{"id":3054,"date":"2023-04-09T22:43:48","date_gmt":"2023-04-09T15:43:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3054"},"modified":"2023-04-10T11:04:43","modified_gmt":"2023-04-10T04:04:43","slug":"ky-thuat-tao-hinh-day-chang-cheo-sau-mot-bo-va-hai-bo","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ky-thuat-tao-hinh-day-chang-cheo-sau-mot-bo-va-hai-bo\/","title":{"rendered":"K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau m\u1ed9t b\u00f3 v\u00e0 hai b\u00f3"},"content":{"rendered":"

K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau m\u1ed9t b\u00f3 v\u00e0 hai b\u00f3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o h\u00ecnh d\u1ef1a v\u00e0o s\u1ed1 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng h\u1ea7m. V\u1edbi m\u1ed7i m\u1ed9t k\u1ef9 thu\u1eadt, c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean c\u0169ng d\u1ef1a tr\u00ean c\u1ea5u tr\u00fac gi\u1ea3i ph\u1ea9u, ch\u1ee9c n\u0103ng v\u00e0 nguy\u00ean t\u1eafc c\u1ee7a t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau \u0111\u1ec3 ph\u1eabu thu\u1eadt. Sau \u0111\u00e2y, ch\u00fang ta s\u1ebd c\u00f9ng nhau t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 2 k\u1ef9 thu\u1eadt n\u00e0y.<\/strong><\/p>\n

1. K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau m\u1ed9t b\u00f3<\/h2>\n

C\u0169ng nh\u01b0 DCCT, nguy\u00ean t\u1eafc c\u1ee7a t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 l\u00e0 t\u1ea1o l\u1ea1i d\u00e2y ch\u1eb1ng m\u1edbi g\u1ea7n \u0111\u00fang v\u1edbi v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu c\u1ee7a d\u00e2y ch\u1eb1ng nguy\u00ean th\u1ee7y, \u0111\u1ed3ng th\u1eddi t\u1ea1o \u0111\u01b0\u1ee3c kho\u1ea3ng c\u00e1ch \u0111\u1eb3ng tr\u01b0\u1eddng gi\u1eefa hai \u0111i\u1ec3m l\u00e0 di\u1ec7n b\u00e1m ch\u00e0y v\u00e0 di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng m\u1edbi. Tuy nhi\u00ean do chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a l\u1ed3i c\u1ea9u x\u01b0\u01a1ng \u0111\u00f9i tr\u00ean m\u00e2m ch\u00e0y l\u00e0 chuy\u1ec3n \u0111\u1ed9ng xoay n\u00ean kh\u00f4ng th\u1ec3 c\u00f3 \u0111i\u1ec3m \u0111\u1eb3ng tr\u01b0\u1eddng tuy\u1ec7t \u0111\u1ed5i. B\u1eb1ng c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u1ef1c nghi\u1ec7m, c\u00e1c t\u00e1c gi\u1ea3 ghi nh\u1eadn b\u00f3 tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a DCCS c\u00f3 k\u00edch th\u01b0\u1edbc v\u00e0 \u0111\u1ed9 c\u0103ng l\u1edbn h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi b\u00f3 sau trong n\u00ean v\u1ecb tr\u00ed c\u1ee7a d\u00e2y ch\u1eb1ng m\u1edbi \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o trong k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 g\u1ea7n gi\u1ed1ng v\u1edbi v\u1ecb tr\u00ed c\u1ee7a b\u00f3 tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a DCCS nguy\u00ean th\u1ee7y. K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS m\u1ed9t b\u00f3 c\u00f3 th\u1ebf \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt m\u1ed5 g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y ho\u1eb7c s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt m\u1ed5 v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c nhi\u1ec1u ph\u1eabu thu\u1eadt vi\u00ean s\u1eed d\u1ee5ng trong th\u1ef1c h\u00e0nh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

