{"id":23598,"date":"2023-04-18T16:13:00","date_gmt":"2023-04-18T09:13:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23598"},"modified":"2023-04-18T16:14:23","modified_gmt":"2023-04-18T09:14:23","slug":"thang-diem-harris-danh-gia-chuc-nang-sau-thay-khop-hang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/thang-diem-harris-danh-gia-chuc-nang-sau-thay-khop-hang\/","title":{"rendered":"Thang \u0111i\u1ec3m Harris \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng sau thay kh\u1edbp h\u00e1ng"},"content":{"rendered":"<p><strong>Thang \u0111i\u1ec3m Harris l\u00e0 c\u00f4ng c\u1ee5 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 c\u1ee7a ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n, l\u01b0\u1ee3ng gi\u00e1 ch\u1ee9c n\u0103ng kh\u1edbp h\u00e1ng v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1nh gi\u00e1 qua: m\u1ee9c \u0111\u1ed9 \u0111au, ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng, t\u1ea7m v\u1eadn \u0111\u1ed9ng v\u00e0 bi\u1ebfn d\u1ea1ng chi.<\/strong><\/p>\n<h2>1. T\u1ed5ng quan v\u1ec1 thay kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n<\/h2>\n<p>\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt nh\u1eb1m c\u1eaft b\u1ecf \u0111i ph\u1ea7n ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 thay b\u1eb1ng ch\u1ecfm kim lo\u1ea1i ho\u1eb7c b\u1eb1ng s\u1ee9 v\u1edbi m\u1ed9t chu\u00f4i c\u1eafm v\u00e0o trong l\u00f2ng t\u1ee7y x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh n\u1ea1o b\u1ecf ph\u1ea7n \u1ed5 c\u1ed1i b\u1ecb h\u01b0 \u0111\u1ec3 \u0111\u1eb7t v\u00e0o m\u1ed9t ch\u00e9n b\u1eb1ng kim lo\u1ea1i b\u00ean trong c\u00f3 ch\u1ee9a ch\u1ea5t polyethylene ho\u1eb7c b\u1eb1ng s\u1ee9. Kh\u1edbp h\u00e1ng nh\u00e2n t\u1ea1o to\u00e0n ph\u1ea7n l\u00e0 lo\u1ea1i kh\u1edbp h\u00e1ng bao g\u1ed3m c\u1ea3 ph\u1ea7n ch\u1ecfm v\u00e0 ph\u1ea7n \u1ed5 c\u1ed1i.<\/p>\n<h3>1.1. Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau thay kh\u1edbp h\u00e1ng<\/h3>\n<p>Theo nguy\u00ean t\u1eafc:<\/p>\n<ul>\n<li>Gi\u1ea3m \u0111au, gi\u1ea3m ph\u00f9 n\u1ec1.<\/li>\n<li>Gia t\u0103ng s\u1ee9c m\u1ea1nh c\u00e1c nh\u00f3m c\u01a1.<\/li>\n<li>T\u0103ng t\u1ea7m v\u1eadn \u0111\u1ed9ng kh\u1edbp h\u00e1ng.<\/li>\n<li>B\u1ea3o v\u1ec7 kh\u1edbp h\u00e1ng m\u1edbi.<\/li>\n<li>L\u1ea5y l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng cho b\u1ec7nh nh\u00e2n<\/li>\n<\/ul>\n<h3>1.2. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt<\/h3>\n<p>Tr\u00ean th\u1ef1c t\u1ebf, t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp h\u00e1ng \u0111\u1ed1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng \u0111i l\u1ea1i \u00edt h\u01a1n so v\u1edbi c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u01b0\u01a1ng ng\u00e0y kh\u00e1c nh\u01b0 l\u00e0: \u0111i gi\u00e0y, ng\u1ed3i, \u0111\u1ee9ng l\u00ean t\u1eeb gh\u1ebf, v\u00e0 b\u00ea v\u00e1c c\u00e1c v\u1eadt n\u1eb7ng t\u1eeb d\u01b0\u1edbi \u0111\u1ea5t. M\u1ed9t kh\u1edbp h\u00e1ng l\u00fd t\u01b0\u1edfng c\u00f3 th\u1ec3 g\u1ea5p 120<sup>0<\/sup>, kh\u00e9p 20<sup>0<\/sup> v\u00e0 xoay 20<sup>0<\/sup><\/p>\n<p>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt TKHTP nh\u01b0: B\u1ea3ng \u0111i\u1ec3m c\u1ee7a Merle D&#8217;Aubign\u00e9; B\u1ea3ng \u0111i\u1ec3m c\u1ee7a Harris; WOMAC; UCL; B\u1ea3ng \u0111i\u1ec3m kh\u1edbp h\u00e1ng c\u1ee7a Oxford; B\u1ed9 c\u00e2u h\u1ecfi kh\u1edbp h\u00e1ng v\u00e0 g\u1ed1i c\u1ee7a h\u1ed9i ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh M\u1ef9,\u2026. Tuy nhi\u00ean thang \u0111i\u1ec3m Harris c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m \u0111\u1ec3 \u00e1p d\u1ee5ng<\/p>\n<h2>2. V\u1ec1 thang \u0111i\u1ec3m Harris<\/h2>\n<p>Thang \u0111i\u1ec3m Harris \u0111\u01b0\u1ee3c xu\u1ea5t b\u1ea3n l\u1ea7n d\u1ea7u n\u0103m 1969 tr\u00ean tr\u00ean T\u1ea1p ch\u00ed Ph\u1eabu thu\u1eadt X\u01b0\u01a1ng v\u00e0 Kh\u1edbp (Journal of Bone and Joint Surgery), Thang \u0111i\u1ec3m Kh\u1edbp H\u00e1ng Harris (HHS) \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 l\u00e0 m\u1ed9t l\u01b0\u1ee3ng gia chu\u1ea9n h\u00f3a cho c\u00e1c b\u1ec7nh nh\u00e2n sau <a href=\"https:\/\/www.vinmec.com\/vi\/co-xuong-khop\/suc-khoe-thuong-thuc\/thay-khop-hang-nhan-tao-bao-lau-thi-di-duoc\/\">ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng<\/a> to\u00e0n ph\u1ea7n. K\u1ec3 t\u1eeb \u0111\u00f3, n\u00f3 c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n sau g\u00e3y x\u01b0\u01a1ng h\u00f4ng v\u00e0 ch\u1ea9n \u0111o\u00e1n tho\u00e1i ho\u00e1 kh\u1edbp.<\/p>\n<ul>\n<li>Thang \u0111o n\u00e0y c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111o l\u01b0\u1eddng k\u1ebft qu\u1ea3 sau c\u00e1c can thi\u1ec7p nh\u01b0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u.<\/li>\n<li>HHS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 do nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n bao g\u1ed3m c\u00e1c thang \u0111i\u1ec3m ph\u1ee5 v\u1ec1 m\u1ee9c \u0111\u1ed9 \u0111au (1 m\u1ee5c, 0 \u2013 44 \u0111i\u1ec3m), ch\u1ee9c n\u0103ng (7 m\u1ee5c, 0 -47 \u0111i\u1ec3m), kh\u00f4ng c\u00f3 bi\u1ebfn d\u1ea1ng (1 m\u1ee5c, 0 \u2013 4 \u0111i\u1ec3m) v\u00e0 t\u1ea7m v\u1eadn \u0111\u1ed9ng (2 m\u1ee5c, 0 \u2013 5 \u0111i\u1ec3m). \u0110i\u1ec3m n\u1eb1m trong kho\u1ea3ng t\u1eeb 0 (khuy\u1ebft t\u1eadt n\u1eb7ng h\u01a1n) \u0111\u1ebfn 100 (khuy\u1ebft t\u1eadt \u00edt h\u01a1n).<\/li>\n<\/ul>\n<h2>3. \u0110i\u1ec3m m\u1ea1nh thang \u0111i\u1ec3m Harris<\/h2>\n<ul>\n<li>Thang \u0111o kh\u1edbp h\u00e1ng Harris m\u1ea5t kho\u1ea3ng 5-7 ph\u00fat \u0111\u1ec3 ho\u00e0n th\u00e0nh v\u00e0 c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng ch\u1ea5m \u0111i\u1ec3m.<\/li>\n<li>HHS kh\u00f4ng y\u00eau c\u1ea7u c\u1ea5p ph\u00e9p s\u1eed d\u1ee5ng.<\/li>\n<li>Kh\u00f4ng c\u1ea7n \u0111\u00e0o t\u1ea1o \u0111\u1ec3 s\u1eed d\u1ee5ng HHS v\u00e0 c\u1ea7n r\u1ea5t \u00edt trang thi\u1ebft b\u1ecb (th\u01b0\u1edbc \u0111o g\u00f3c, gi\u01b0\u1eddng kh\u00e1m) \u0111\u1ec3 ho\u00e0n th\u00e0nh.<\/li>\n<li>L\u01b0\u1ee3ng gi\u00e1 \u0111\u01b0\u1ee3c \u0111au v\u00e0 ch\u1ee9c n\u0103ng chi d\u01b0\u1edbi. C\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng kh\u1edbp h\u00e1ng tr\u01b0\u1edbc m\u1ed5 v\u00e0 theo d\u00f5i sau m\u1ed5.<\/li>\n<li>C\u00f3 ti\u00eau ch\u00ed \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng b\u1eb1ng kh\u00e1m b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<p>Khuy\u1ebft \u0111i\u1ec3m c\u1ee7a thang \u0111i\u1ec3m Harris:<\/p>\n<ul>\n<li>Thi\u1ebfu m\u1ed9t s\u1ed1 ti\u00eau ch\u00ed \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng t\u1ef1 \u0111i mua s\u1eafm v\u00e0 th\u1ef1c hi\u1ec7n c\u00f4ng vi\u1ec7c b\u00ecnh th\u01b0\u1eddng h\u00e0ng ng\u00e0y\u2026<\/li>\n<\/ul>\n<h2>4. T\u00ednh gi\u00e1 tr\u1ecb theo thang \u0111i\u1ec3m Harris<\/h2>\n<p>X\u00e9t v\u1ec1 t\u00ednh gi\u00e1 tr\u1ecb c\u1ee7a n\u1ed9i dung, HHS \u0111\u00e3 ch\u1ee9ng minh kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t l\u1edbn n\u00e0o khi \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u1ea1i v\u1edbi Ch\u1ec9 s\u1ed1 Tho\u00e1i ho\u00e1 kh\u1edbp v\u00e0 MCMaster (WOMAC). Khi \u0111\u00e1nh gi\u00e1 t\u00ednh gi\u00e1 tr\u1ecb c\u1ee7a c\u1ea5u tr\u00fac, c\u00e1c l\u0129nh v\u1ef1c \u0111au v\u00e0 ch\u1ee9c n\u0103ng trong HHS \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 t\u01b0\u01a1ng quan v\u1edbi c\u00e1c l\u0129nh v\u1ef1c t\u01b0\u01a1ng t\u1ef1 trong WOMAC, Nottingham Health Profile.<\/p>\n<table width=\"702\">\n<tbody>\n<tr>\n<td rowspan=\"2\" width=\"642\"><strong>N\u1ed9i dung \u0111\u00e1nh gi\u00e1 theo Harris<\/strong><\/td>\n<td rowspan=\"2\" width=\"60\"><strong>\u0110i\u1ec3m theo Harris<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong><u>M\u1ee9c \u0111\u1ed9 \u0111au theo Harris<\/u><\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng \u0111au ho\u1eb7c kh\u00f4ng c\u1ea3m nh\u1eadn th\u1ea5y<\/td>\n<td width=\"60\">44<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">\u0110au r\u1ea5t \u00edt: th\u1ec9nh tho\u1ea3ng m\u1edbi \u0111au v\u00e0 kh\u00f4ng l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng<\/td>\n<td width=\"60\">40<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">\u0110au nh\u1eb9: kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng, r\u1ea5t hi\u1ebfm khi \u0111au m\u1ee9c \u0111\u1ed9 v\u1eeba trong ho\u1ea1t \u0111\u1ed9ng th\u00f4ng th\u01b0\u1eddng<\/td>\n<td width=\"60\">30<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">\u0110au v\u1eeba: c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c nh\u01b0ng b\u1ec7nh nh\u00e2n lu\u00f4n c\u1ea3m th\u1ea5y \u0111au, \u0111\u00f4i khi h\u1ea1n ch\u1ebf trong c\u00f4ng vi\u1ec7c b\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"60\">20<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">\u0110au tr\u1ea7m tr\u1ecdng: \u0111au li\u00ean t\u1ee5c h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng, th\u01b0\u1eddng xuy\u00ean d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au<\/td>\n<td width=\"60\">10<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">\u0110au kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c: \u0111au li\u00ean t\u1ee5c l\u00e0m cho b\u1ec7nh nh\u00e2n ph\u1ea3i n\u1eb1m tr\u00ean gi\u01b0\u1eddng, t\u00e0n ph\u1ebf v\u00ec \u0111au<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong><u>M\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng theo Harris<\/u><\/strong><\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>D\u00e1ng \u0111i kh\u1eadp khi\u1ec5ng<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng<\/td>\n<td width=\"60\">11<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Nh\u1eb9<\/td>\n<td width=\"60\">8<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">V\u1eeba<\/td>\n<td width=\"60\">5<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">N\u1eb7ng<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>H\u1ed7 tr\u1ee3 khi \u0111i b\u1ed9<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng<\/td>\n<td width=\"60\">11<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">M\u1ed9t g\u1eady cho qu\u00e3ng \u0111\u01b0\u1eddng d\u00e0i<\/td>\n<td width=\"60\">7<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Lu\u00f4n d\u00f9ng 1 g\u1eady<\/td>\n<td