{"id":2638,"date":"2023-04-09T20:48:05","date_gmt":"2023-04-09T13:48:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2638"},"modified":"2023-04-12T12:25:08","modified_gmt":"2023-04-12T05:25:08","slug":"tong-quan-ve-cac-phuong-phap-tai-tao-day-chang-cheo-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/tong-quan-ve-cac-phuong-phap-tai-tao-day-chang-cheo-sau\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau"},"content":{"rendered":"<p><a href=\"https:\/\/vinmec.com\/vi\/co-xuong-khop\/cac-benh-thuong-gap\/chan-thuong-day-chang-cheo-sau-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/\">T\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/a> (DCCS) \u00edt g\u1eb7p h\u01a1n nhi\u1ec1u so v\u1edbi t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (DCCT). T\u1ef7 l\u1ec7 \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau thay \u0111\u1ed5i t\u1eeb 1- 44% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i c\u1ea5p t\u00ednh t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS \u0111\u01b0\u1ee3c \u0111\u1eb7t ra cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng c\u1ee7a DCCS (\u0111\u1ed9 3) ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng DCCS k\u00e8m theo t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u1ea5u tr\u00fac kh\u00e1c c\u1ee7a kh\u1edbp g\u1ed1i ph\u1ed1i h\u1ee3p.<\/p>\n<h2>1. L\u1ecbch s\u1eed ph\u00e1t tri\u1ec3n<\/h2>\n<p>N\u0103m 1917, Oxley Groves &#8211; m\u1ed9t ph\u1eabu thu\u1eadt vi\u00ean ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh r\u1ea5t c\u00f3 ti\u1ebfng th\u1eddi k\u1ef3 \u0111\u00f3, cha \u0111\u1ebb c\u1ee7a t\u1ea1p ch\u00ed ngo\u1ea1i khoa Anh qu\u1ed1c, ng\u01b0\u1eddi th\u1ea7y c\u1ee7a r\u1ea5t nhi\u1ec1u ph\u1eabu thu\u1eadt vi\u00ean ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh n\u1ed5i ti\u1ebfng th\u1ebf k\u1ef7 20 &#8211; \u0111\u00e3 c\u00f4ng b\u1ed1 k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS s\u01a1 khai b\u1eb1ng g\u00e2n c\u01a1 b\u00e1n g\u00e2n.<\/p>\n<p>\u0110\u1ebfn n\u0103m 1983, Clancy v\u00e0 c\u00e1c c\u1ed9ng s\u1ef1 l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean c\u00f4ng b\u1ed1 k\u1ebft qu\u1ea3 b\u01b0\u1edbc \u0111\u1ea7u c\u1ee7a ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau \u1edf th\u1eddi k\u1ef3 hi\u1ec7n \u0111\u1ea1i. C\u00f9ng v\u1edbi s\u1ef1 hi\u1ec3u bi\u1ebft ng\u00e0y c\u00e0ng s\u00e2u v\u1ec1 gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a DCCS, d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt v\u00e0 k\u1ef9 thu\u1eadt m\u1ed5 c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean ng\u00e0y c\u00e0ng ho\u00e0n thi\u1ec7n, cho \u0111\u1ebfn nay \u0111\u00e3 c\u00f3 r\u1ea5t nhi\u1ec1u c\u00e1ch th\u1ee9c ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS kh\u00e1c nhau \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong y v\u0103n.<\/p>\n<h2>2. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/h2>\n<p>Qua qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau, t\u1ef1u chung l\u1ea1i c\u00f3 2 tr\u01b0\u1eddng ph\u00e1i k\u1ef9 thu\u1eadt c\u01a1 b\u1ea3n sau:<\/p>\n<ul>\n<li>K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y (tibial inlay technique)<\/li>\n<li>K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y (transtibial tunnel technique).<\/li>\n<\/ul>\n<p>Tr\u00ean n\u1ec1n t\u1ea3ng c\u1ee7a 2 tr\u01b0\u1eddng ph\u00e1i k\u1ef9 thu\u1eadt \u0111\u00f3, \u0111\u00e3 c\u00f3 r\u1ea5t nhi\u1ec1u bi\u1ebfn th\u1ebf c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o h\u00ecnh DCCS \u0111\u01b0\u1ee3c ra \u0111\u1eddi v\u00e0 ph\u00e1t tri\u1ec3n. S\u1ef1 kh\u00e1c nhau c\u1ee7a c\u00e1c k\u1ef3 thu\u1eadt t\u1ea1o h\u00ecnh DCCS n\u1eb1m \u1edf m\u1ed9t trong c\u00e1c y\u1ebfu t\u1ed1 sau:<\/p>\n<ul>\n<li>C\u00e1ch th\u1ee9c t\u1ea1o di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a m\u1ea3nh gh\u00e9p v\u1edbi m\u00e2m ch\u00e0y: k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS g\u1ea7n di\u1ec7n b\u00e1m ch\u00e0y ho\u1eb7c k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y.<\/li>\n<li>C\u00e1ch th\u1ee9c t\u1ea1o \u0111\u01b0\u1eddng h\u1ea7m: k\u1ef9 thu\u1eadt khoan \u0111\u01b0\u1eddng h\u1ea7m t\u1eeb ngo\u00e0i v\u00e0o (outside in) hay t\u1eeb trong ra (inside out) v\u00e0 k\u1ef9 thu\u1eadt t\u1ea5t c\u1ea3 b\u00ean trong (all inside).<\/li>\n<li>S\u1ed1 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng h\u1ea7m: k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS m\u1ed9t b\u00f3, hai b\u00f3 hay ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh ki\u1ec3u lai t\u1ea1o h\u00ecnh DCCS hai b\u00f3 v\u1edbi m\u1ed9t \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y v\u00e0 hai \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i.<\/li>\n<li>Lo\u1ea1i m\u1ea3nh gh\u00e9p \u0111\u01b0\u1ee3c s\u1ee9 d\u1ee5ng trong t\u1ea1o h\u00ecnh DCCS: m\u1ea3nh gh\u00e9p g\u00e2n t\u1ef1 th\u00e2n, m\u1ea3nh gh\u00e9p g\u00e2n \u0111\u1ed3ng lo\u1ea1i hay m\u1ea3nh gh\u00e9p nh\u00e2n t\u1ea1o.