{"id":18135,"date":"2023-04-11T01:42:23","date_gmt":"2023-04-10T18:42:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18135"},"modified":"2023-04-11T12:29:09","modified_gmt":"2023-04-11T05:29:09","slug":"phan-loai-va-dieu-tri-gay-loi-cau-ngoai-xuong-canh-tay-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/phan-loai-va-dieu-tri-gay-loi-cau-ngoai-xuong-canh-tay-o-tre-em\/","title":{"rendered":"Ph\u00e2n lo\u1ea1i v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em"},"content":{"rendered":"<p><strong>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em l\u00e0 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, \u0111\u01b0\u1eddng g\u00e3y n\u1eb1m t\u1eeb m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u \u0111\u1ebfn r\u00f2ng r\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay.<\/strong><\/p>\n<p><strong>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 g\u00e3y x\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p, \u0111\u1ee9ng th\u1ee9 hai sau trong c\u00e1c g\u00e3y x\u01b0\u01a1ng v\u00f9ng khu\u1ef7u \u1edf tr\u1ebb em, chi\u1ebfm t\u1eeb 10-20%. L\u00e0 m\u1ed9t g\u00e3y n\u1ed9i kh\u1edbp, type II ho\u1eb7c IV theo ph\u00e2n lo\u1ea1i c\u1ee7a Salter v\u00e0 Harris g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn hai c\u1ea5u tr\u00fac quan tr\u1ecdng c\u1ee7a \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 s\u1ee5n ph\u00e1t tri\u1ec3n v\u00e0 s\u1ee5n kh\u1edbp. G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay c\u00f3 th\u1ec3 k\u00e8m: tr\u1eadt kh\u1edbp khu\u1ef7u, g\u00e3y m\u1ecfm khu\u1ef7u, g\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng quay. \u0110\u1ed9 tu\u1ed5i th\u01b0\u1eddng g\u1eb7p l\u00e0 5-10 tu\u1ed5i.<\/strong><\/p>\n<p><strong>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em d\u1ec5 b\u1ecb b\u1ecf s\u00f3t trong c\u1ea5p c\u1ee9u do \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 Xquang \u0111\u00f4i khi \u00edt \u0111\u01b0\u1ee3c ch\u00fa \u00fd, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u1ea5t l\u00e0 v\u1ec1 m\u1eb7t ch\u1ee9c n\u0103ng. Tuy nhi\u00ean, g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang s\u1ebd cho k\u1ebft qu\u1ea3 tuy\u1ec7t v\u1eddi v\u1ec1 l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 h\u00ecnh \u1ea3nh X-quang.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3: <\/strong>PGS. TS. Tr\u1ea7n Trung D\u0169ng, ThS. BS. Tr\u1ea7n Qu\u1ed1c L\u00e2m, BS. Ph\u1ea1m Xu\u00e2n H\u01b0ng<\/p>\n<h2>1. Ph\u00e2n lo\u1ea1i g<strong>\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/h2>\n<ul>\n<li>\u00a0Theo \u0111\u01b0\u1eddng g\u00e3y:\u00a0 theo HENRY MILCH c\u00f3 hai lo\u1ea1i<\/li>\n<\/ul>\n<figure id=\"attachment_18169\" aria-describedby=\"caption-attachment-18169\" style=\"width: 348px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18169 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-13.jpg\" alt=\"minh-hoa-gay-loi-cau-ngoai-xuong-canh-tay\" width=\"348\" height=\"275\" \/><figcaption id=\"caption-attachment-18169\" class=\"wp-caption-text\">H\u00ecnh1: Ph\u00e2n lo\u1ea1i \u0111\u01b0\u1eddng g\u00e3y theo Henry Milch<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<ul>\n<li>Lo\u1ea1i