width=\"60\">5<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">M\u1ed9t n\u1ea1ng<\/td>\n<td width=\"60\">3<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Hai g\u1eady<\/td>\n<td width=\"60\">2<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Hai n\u1ea1ng<\/td>\n<td width=\"60\">1<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>Kho\u1ea3ng c\u00e1ch \u0111i b\u1ed9<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng gi\u1edbi h\u1ea1n<\/td>\n<td width=\"60\">11<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">6 t\u1ea7ng nh\u00e0<\/td>\n<td width=\"60\">8<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">2 ho\u1eb7c 3 t\u1ea7ng nh\u00e0<\/td>\n<td width=\"60\">5<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Ch\u1ec9 \u1edf trong nh\u00e0<\/td>\n<td width=\"60\">2<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Ch\u1ec9 \u1edf tr\u00ean gi\u01b0\u1eddng<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>L\u00ean xu\u1ed1ng c\u1ea7u thang<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">B\u00ecnh th\u01b0\u1eddng kh\u00f4ng c\u1ea7n tay v\u1ecbn<\/td>\n<td width=\"60\">4<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">C\u1ea7n 1 tay v\u1ecbn<\/td>\n<td width=\"60\">2<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Ph\u1ea3i c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap<\/td>\n<td width=\"60\">1<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng th\u1ec3 l\u00ean xu\u1ed1ng c\u1ea7u thang<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>\u0110i gi\u1ea7y v\u00e0 \u0111i t\u1ea5t<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">D\u1ec5 d\u00e0ng<\/td>\n<td width=\"60\">4<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f3 kh\u0103n<\/td>\n<td width=\"60\">2<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng th\u1ec3<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>Ng\u1ed3i<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Tho\u1ea3i m\u00e1i tr\u00ean gh\u1ebf trong 1 gi\u1edd<\/td>\n<td width=\"60\">5<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Tho\u1ea3i m\u00e1i tr\u00ean gh\u1ebf trong n\u1eeda gi\u1edd<\/td>\n<td width=\"60\">3<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng tho\u1ea3i m\u00e1i tr\u00ean gh\u1ebf<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong>Tham gia giao th\u00f4ng<\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng b\u1ea5t k\u1ec3 ph\u01b0\u01a1ng ti\u1ec7n giao th\u00f4ng n\u00e0o<\/td>\n<td width=\"60\">1<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng b\u1ea5t k\u1ec3 ph\u01b0\u01a1ng ti\u1ec7n giao th\u00f4ng n\u00e0o<\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong><u>T\u1ea7m v\u1eadn \u0111\u1ed9ng theo Harris<\/u><\/strong><\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"702\">G\u1ea5p (* 140\u00b0)<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"702\">D\u1ea1ng ch\u00e2n (* 40\u00b0)<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"702\">Kh\u00e9p ch\u00e2n (* 40\u00b0)<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"702\">Xoay ngo\u00e0i (* 40\u00b0)<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"702\">Xoay trong (* 40\u00b0)<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"702\">T\u1ed5ng c\u00e1c g\u00f3c bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c quy ra \u0111i\u1ec3m<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">211<sup>o<\/sup> &#8211; 300<sup> o<\/sup><\/td>\n<td