\"K\u1ef9
K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS m\u1ed9t b\u00f3 v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y<\/figcaption><\/figure>\n
\"K\u1ef9
K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau m\u1ed9t b\u00f3 g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y<\/figcaption><\/figure>\n

2 K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau hai b\u00f3<\/h2>\n

Nguy\u00ean l\u00fd c\u1ee7a t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau hai b\u00f3 d\u1ef1a tr\u00ean c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu c\u1ee7a DCCS g\u1ed3m b\u00f3 tr\u01b0\u1edbc ngo\u00e0i v\u00e0 b\u00f3 sau trong. K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 d\u1ef1a tr\u00ean hi\u1ec3u bi\u1ebft v\u1ec1 c\u1ea5u t\u1ea1o gi\u1ea3i ph\u1eabu v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u1ee7a t\u1eebng b\u00f3 c\u1ea5u th\u00e0nh n\u00ean DCCS.
\nC\u0169ng gi\u1ed1ng trong t\u1ea1o h\u00ecnh DCCT, k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS hai b\u1ecf c\u0169ng c\u00f3 2 quan \u0111i\u1ebfm: t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 v\u1edbi b\u1ed1n \u0111\u01b0\u1eddng h\u1ea7m v\u00e0 t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 ki\u1ec3u lai v\u1edbi m\u1ed9t \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y v\u00e0 hai \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i. Do di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS kh\u00f4ng n\u1eb1m tr\u00ean c\u00f9ng m\u1ed9t b\u00ecnh di\u1ec7n, \u0111\u1ec3 tr\u00e1nh s\u1ef1 g\u1ea5p g\u00f3c qu\u00e1 m\u1ee9c c\u1ee7a DCCS \u1edf \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng ch\u00e0y, nhi\u1ec1u t\u00e1c gi\u1ea3 \u1ee7ng h\u1ed9 k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS hai b\u00f3 ki\u1ec3u 1 \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y v\u00e0 hai \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i.<\/p>\n