A: ngang qua trung t\u00e2m c\u1ed1t h\u00f3a (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng Salter-Harris lo\u1ea1i IV)<\/li>\n<li>Lo\u1ea1i B: g\u00e3y kh\u00f4ng qua trung t\u00e2m c\u1ed1t h\u00f3a \u0111\u1ea7u x\u01b0\u01a1ng (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng Salter-Harris lo\u1ea1i II)<\/li>\n<\/ul>\n<p>Theo di l\u1ec7ch c\u1ee7a LAGRANGE v\u00e0 RIGAULT: c\u00f3 3 \u0111\u1ed9<\/p>\n<ul>\n<li>\u0110\u1ed9 I: g\u00e3y kh\u00f4ng di l\u1ec7ch, hai m\u1eb7t g\u00e3y c\u00f2n ti\u1ebfp x\u00fac<\/li>\n<li>\u0110\u1ed9 II: g\u00e3\u1ef5 ho\u00e0n to\u00e0n, c\u00f3 di l\u1ec7ch sang b\u00ean (t\u1eeb 2-4 mm), m\u1ecfm khu\u1ef7u c\u00f3 th\u1ec3 tr\u1eadt sang b\u00ean.<\/li>\n<li>\u0110\u1ed9 III: di l\u1ec7ch xa h\u01a1n n\u1eefa, c\u00f3 di l\u1ec7ch xoay.<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-18170\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-12.jpg\" alt=\"\" width=\"89\" height=\"179\" \/> <img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-18171\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3-11.jpg\" alt=\"\" width=\"122\" height=\"179\" \/> <img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-18172 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-6.jpg\" alt=\"minh-hoa-gay-loi-cau-ngoai-xuong-canh-tay\" width=\"113\" height=\"180\" \/><\/p>\n<p>H\u00ecnh 2: Ph\u00e2n lo\u1ea1i c\u1ee7a Lagrange v\u00e0 Rigault<\/p>\n<h2>2. \u0110i\u1ec1u tr\u1ecb <strong>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/h2>\n<p>T\u1eeb b\u00e1o c\u00e1o c\u1ee7a Lagrange v\u00e0 Rigauit 1962 nhi\u1ec1u t\u00e1c gi\u1ea3 \u0111\u00e3 ch\u1ea5p nh\u1eadn s\u1ef1 ph\u00e2n \u0111\u1ecbnh 3 \u0111\u1ed9 c\u0169ng nh\u01b0\u00a0 R.Merle cTAub\u00edgn\u00e9 v\u00e0 L.Descamp 1966 \u0111\u00e3 ph\u00e2n chia tu\u1ef3 theo m\u1ee9c \u0111\u1ed9 di l\u1ec7ch c\u00f9a m\u1ea3nh g\u00e3y LCN XCT ra 3 \u0111\u1ed9:<\/p>\n<ul>\n<li>\u0110\u1ed9 1: kh\u00f4ng di l\u1ec7ch ho\u1eb7c di l\u1ec7ch 1 ch\u00fat ra sau.<\/li>\n<li>\u0110\u1ed9 2: chuy\u1ec3n ra ngo\u00e0i v\u1edbi 1 ch\u00fat di l\u1ec7ch xoay ra sau, ho\u1eb7c 1 ch\u00fat l\u00ean tr\u00ean.<\/li>\n<li>\u0110\u1ed9 3: di l\u1ec7ch 2 h\u01b0\u1edbng, xoay ra sau v\u1edbi tr\u1ee5c m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i v\u1edbi tr\u1ee5c tr\u01b0\u1edbc sau v\u00e0 chuy\u1ec3n d\u1ecbch c\u1ee7a m\u1ea3nh v\u1ee1.<\/li>\n<\/ul>\n<p>C\u00e1c \u0111i\u1ec1u tr\u1ecb v\u1edbi t\u1eebng lo\u1ea1i di l\u1ec7ch.<\/p>\n<ul>\n<li>G\u00e3y \u0111\u1ed9 1: b\u00f3 b\u1ed9t c\u00e1nh c\u1eb3ng tay 1 th\u00e1ng t\u01b0 th\u1ebf trung gian.<\/li>\n<li>G\u00e3y \u0111\u1ed9 2: th\u1eed n\u1eafn ch\u1ec9nh \u00e9p \u1ea5n tr\u1ef1c ti\u1ebfp v\u00e0o m\u1ea3nh v\u1ee1 trong khu\u1ef7u du\u1ed7i trong t\u01b0 th\u1ebf khu\u1ef7u v\u1eb9o trong v\u00e0 c\u1ed1 \u0111\u1ecbnh m\u1ea3nh v\u1ee1 b\u1eb1ng xuy\u00ean 1 Kirschner qua da.<\/li>\n<li>G\u00e3y \u0111\u1ed9 3: ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<p>Trong b\u00e1ch khoa to\u00e0n th\u01b0 Ph\u00e1p J. Benoit, J. Y. Dupont, P.Celeste trong Enc\u1ef5ctopedie m\u00e9dico chirurgicale \u0111\u1ec1u th\u1ed1ng nh\u1ea5t m\u1ed9t quan \u0111i\u1ec3m chung trong \u0111i\u1ec1u tr\u1ecb v\u1edbi g\u00e3y LCN XCT di l\u1ec7ch.