 t\u00e1m [7]. C\u00e1c l\u1ef1a ch\u1ecdn m\u1ea3nh gh\u00e9p \u0111\u01b0\u1ee3c n\u00eau g\u1ed3m g\u00e2n gan tay d\u00e0i, g\u00e2n gan ch\u00e2n ho\u1eb7c g\u00e2n g\u00f3t, v\u1edbi chi\u1ec1u d\u00e0i kho\u1ea3ng 15 cm trong k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c tr\u00edch d\u1eabn [7].<\/p>\n

C\u00e1c \u0111i\u1ec3m k\u1ef9 thu\u1eadt quan tr\u1ecdng g\u1ed3m:<\/p>\n

    \n
  • \u0110\u01b0\u1eddng h\u1ea7m ph\u1ea3i ph\u00f9 h\u1ee3p v\u1edbi v\u1ecb tr\u00ed b\u00e1m gi\u1ea3i ph\u1eabu c\u1ee7a d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5.<\/li>\n
  • M\u1ea3nh gh\u00e9p kh\u00f4ng n\u00ean c\u1ecd x\u00e1t v\u00e0o m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ho\u1eb7c x\u01b0\u01a1ng tr\u1ee5; hai \u0111\u1ea7u m\u1ea3nh gh\u00e9p \u0111\u01b0\u1ee3c \u0111\u1eb7t trong c\u00e1c \u0111\u01b0\u1eddng h\u1ea7m [2].<\/li>\n
  • C\u1ea5u h\u00ecnh h\u00ecnh s\u1ed1 t\u00e1m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eb1m t\u0103ng \u0111\u1ed9 ch\u1eafc v\u00e0 m\u00f4 ph\u1ecfng g\u1ea7n h\u01a1n c\u01a1 sinh h\u1ecdc c\u1ee7a d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 [2].<\/li>\n
  • D\u00e2y th\u1ea7n kinh b\u00ec c\u1eb3ng tay trong, d\u00e2y th\u1ea7n kinh tr\u1ee5, c\u00e1c nh\u00e1nh c\u1ee7a ch\u00fang v\u00e0 m\u1ea1ch m\u00e1u c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed l\u00fd c\u1ea9n tr\u1ecdng trong qu\u00e1 tr\u00ecnh ti\u1ebfp c\u1eadn [2].<\/li>\n<\/ul>\n

    M\u1ed9t bi\u1ebfn th\u1ec3 kh\u00e1c l\u00e0 t\u00e1i t\u1ea1o qua \u0111\u01b0\u1eddng ti\u1ebfp c\u1eadn t\u00e1ch c\u01a1. H\u00ecnh minh h\u1ecda trong t\u00e0i li\u1ec7u m\u00f4 t\u1ea3 \u0111\u01b0\u1eddng h\u1ea7m tr\u1ee5, \u0111\u01b0\u1eddng h\u1ea7m c\u00e1nh tay \u0111\u01a1n v\u00e0 c\u00e1ch \u0111\u01b0a m\u1ea3nh gh\u00e9p t\u1eeb tr\u01b0\u1edbc ra sau tr\u01b0\u1edbc khi c\u1ed1 \u0111\u1ecbnh v\u00e0 c\u0103ng gh\u00e9p [1]. Nh\u1eefng chi ti\u1ebft n\u00e0y cho th\u1ea5y \u0111\u00e2y l\u00e0 ph\u1eabu thu\u1eadt \u0111\u00f2i h\u1ecfi \u0111\u1ecbnh v\u1ecb gi\u1ea3i ph\u1eabu ch\u00ednh x\u00e1c, ki\u1ec3m so\u00e1t \u0111\u1ed9 c\u0103ng v\u00e0 b\u1ea3o v\u1ec7 c\u00e1c c\u1ea5u tr\u00fac th\u1ea7n kinh l\u00e2n c\u1eadn.<\/p>\n

    S\u1eeda ch\u1eefa d\u00e2y ch\u1eb1ng v\u00e0 n\u1eb9p t\u0103ng c\u01b0\u1eddng b\u00ean trong<\/h2>\n