width=\"60\">5<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">161<sup> o<\/sup> &#8211; 210<sup> o<\/sup><\/td>\n<td width=\"60\">4<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">101<sup> o<\/sup> -160<sup> o<\/sup><\/td>\n<td width=\"60\">3<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">61<sup> o<\/sup> &#8211; 100<sup> o<\/sup><\/td>\n<td width=\"60\">2<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">31<sup> o<\/sup> \u2013 60<sup> o<\/sup><\/td>\n<td width=\"60\">1<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">0<sup> o<\/sup> &#8211; 30<sup> o<\/sup><\/td>\n<td width=\"60\">0<\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\"><strong><u>Bi\u1ebfn d\u1ea1ng chi theo Harris<\/u><\/strong><\/td>\n<td width=\"60\"><strong>\u0110i\u1ec3m<\/strong><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Co g\u1eadp c\u1ed1 \u0111\u1ecbnh d\u01b0\u1edbi 30\u00b0<\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">D\u1ea1ng ch\u00e2n c\u1ed1 \u0111\u1ecbnh d\u01b0\u1edbi 10\u00b0<\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">Du\u1ed7i v\u00e0 xoay trong c\u1ed1 \u0111\u1ecbnh d\u01b0\u1edbi 10\u00b0<\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">S\u1ef1 ng\u1eafn chi d\u01b0\u1edbi 3,2 cm<\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<tr>\n<td width=\"642\">\u0110i\u1ec3m s\u1ef1 bi\u1ebfn d\u1ea1ng kh\u1edbp<\/td>\n<td width=\"60\"><\/td>\n<td width=\"0\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>5. K\u1ebft qu\u1ea3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng theo thang \u0111i\u1ec3m Harris<\/h2>\n<table>\n<tbody>\n<tr>\n<td width=\"319\">Thang \u0111i\u1ec3m<\/td>\n<td width=\"319\">Ph\u00e2n lo\u1ea1i<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">90-100<\/td>\n<td width=\"319\">R\u1ea5t t\u1ed1t<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">80-89<\/td>\n<td width=\"319\">T\u1ed1t<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">70-79<\/td>\n<td width=\"319\">Trung b\u00ecnh<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">&lt;70<\/td>\n<td width=\"319\">K\u00e9m<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Ngu\u1ed3n:<\/p>\n<p>Harris, WH. &#8220;Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation.&#8221; J Bone Joint Surg Am, 1969 737-55.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thang \u0111i\u1ec3m Harris l\u00e0 c\u00f4ng c\u1ee5 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 c\u1ee7a ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n, l\u01b0\u1ee3ng gi\u00e1 ch\u1ee9c n\u0103ng kh\u1edbp h\u00e1ng v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1nh gi\u00e1 qua: m\u1ee9c \u0111\u1ed9 \u0111au, ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng, t\u1ea7m v\u1eadn \u0111\u1ed9ng v\u00e0 bi\u1ebfn d\u1ea1ng chi. 1. T\u1ed5ng quan v\u1ec1 [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":23743,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Thang \u0111i\u1ec3m Harris \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng sau thay kh\u1edbp h\u00e1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Thang \u0111i\u1ec3m Harris l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n.\" \/>\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=\"Thang \u0111i\u1ec3m Harris \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng sau thay kh\u1edbp h\u00e1ng - 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