<\/p>\n<p>+ Ph\u1eabu thu\u1eadt s\u1edbm.<\/p>\n<p>+ K\u1ebft h\u1ee3p x\u01b0\u01a1ng (KHX) di\u1ec7n g\u00e3y b\u1eb1ng v\u00edt x\u1ed1p mini.<\/p>\n<p>+ Kh\u00e2u t\u0103ng c\u01b0\u1eddng t\u1ed1t c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m.<\/p>\n<p>Nh\u1eb1m v\u1eadn \u0111\u1ed9ng v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n<p>Theo Baledon v\u00e0 c\u1ed9ng s\u1ef1, n\u1ebfu g\u00e3y v\u1eefng + di l\u1ec7ch t\u1ed1i thi\u1ec3u (&lt; 2mm) v\u00e0 s\u1ef1 b\u00e1m c\u00e1c c\u01a1 c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 di l\u1ec7ch mu\u1ed9n =&gt; c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. kho\u1ea3ng 40% tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 c\u1ea7n b\u1ea5t \u0111\u1ed9ng m\u00e0 kh\u00f4ng ph\u1eabu thu\u1eadt. Rockwood v\u00e0 Wilkins \u0111\u1ec1 ngh\u1ecb b\u1ea5t \u0111\u1ed9ng b\u1eb1ng n\u1eb9p b\u1ed9t ph\u00eda sau kh\u1edbp khu\u1ef7u trong t\u01b0 th\u1ebf xoay c\u01a1 n\u0103ng, khu\u1ef7u g\u1eadp 90 \u0111\u1ed9, ch\u1ee5p l\u1ea1i X-quang ki\u1ec3m tra sau 3-5 ng\u00e0y. N\u1ebfu kh\u00f4ng di l\u1ec7ch b\u00f3 b\u1ed9t c\u00e1nh tay c\u1eb3ng tay cho \u0111\u1ebfn khi l\u00e0nh x\u01b0\u01a1ng.<\/p>\n<p>Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f2n l\u1ea1i c\u00f3 th\u1ec3 xuy\u00ean kim qua da hay m\u1ed5 h\u1edf \u0111\u1ec3 n\u1eafn ch\u1ec9nh c\u00e1c di l\u1ec7ch.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-18173 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/5-5.jpg\" alt=\"minh-hoa-gay-loi-cau-ngoai-xuong-canh-tay\" width=\"93\" height=\"149\" \/> <img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-18174 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6-6.jpg\" alt=\"\" width=\"118\" height=\"127\" \/> <img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-18175 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/7-4.jpg\" alt=\"\" width=\"117\" height=\"122\" \/> <img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-18176 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/8-6.jpg\" alt=\"minh-hoa-gay-loi-cau-ngoai-xuong-canh-tay\" width=\"106\" height=\"131\" \/> <img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-18177 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9-5.jpg\" alt=\"minh-hoa-gay-loi-cau-ngoai-xuong-canh-tay\" width=\"99\" height=\"132\" \/><\/p>\n<p>H\u00ecnh 3:\u00a0 C\u00e1c ph\u01b0\u01a1ng ph\u00e1p KHX trong g\u00e3y LCN x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em<\/p>\n<h3>K\u1ef9 thu\u1eadt m\u1ed5<\/h3>\n<ul>\n<li>V\u00f4 c\u1ea3m: g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n<\/li>\n<li>T\u01b0 th\u1ebf; BN n\u1eb1m ng\u1eeda ho\u1eb7c n\u1eb1m nghi\u00eang khu\u1ef7u g\u1ea5p 90\u00b0.<\/li>\n<li>\u0110\u01b0\u1eddng m\u1ed5: th\u01b0\u1eddng d\u00f9ng \u0111\u01b0\u1eddng m\u1ed5 ph\u00eda ngo\u00e0i.