<\/li>\n<li>C\u00e1ch th\u1ee9c c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p trong \u0111\u01b0\u1eddng h\u1ea7m: k\u1ef9 thu\u1eadt c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p d\u00f9ng v\u00edt ch\u1eb9n, k\u1ef9 thu\u1eadt c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p d\u00f9ng n\u00fat treo\u2026<\/li>\n<\/ul>\n<figure id=\"attachment_2877\" aria-describedby=\"caption-attachment-2877\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-2877\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/noi-soi-khop-goi-de-tai-tao-day-chang-cheo-sau-300x188.jpg\" alt=\"n\u1ed9i soi kh\u1edbp g\u1ed1i t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau\" width=\"300\" height=\"188\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/noi-soi-khop-goi-de-tai-tao-day-chang-cheo-sau-300x188.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/noi-soi-khop-goi-de-tai-tao-day-chang-cheo-sau.jpg 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2877\" class=\"wp-caption-text\">n\u1ed9i soi kh\u1edbp g\u1ed1i t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/figcaption><\/figure>\n<h2>3. C\u00e1c ch\u1ec9 \u0111\u1ecbnh t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/h2>\n<p>C\u00e1c ch\u1ec9 \u0111\u1ecbnh t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau bao g\u1ed3m:<\/p>\n<ul>\n<li>Ch\u1ea5n th\u01b0\u01a1ng DCCS ho\u00e0n to\u00e0n \u0111\u1ee9t ho\u1eb7c \u0111\u1ee9t m\u1ed9t ph\u1ea7n, g\u00e2y ra s\u1ef1 kh\u00f4ng \u1ed5n \u0111\u1ecbnh c\u1ee7a \u0111\u1ea7u g\u1ed1i.<\/li>\n<li>\u0110au v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a \u0111\u1ea7u g\u1ed1i do ch\u1ea5n th\u01b0\u01a1ng DCCS.<\/li>\n<li>B\u1ec7nh nh\u00e2n mong mu\u1ed1n tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao ho\u1eb7c v\u1eadn \u0111\u1ed9ng m\u1ea1nh sau ch\u1ea5n th\u01b0\u01a1ng DCCS.<\/li>\n<li>\u0110\u1ea7u g\u1ed1i b\u1ecb t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng ho\u1eb7c b\u1ecb m\u1ea5t ch\u1ee9c n\u0103ng v\u00ec c\u00e1c ch\u1ea5n th\u01b0\u01a1ng kh\u00e1c nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng meniscus ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp.<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, quy\u1ebft \u0111\u1ecbnh t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m m\u1ee9c \u0111\u1ed9 ch\u1ea5n th\u01b0\u01a1ng, tu\u1ed5i t\u00e1c, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 m\u1ee5c \u0111\u00edch s\u1eed d\u1ee5ng \u0111\u1ea7u g\u1ed1i. Ch\u00ednh v\u00ec v\u1eady, quy\u1ebft \u0111\u1ecbnh t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau n\u00ean \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 li\u00ean quan.<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cosgarea A.J. and Jay P.R. (2001). Posterior cruciate ligament injuries: evaluation and management. J Am Acad Orthop Surg, 9(5), 297-307.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nicholas J. Honkamp, Anil s. Ranawat, Christopher D. Hamer (2009). Posterior cruciate ligament injuries in the adult. DeLee and Drez\u2019s Orthopaedic Sports Medicine E-Book: 2-Volume Set, Elsevier Health Sciences, 1683- 1713.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Di Matteo B., Tarabella v., Filardo G., et al. (2015). Knee multi-ligament reconstruction: a historical note on the fundamental landmarks. Knee Surg Sports Traumatol Arthrose, 23(10), 2773-2779.<\/span><\/li>\n<li aria-level=\"1\"><a class=\"Markdown_link__9ACHA MarkdownLink_linkifiedLink__KxC9G\">American Academy of Orthopaedic Surgeons<\/a>. (2021). Anterior Cruciate Ligament (ACL) Injuries<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o sau (DCCS) \u00edt g\u1eb7p h\u01a1n nhi\u1ec1u so v\u1edbi t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (DCCT). T\u1ef7 l\u1ec7 \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau thay \u0111\u1ed5i t\u1eeb 1- 44% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i c\u1ea5p t\u00ednh t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt [&hellip;]<\/p>\n","protected":false},"author":26,"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>T\u1ed5ng quan v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/title>\n<meta name=\"description\" content=\"T\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau c\u00f3 2 tr\u01b0\u1eddng ph\u00e1i k\u1ef9 thu\u1eadt c\u01a1 b\u1ea3n: t\u1ea1o h\u00ecnh DCCS g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y v\u00e0 t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y\" \/>\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=\"T\u1ed5ng quan v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng ch\u00e9o sau\" \/>\n<meta property=\"og:description\" content=\"T\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau c\u00f3 2 tr\u01b0\u1eddng ph\u00e1i k\u1ef9 thu\u1eadt c\u01a1 b\u1ea3n: t\u1ea1o h\u00ecnh DCCS g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y v\u00e0 t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y\" \/>\n<meta property=\"og:url\" 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