2.1 K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS hai b\u00f3 ri\u00eang bi\u1ec7t<\/h3>\n

Aturo Makino v\u00e0 c\u1ed9ng s\u1ef1 l\u00e0 ng\u01b0\u1eddi ti\u00ean phong trong vi\u1ec7c s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 v\u1edbi hai \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 hai \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng ch\u00e0y s\u1eed d\u1ee5ng m\u1ea3nh gh\u00e9p g\u00e2n \u0111\u1ed3ng lo\u1ea1i. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c \u00f4ng v\u00e0 cs m\u00f4 t\u1ea3 nh\u01b0 sau:
\nT\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh: Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, g\u1ed1i g\u1ea5p 90 \u0111\u1ed9 tr\u00ean b\u00e0n m\u1ed1, \u0111\u1eb7t ga r\u00f4 h\u01a1i \u1edf g\u1ed1c \u0111\u00f9i ng\u01b0\u1eddi b\u1ec7nh.
\nNg\u00f5 v\u00e0o: T\u00e1c gi\u1ea3 s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt n\u1ed9i soi 4 ng\u00f5 v\u00e0o \u0111\u1ec3 th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt, bao g\u1ed3m: ng\u00f5 v\u00e0o tr\u01b0\u1edbc ngo\u00e0i cao, ng\u00f5 v\u00e0o tr\u01b0\u1edbc trong v\u00e0 ng\u00f5 v\u00e0o sau trong v\u00e0 m\u1ed9t ng\u00f5 v\u00e0o tr\u01b0\u1edbc ngo\u00e0i th\u1ea5p n\u1eb1m b\u00ean ngo\u00e0i n\u1eb1m ngo\u00e0i ng\u00f5 v\u00e0o tr\u01b0\u1edbc ngo\u00e0i cao, tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng l\u00e0 khe kh\u1edbp g\u1ed1i.
\nM\u1ea3nh gh\u00e9p: T\u00e1c gi\u1ea3 s\u1eed d\u1ee5ng m\u1ea3nh gh\u00e9p g\u00e2n c\u01a1 ch\u00e0y tr\u01b0\u1edbc ho\u1eb7c g\u00e2n c\u01a1 ch\u00e0y sau \u0111\u1ed3ng lo\u1ea1i \u0111\u1ec3 t\u1ea1o h\u00ecnh DCCS.
\nKhoan \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i: DCCS \u0111\u01b0\u1ee3c quan s\u00e1t b\u1eb1ng camera t\u1eeb ng\u00f5 v\u00e0o tr\u01b0\u1edbc , ngo\u00e0i cao, sau \u0111\u00f3 d\u00f9ng b\u00e0o \u0111\u1ec3 d\u1ecdn s\u1ea1ch ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a di\u1ec7n b\u00e1m ch\u00e0y DCCS qua ng\u00f5 v\u00e0o tr\u01b0\u1edbc ngo\u00e0i th\u1ea5p v\u00e0 ng\u00f5 v\u00e0o sau trong. Sau khi DCCS \u0111\u00e3 \u0111\u01b0\u1ee3c d\u1ecdn s\u1ea1ch, 1 kim Kirschner \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1eb7t v\u00e0o di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a b\u00f3 tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a DCCS \u1edf v\u1ecb tr\u00ed 1 gi\u1edd \u0111\u1ed1i v\u1edbi kh\u1edbp g\u1ed1i ph\u1ea3i v\u00e0 11 gi\u1edd \u0111\u1ed1i v\u1edbi kh\u1edbp g\u1ed1i tr\u00e1i. C\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, 1 kim Kirschner th\u1ee9 hai c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1eb7t v\u00e0o v\u00e0o di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a b\u00f3 sau trong c\u1ee7a DCCS \u1edf v\u1ecb tr\u00ed 10 gi\u1edd \u0111\u1ed1i v\u1edbi kh\u1edbp g\u1ed1i ph\u1ea3i v\u00e0 2 gi\u1edd \u0111\u1ed1i v\u1edbi kh\u1edbp g\u1ed5i tr\u00e1i. D\u00f9ng m\u0169i khoan 8mm \u0111\u1ec3 khoan \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng \u0111\u00f9i c\u1ee7a c\u1ea3 b\u00f3 tr\u01b0\u1edbc ngo\u00e0i v\u00e0 b\u00f3 sau trong. Hai \u0111\u01b0\u1eddng h\u1ea7m n\u00e0y n\u00ean \u0111\u1eb7t c\u00e1ch nhau \u00edt nh\u1ea5t 2mm \u0111\u1ec3 tr\u00e1nh v\u1ee1 th\u00e0nh x\u01b0\u01a1ng gi\u1eefa hai \u0111\u01b0\u1eddng h\u1ea7m.
\nKhoan \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng ch\u00e0y: Sau khi chu\u1ea9n b\u1ecb \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng \u0111\u00f9i, camera \u0111\u01b0\u1ee3c \u0111\u01b0a ra khoang sau \u0111\u1ec3 quan s\u00e1t di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS. B\u00e0o \u0111\u01b0\u1ee3c \u0111\u01b0a qua ng\u00f5 v\u00e0o ph\u00eda sau trong \u0111\u1ec3 d\u1ecdn d\u1eb9p ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a d\u00e2y ch\u1eb1ng \u1edf di\u1ec7n b\u00e1m ch\u00e0y. D\u1ee5ng c\u1ee5 l\u00f3c t\u00e1ch ph\u1ea7n m\u1ec1m \u0111\u01b0\u1ee3c \u0111\u01b0a qua ng\u00f5 v\u00e0o tr\u01b0\u1edbc trong \u0111\u1ec3 gi\u1ea3i ph\u00f3ng ph\u1ea7n m\u1ec1m v\u00e0 bao kh\u1edbp ph\u00eda sau ra xa kh\u1ecfi b\u1edd sau x\u01b0\u01a1ng ch\u00e0y. T\u00e1c gi\u1ea3 khuy\u1ebfn c\u00e1o n\u00ean quan s\u00e1t \u0111\u01b0\u1ee3c b\u1edd tr\u00ean c\u1ee7a c\u01a1 khoeo qua camera t\u1eeb ng\u00f5 v\u00e0o sau trong trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, ngh\u0129a l\u00e0 gi\u1ea3i ph\u00f3ng ph\u1ea7n m\u1ec1m v\u00e0 bao kh\u1edbp ph\u00eda sau \u0111\u1ee7 r\u1ed9ng \u0111\u1ebf khoan \u0111\u01b0\u1eddng h\u1ea7m \u0111\u01b0\u1ee3c an to\u00e0n. D\u00f9ng \u0111\u1ecbnh v\u1ecb \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y \u0111\u1ec3 khoan kim d\u1eabn \u0111\u01b0\u1eddng cho b\u00f3 tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a DCCS. L\u1ed1i v\u00e0o c\u1ee7a kim d\u1eabn \u0111\u01b0\u1eddng c\u1ea7n \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed tr\u01b0\u1edbc trong m\u00e2m ch\u00e0y sao cho khi khoan \u0111\u01b0\u1eddng h\u1ea7m kh\u00f4ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng di\u1ec7n b\u00e1m c\u1ee7a g\u00e2n c\u01a1 ch\u00e2n ng\u1ed7ng v\u00e0 v\u1ecb tr\u00ed \u0111i ra c\u1ee7a n\u00f3 n\u1eb1m \u1edf t\u00e2m di\u1ec7n b\u00e1m c\u1ee7a b\u00f3 sau ngo\u00e0i c\u1ee7a DCCS. Khoan \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y cho b\u00f3 tr\u01b0\u1edbc ngo\u00e0i b\u1eb1ng m\u0169i khoan \u0111\u01b0\u1eddng k\u00ednh 8mm.<\/p>\n