<\/li>\n<\/ul>\n<figure id=\"attachment_18178\" aria-describedby=\"caption-attachment-18178\" style=\"width: 349px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18178 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/10-4.jpg\" alt=\"minh-hoa-gay-loi-cau-ngoai-xuong-canh-tay\" width=\"349\" height=\"258\" \/><figcaption id=\"caption-attachment-18178\" class=\"wp-caption-text\">H\u00ecnh 4: \u0110\u01b0\u1eddng m\u1ed5 trong KHX g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em<\/figcaption><\/figure>\n<ul>\n<li>R\u1ea1ch da, b\u00f3c t\u00e1ch theo b\u1edd gi\u1eefa c\u01a1 c\u00e1nh tay quay v\u00e0 c\u01a1 tam \u0111\u1ea7u, r\u1ea1ch m\u1edf bao kh\u1edbp, b\u00f3c t\u00e1ch b\u1edd tr\u00ean c\u1ee7a l\u1ed3i c\u1ea7u ngo\u00e0i, tr\u00e1nh b\u00f3c t\u00e1ch qu\u00e1 r\u1ed9ng c\u00f3 th\u1ec3 g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng ti\u00eau l\u1ed3i c\u1ea7u ngo\u00e0i do m\u1ea5t c\u00e1c ngu\u1ed3n c\u1ea5p m\u00e1u.<\/li>\n<li>B\u1ed9c l\u1ed9 \u1ed5 g\u00e3y v\u1eeba \u0111\u1ee7, l\u00e0m s\u1ea1ch b\u01a1m r\u1eeda m\u00e1u t\u1ee5 c\u1ee7a di\u1ec7n g\u00e3y.<\/li>\n<li>D\u00f9ng d\u1ee5ng c\u1ee5 n\u1eafn ch\u1ec9nh m\u1ea3nh g\u00e3y LCN v\u1ec1 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu c\u1ee7a x\u01b0\u01a1ng.<\/li>\n<li>Th\u00ec KHX:<\/li>\n<\/ul>\n<p>+ Xuy\u00ean 2 kim Kirschner \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh m\u1ea3nh g\u00e3\u1ef5.<\/p>\n<p>+ Khoan b\u1eaft v\u00edt \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh \u1ed5 g\u00e3y.<\/p>\n<p>+ Kh\u00e2u c\u1ed1 \u0111\u1ecbnh m\u1ea3nh g\u00e3y b\u1eb1ng ch\u1ec9 perlon ho\u1eb7c Vicryl.<\/p>\n<figure id=\"attachment_18180\" aria-describedby=\"caption-attachment-18180\" style=\"width: 386px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18180 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/12-4.jpg\" alt=\"\" width=\"386\" height=\"307\" \/><figcaption id=\"caption-attachment-18180\" class=\"wp-caption-text\">H\u00ecnh 5: KHX \u0111inh Kirschner trong g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay tr\u1ebb em<\/figcaption><\/figure>\n<ul>\n<li>Ki\u1ec3m tra \u0111\u1ed9 v\u1eefng ch\u1eafc \u1ed5 g\u00e3y.<\/li>\n<li>Ki\u1ec3m tra v\u1eadn \u0111\u1ed9ng kh\u1edbp khu\u1ef7u.<\/li>\n<li>\u0110\u1eb7t n\u1eb9p b\u1ed9t c\u00e1nh c\u1eb3ng b\u00e0n tay t\u01b0 th\u1ebf c\u01a1 n\u0103ng c\u1ed5 \u0111\u1ecbnh 2 &#8211; 3 tu\u1ea5n.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb theo d\u00f5i ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n sau m\u1ed5.<\/li>\n<\/ul>\n<p>Kh\u00e1ng sinh. Gi\u1ea3m \u0111au, gi\u1ea3m ph\u00f9 n\u1ec1. Thay b\u0103ng ki\u1ec3m tra v\u1ebft m\u1ed5. Treo tay v\u00e0 t\u1eadp v\u1eadn \u0111\u1ed9ng ng\u00f3n tay- b\u00e0n tay.<\/p>\n<h2>3. Bi\u1ebfn ch\u1ee9ng<\/h2>\n<ul>\n<li>Nhi\u1ec5m tr\u00f9ng: v\u1ebft m\u1ed5 \u0111\u1ecf, \u0111au, r\u1ec9 d\u1ecbch m\u1ee7.<\/li>\n<li>Ch\u1ea3y m\u00e1u v\u1ebft m\u1ed5.<\/li>\n<li>Ch\u1eadm li\u1ec1n x\u01b0\u01a1ng.<\/li>\n<li>Kh\u1edbp gi\u1ea3.<\/li>\n<li>C\u1ee9ng kh\u1edbp.<\/li>\n<li>Ho\u1ea1i t\u1eed l\u1ed3i c\u1ea7u ngo\u00e0i.<\/li>\n<li>Li\u1ec7t mu\u1ed9n th\u1ea7n kinh tr\u1ee5.<\/li>\n<li>V\u1eb9o khu\u1ef7u.<\/li>\n<li>Gi\u1edbi h\u1ea1n g\u1ea5p du\u1ed7i khu\u1ef7u.<\/li>\n<\/ul>\n<h2>4. K\u1ebft lu\u1eadn<\/h2>\n<ul>\n<li>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 t\u1ed5n th\u01b0\u01a1ng hay g\u1eb7p \u1edf kh\u1edbp khu\u1ef7u tr\u1ebb em, li\u00ean quan \u0111\u1ebfn c\u01a1 ch\u1ebf ng\u00e3 ch\u1ed1ng tay.