{"id":596,"date":"2026-10-13T09:17:39","date_gmt":"2026-10-13T02:17:39","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/13\/noi-soi-danh-gia-su-lanh-manh-ghep-sau-tai-tao-cheo-truoc-1-nam-nhung-gi-can-biet\/"},"modified":"2026-10-13T09:17:39","modified_gmt":"2026-10-13T02:17:39","slug":"noi-soi-danh-gia-su-lanh-manh-ghep-sau-tai-tao-cheo-truoc-1-nam-nhung-gi-can-biet","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/13\/noi-soi-danh-gia-su-lanh-manh-ghep-sau-tai-tao-cheo-truoc-1-nam-nhung-gi-can-biet\/","title":{"rendered":"N\u1ed9i soi \u0111\u00e1nh gi\u00e1 s\u1ef1 l\u00e0nh m\u1ea3nh gh\u00e9p sau t\u00e1i t\u1ea1o ch\u00e9o tr\u01b0\u1edbc 1 n\u0103m: Nh\u1eefng g\u00ec c\u1ea7n bi\u1ebft"},"content":{"rendered":"<h2>Vai tr\u00f2 c\u1ee7a n\u1ed9i soi trong \u0111\u00e1nh gi\u00e1 sau ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh<\/h2>\n<p>Trong l\u0129nh v\u1ef1c ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c can thi\u1ec7p ph\u1ee9c t\u1ea1p nh\u01b0 t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (ACL) hay ph\u1eabu thu\u1eadt kh\u1edbp, vi\u1ec7c theo d\u00f5i ti\u1ebfn tri\u1ec3n sau m\u1ed5 l\u00e0 y\u1ebfu t\u1ed1 then ch\u1ed1t. C\u00e1c t\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh ch\u1ec9 ra r\u1eb1ng t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i c\u1ee7a ph\u1eabu thu\u1eadt ACL c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb 10% \u0111\u1ebfn 25%, v\u1edbi c\u00e1c nguy\u00ean nh\u00e2n bao g\u1ed3m k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt kh\u00f4ng ch\u00ednh x\u00e1c ho\u1eb7c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ef1 t\u00edch h\u1ee3p c\u1ee7a gh\u00e9p x\u01b0\u01a1ng [2][5]. Trong b\u1ed1i c\u1ea3nh n\u00e0y, n\u1ed9i soi kh\u1edbp \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam nhi\u1ec5m ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu m\u00e0 X-quang th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 b\u1ecf s\u00f3t.<\/p>\n<h3>H\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh truy\u1ec1n th\u1ed1ng<\/h3>\n<p>M\u1eb7c d\u00f9 ch\u1ee5p X-quang l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n ph\u1ed5 bi\u1ebfn, nh\u01b0ng n\u00f3 kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 qu\u00e1 tr\u00ecnh li\u1ec1n x\u01b0\u01a1ng \u1edf c\u00e1c m\u1eb7t ph\u1eb3ng ph\u1ee9c t\u1ea1p. \u0110\u1ed1i v\u1edbi c\u00e1c ca ph\u1eabu thu\u1eadt c\u1eaft x\u01b0\u01a1ng (osteotomy), \u0111\u1eb7c bi\u1ec7t l\u00e0 lo\u1ea1i m\u1edf m\u1ed9t \u0111\u1ea7u c\u1ee7a x\u01b0\u01a1ng ch\u00e0y, tia X th\u00f4ng th\u01b0\u1eddng chi\u1ebfu theo g\u00f3c nghi\u00eang so v\u1edbi m\u1eb7t ph\u1eb3ng v\u1ebft m\u1ed5, d\u1eabn \u0111\u1ebfn vi\u1ec7c che khu\u1ea5t ph\u1ea7n khe h\u1edf [4]. \u0110i\u1ec1u n\u00e0y khi\u1ebfn cho vi\u1ec7c \u01b0\u1edbc l\u01b0\u1ee3ng l\u01b0\u1ee3ng m\u00f4 x\u01b0\u01a1ng \u0111\u01b0\u1ee3c l\u1ea5p \u0111\u1ea7y tr\u1edf n\u00ean kh\u00f3 kh\u0103n, t\u1ea1o ra s\u1ef1 sai l\u1ec7ch so v\u1edbi th\u1ef1c t\u1ebf.<\/p>\n<h3>S\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a k\u1ef9 thu\u1eadt ch\u1ee5p \u1ea3nh \u0111\u1eb7c bi\u1ec7t v\u00e0 MRI<\/h3>\n<p>To\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh li\u1ec1n x\u01b0\u01a1ng di\u1ec5n ra ch\u1eadm h\u01a1n nhi\u1ec1u so v\u1edbi nh\u1eefng g\u00ec th\u01b0\u1eddng \u0111\u01b0\u1ee3c suy lu\u1eadn t\u1eeb c\u00e1c h\u00ecnh \u1ea3nh X-quang th\u00f4ng th\u01b0\u1eddng. \u0110\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c, tia X ph\u1ea3i \u0111\u01b0\u1ee3c nghi\u00eang \u0111\u00fang theo m\u1eb7t ph\u1eb3ng c\u1ee7a khe h\u1edf ph\u1eabu thu\u1eadt [4]. Ngo\u00e0i ra, c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u1ee3p l\u1ec7 \u0111\u1ec3 quan s\u00e1t c\u00e1c qu\u00e1 tr\u00ecnh kho\u00e1ng h\u00f3a s\u1edbm trong khe h\u1edf ph\u1eabu thu\u1eadt m\u00e0 X-quang kh\u00f4ng th\u1ec3 hi\u1ec7n r\u00f5 [4]. Tuy nhi\u00ean, c\u00e1c th\u00f4ng s\u1ed1 x\u00e1c \u0111\u1ecbnh \u0111\u1ee7 s\u1ef1 c\u1ed1 k\u1ebft v\u00e0 \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh c\u1ee7a \u0111\u1ea7u x\u01b0\u01a1ng ch\u00e0y d\u01b0\u1edbi t\u1ea3i tr\u1ecdng \u0111\u1ec3 cho ph\u00e9p l\u1ea5y b\u1ecf kim lo\u1ea1i v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp ho\u00e0n to\u00e0n.