    \u1ede m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng c\u00f3 m\u00f4 d\u00e2y ch\u1eb1ng c\u00f2n \u0111\u1ee7 t\u1ed1t v\u00e0 hai \u0111\u1ea7u r\u00e1ch c\u00f3 th\u1ec3 \u00e1p s\u00e1t, k\u1ef9 thu\u1eadt s\u1eeda ch\u1eefa k\u00e8m n\u1eb9p t\u0103ng c\u01b0\u1eddng b\u00ean trong c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc. T\u00e0i li\u1ec7u m\u00f4 t\u1ea3 vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u1ecb tr\u00ed r\u00e1ch v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng m\u00f4 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eeda ch\u1eefa; c\u00e1c neo kh\u00e2u c\u00f9ng v\u1eadt li\u1ec7u d\u1ea1ng b\u0103ng s\u1ee3i collagen \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u1ea1i v\u00f9ng b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng [6]. V\u1ecb tr\u00ed \u0111\u01b0\u1eddng h\u1ea7m \u1edf c\u1ee7 tr\u1ee5 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 kho\u1ea3ng 6\u20138 mm ph\u00eda xa kh\u1edbp v\u00e0 h\u01a1i ra tr\u01b0\u1edbc tr\u00ean b\u1edd c\u1ee7 tr\u1ee5, \u0111\u1ed3ng th\u1eddi h\u01b0\u1edbng khoan c\u1ea7n tr\u00e1nh m\u1eb7t kh\u1edbp [8].<\/p>\n

    Nguy\u00ean t\u1eafc quan tr\u1ecdng l\u00e0 kh\u00f4ng \u0111\u1ec3 h\u1ec7 th\u1ed1ng t\u0103ng c\u01b0\u1eddng b\u1ecb c\u0103ng qu\u00e1 m\u1ee9c khi khu\u1ef7u v\u1eadn \u0111\u1ed9ng. N\u1ebfu \u0111\u1ed9 \u0111\u1eb3ng tr\u01b0\u1eddng kh\u00f4ng \u0111\u1ea1t, t\u00e0i li\u1ec7u \u01b0u ti\u00ean t\u00ecnh tr\u1ea1ng h\u01a1i l\u1ecfng h\u01a1n l\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng do qu\u00e1 c\u0103ng [8]. \u0110\u00e2y l\u00e0 l\u00fd do vi\u1ec7c ki\u1ec3m tra bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111\u1ed9 v\u1eefng trong m\u1ed5 c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng.<\/p>\n

    Ph\u1ee5c h\u1ed3i sau t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5<\/h2>\n

    Theo ph\u1ea7n h\u01b0\u1edbng d\u1eabn sau m\u1ed5 \u0111\u01b0\u1ee3c tr\u00edch d\u1eabn, n\u1eb9p \u0111\u01b0\u1ee3c th\u00e1o sau kho\u1ea3ng 5\u20137 ng\u00e0y, sau \u0111\u00f3 b\u1eaft \u0111\u1ea7u c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng v\u00e0 t\u0103ng s\u1ee9c m\u1ea1nh trong n\u1eb9p b\u1ea3n l\u1ec1 b\u1ea3o v\u1ec7 [3]. Ch\u01b0\u01a1ng tr\u00ecnh n\u00e9m c\u00f3 gi\u00e1m s\u00e1t \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1eaft \u0111\u1ea7u \u1edf tu\u1ea7n th\u1ee9 10, v\u1edbi m\u1ee5c ti\u00eau tr\u1edf l\u1ea1i thi \u0111\u1ea5u v\u00e0o kho\u1ea3ng 6 th\u00e1ng; \u0111\u00e2y l\u00e0 m\u1ed1c trong m\u1ed9t ph\u00e1c \u0111\u1ed3 c\u1ee5 th\u1ec3, kh\u00f4ng ph\u1ea3i l\u1eddi b\u1ea3o \u0111\u1ea3m cho m\u1ecdi ng\u01b0\u1eddi b\u1ec7nh [3]. M\u1ed9t \u0111o\u1ea1n kh\u00e1c m\u00f4 t\u1ea3 ch\u01b0\u01a1ng tr\u00ecnh n\u00e9m b\u1eaft \u0111\u1ea7u \u1edf th\u00e1ng th\u1ee9 t\u01b0, cho th\u1ea5y th\u1eddi \u0111i\u1ec3m ph\u1ee5c h\u1ed3i c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo k\u1ef9 thu\u1eadt, t\u00ecnh tr\u1ea1ng m\u00f4, \u0111\u1ed9 v\u1eefng v\u00e0 \u0111\u00e1nh gi\u00e1 c\u1ee7a b\u00e1c s\u0129 [5].<\/p>\n

    Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n th\u1ee7 gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng, ch\u01b0\u01a1ng tr\u00ecnh t\u0103ng s\u1ee9c m\u1ea1nh v\u00e0 ti\u1ebfn \u0111\u1ed9 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng do \u0111\u1ed9i ng\u0169 \u0111i\u1ec1u tr\u1ecb h\u01b0\u1edbng d\u1eabn. T\u1eeb c\u00e1c tr\u00edch \u0111o\u1ea1n hi\u1ec7n c\u00f3, t\u00e0i li\u1ec7u ch\u01b0a cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n, nguy c\u01a1 bi\u1ebfn ch\u1ee9ng, k\u1ebft qu\u1ea3 d\u00e0i h\u1ea1n ho\u1eb7c ti\u00eau ch\u00ed l\u1ef1a ch\u1ecdn gi\u1eefa \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, s\u1eeda ch\u1eefa v\u00e0 t\u00e1i t\u1ea1o cho t\u1eebng c\u00e1 nh\u00e2n. Do \u0111\u00f3, quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ea7n d\u1ef1a tr\u00ean th\u0103m kh\u00e1m chuy\u00ean khoa, \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 v\u1eefng khu\u1ef7u v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng d\u00e2y ch\u1eb1ng.<\/p>\n

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

    Ph\u1eabu thu\u1eadt Tommy John<\/strong> l\u00e0 m\u1ed9t nh\u00f3m k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o ho\u1eb7c s\u1eeda ch\u1eefa d\u00e2y ch\u1eb1ng b\u00ean tr\u1ee5 kh\u1edbp khu\u1ef7u, trong \u0111\u00f3 c\u00e1c y\u1ebfu t\u1ed1 then ch\u1ed1t l\u00e0 ph\u1ee5c h\u1ed3i \u0111\u00fang v\u1ecb tr\u00ed b\u00e1m, ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng \u0111i v\u00e0 \u0111\u1ed9 c\u0103ng c\u1ee7a m\u1ea3nh gh\u00e9p, \u0111\u1ed3ng th\u1eddi b\u1ea3o v\u1ec7 th\u1ea7n kinh tr\u1ee5 v\u00e0 c\u00e1c c\u1ea5u tr\u00fac l\u00e2n c\u1eadn. Ph\u1ee5c h\u1ed3i sau m\u1ed5 c\u1ea7n ti\u1ebfn tri\u1ec3n c\u00f3 ki\u1ec3m so\u00e1t; m\u1ed1c v\u1eadn \u0111\u1ed9ng, t\u1eadp s\u1ee9c m\u1ea1nh v\u00e0 tr\u1edf l\u1ea1i \u0111\u1ed9ng t\u00e1c n\u00e9m kh\u00f4ng n\u00ean \u00e1p d\u1ee5ng m\u00e1y m\u00f3c cho m\u1ecdi tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
      \n
    • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2924<\/li>\n
    • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2919<\/li>\n
    • [3] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2925<\/li>\n
    • [4] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2915<\/li>\n
    • [5] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2923<\/li>\n
    • [6] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2925<\/li>\n
    • [7] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2920<\/li>\n
    • [8] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2925<\/li>\n<\/ul>\n

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

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