<\/li>\n<li>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay r\u1ea5t d\u1ec5 b\u1ecb b\u1ecf s\u00f3t, v\u00ec v\u1eady trong ch\u1ea9n \u0111o\u00e1n c\u1ea7n r\u1ea5t c\u1ea9n th\u1eadn, tr\u00e1nh b\u1ecf s\u00f3t, \u0111\u1ec3 l\u1ea1i nh\u1eefng di ch\u1ee9ng n\u1eb7ng n\u1ec1 nh\u01b0 v\u1eb9o khu\u1ef7u, m\u1ea5t c\u01a1 n\u0103ng kh\u1edbp khu\u1ef7u.<\/li>\n<li>\u0110i\u1ec3u tr\u1ecb kh\u00f4ng qu\u00e1 ph\u1ee9c t\u1ea1p v\u1ec1 m\u1eb7t k\u1ef9 thu\u1eadt tuy nhi\u00ean c\u1ea9n r\u1ea5t l\u01b0u \u00fd b\u1ea3o t\u1ed3n khu v\u1ef1c s\u1ee5n ph\u00e1t tri\u1ec3n v\u00e0 tr\u00e1nh ph\u1eabu thu\u1eadt m\u1ed9t c\u00e1ch th\u00f4 b\u1ea1o, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea5p m\u00e1u cho l\u1ed3i c\u1ea7u ngo\u00e0i g\u00e2y nguy c\u01a1 ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch.<\/li>\n<\/ul>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/phuc-hoi-chuc-nang-gay-tren-loi-cau-xuong-canh-tay\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/phuc-hoi-chuc-nang-gay-tren-loi-cau-xuong-canh-tay\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<p><strong>T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n<ul>\n<li>Campbell&#8217;s Operative Orthopaedics. Canale ST, Beaty JH. Eleventh edition. Mosby E\u1ec9sevier.<\/li>\n<li>Rockwood &amp; Green&#8217;s Fractures in Children, 7th Edition<\/li>\n<li>Handbook of Fracture, 5E (2014), Pediatric Elbow<\/li>\n<li>Practical Procedures in Orthopaedic Trauma Surgery<\/li>\n<li>MasterTechniques in Orthopaedic Surgery Relevant Surgical Exposures<\/li>\n<li>AO Principles of Fracture Management<\/li>\n<li>Operative Techniques in Pediatric Orthopaedics, Chapter 2: Open Reduction and Internal Fixation of Displaced Lateral Condyle Fractures of the Humerus<\/li>\n<li>Tachdjian&#8217;s Pediatric Orthopaedics, 5th Edition, John A.Herring, Chapter 33: UpperExtremity Injuries<\/li>\n<\/ul>\n<ul>\n<li>Gray&#8217;s Anatomy, 40th Edition Atlas gi\u1ea3i ph\u1eabu ng\u01b0\u1eddi, Frank H.Netter, 2013 Edition<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em l\u00e0 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, \u0111\u01b0\u1eddng g\u00e3y n\u1eb1m t\u1eeb m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u \u0111\u1ebfn r\u00f2ng r\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay. G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 g\u00e3y x\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p, \u0111\u1ee9ng th\u1ee9 hai sau trong c\u00e1c g\u00e3y x\u01b0\u01a1ng v\u00f9ng khu\u1ef7u \u1edf tr\u1ebb [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e2n lo\u1ea1i v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"G\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em l\u00e0 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, \u0111\u01b0\u1eddng g\u00e3y n\u1eb1m t\u1eeb m\u1ecfm tr\u00ean l\u1ed1i c\u1ea7u \u0111\u1ebfn r\u00f2ng r\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ph\u00e2n lo\u1ea1i v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em - 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