<\/p>\n<h3>Quan s\u00e1t v\u1ec1 t\u00ecnh tr\u1ea1ng sau khi l\u1ea5y d\u1ee5ng c\u1ee5 n\u1ed9i tr\u00fa<\/h3>\n<p>Nghi\u00ean c\u1ee9u v\u1ec1 ph\u1eabu thu\u1eadt c\u1eaft x\u01b0\u01a1ng quanh kh\u1edbp g\u1ed1i cung c\u1ea5p nh\u1eefng quan s\u00e1t th\u00fa v\u1ecb v\u1ec1 c\u00e1c thay \u0111\u1ed5i h\u00ecnh th\u00e1i sau khi l\u1ea5y d\u1ee5ng c\u1ee5 c\u1ed1 \u0111\u1ecbnh. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p cho th\u1ea5y s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a m\u1ed9t khuy\u1ebft t\u1eadt li\u00ean t\u1ee5c \u1edf m\u1eb7t trong c\u1ee7a x\u01b0\u01a1ng ch\u00e0y d\u01b0\u1edbi t\u1ea5m n\u1eb9p sau khi lo\u1ea1i b\u1ecf thi\u1ebft b\u1ecb [1]. M\u1eb7c d\u00f9 c\u00f3 th\u1ec3 th\u1ea5y tr\u00ean phim X-quang, khuy\u1ebft t\u1eadt n\u00e0y d\u01b0\u1eddng nh\u01b0 kh\u00f4ng c\u00f3 \u00fd ngh\u0129a l\u00e2m s\u00e0ng v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh. S\u1ef1 \u1ed5n \u0111\u1ecbnh c\u01a1 h\u1ecdc v\u1eabn \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o b\u1edfi khung v\u1ecf s\u1ee5n nguy\u00ean v\u1eb9n c\u1ee7a x\u01b0\u01a1ng ch\u00e0y v\u00e0 qu\u00e1 tr\u00ecnh t\u00e1i t\u1ea1o m\u00f4 x\u01b0\u01a1ng r\u1ed9ng r\u00e3i trong khe h\u1edf ph\u1eabu thu\u1eadt [1].<\/p>\n<h3>Y\u1ebfu t\u1ed1 th\u1eddi gian v\u00e0 s\u1ef1 ho\u00e0n thi\u1ec7n c\u1ee7a remodeling<\/h3>\n<p>V\u1ec1 m\u1eb7t th\u1eddi gian, c\u00e1c t\u00e1c gi\u1ea3 quan s\u00e1t th\u1ea5y r\u1eb1ng vi\u1ec7c m\u1ea5t \u0111i hi\u1ec7u ch\u1ec9nh g\u00f3c kh\u00f4ng x\u1ea3y ra n\u1ebfu t\u1ea5m n\u1eb9p \u0111\u01b0\u1ee3c l\u1ea5y b\u1ecf sau 12\u201318 th\u00e1ng [4]. Tuy nhi\u00ean, \u0111i\u1ec3m m\u00e0 qu\u00e1 tr\u00ecnh remodeling (t\u00e1i t\u1ea1o m\u00f4 x\u01b0\u01a1ng) \u0111\u01b0\u1ee3c ho\u00e0n t\u1ea5t m\u1ed9t c\u00e1ch d\u1ee9t kho\u00e1t v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m s\u00e1ng t\u1ecf cho \u0111\u1ebfn ng\u00e0y nay [4]. Do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng n\u1ed9i soi k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1eb7c bi\u1ec7t gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u00ednh x\u00e1c h\u01a1n v\u1ec1 th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p \u0111\u1ec3 lo\u1ea1i b\u1ecf v\u1eadt li\u1ec7u h\u1ed7 tr\u1ee3, tr\u00e1nh c\u00e1c r\u1ee7i ro nh\u01b0 m\u1ea5t hi\u1ec7u ch\u1ec9nh ho\u1eb7c nguy c\u01a1 nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn th\u1eddi gian t\u1ed3n t\u1ea1i c\u1ee7a d\u1ee5ng c\u1ee5 [3].<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Osteotomies around the Knee, 1st Edition, 2008, trang 166<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 2726<\/li>\n<li>[3] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3017<\/li>\n<li>[4] Osteotomies around the Knee, 1st Edition, 2008, trang 166<\/li>\n<li>[5] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 2726<\/li>\n<\/ul>\n<p><!-- aiwriter:6e39ccc93da24a8593a53298 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft gi\u1ea3i th\u00edch vai tr\u00f2 c\u1ee7a n\u1ed9i soi trong theo d\u00f5i v\u1ebft m\u1ed5 v\u00e0 qu\u00e1 tr\u00ecnh li\u1ec1n x\u01b0\u01a1ng sau ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh, ph\u00e2n t\u00edch c\u00e1c h\u1ea1n ch\u1ebf v\u1ec1 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/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-596","post","type-post","status-publish","format-standard","hentry","category-noi-soi-khop"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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