\"V\u1ecb
V\u1ecb tr\u00ed \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i c\u1ee7a BTN v\u00e0 BST<\/figcaption><\/figure>\n

D\u00f9ng cu-r\u00e9t cong \u0111\u1ec3 ch\u1eb7n kim d\u1eabn \u0111\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh khoan \u0111\u01b0\u1eddng h\u1ea7m. Trong su\u1ed1t qu\u00e1 tr\u00ecnh khoan kim d\u1eabn \u0111\u01b0\u1eddng v\u00e0 khoan \u0111\u01b0\u1eddng h\u1ea7m, \u0111\u1ea7u ra c\u1ee7a kim d\u1eabn \u0111\u01b0\u1eddng v\u00e0 m\u0169i khoan lu\u00f4n \u0111\u01b0\u1ee3c quan s\u00e1t c\u1ea9n th\u1eadn b\u1eb1ng camera qua ng\u00f5 v\u00e0o sau trong. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u00e0n t\u0103ng s\u00e1ng \u0111\u1ec3 ki\u1ec3m tra vi\u1ec7c \u0111\u1eb7t \u0111\u01b0\u1eddng h\u1ea7m c\u00f3 \u0111\u00fang gi\u1ea3i ph\u1eabu kh\u00f4ng.
\nC\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady khoan \u0111\u01b0\u1eddng h\u00e2m ch\u00e0y c\u1ee7a b\u00f3 sau trong song song v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y c\u1ee7a b\u00f3 tr\u01b0\u1edbc ngo\u00e0i, cao h\u01a1n \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y c\u1ee7a b\u00f3 tr\u01b0\u1edbc ngo\u00e0i kho\u1ea3ng 3 – 4mm \u0111\u1ec3 tr\u00e1nh v\u1ee1 x\u01b0\u01a1ng gi\u1eefa hai \u0111\u01b0\u1eddng h\u1ea7m.<\/p>\n

\"V\u1ecb
V\u1ecb tr\u00ed \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y c\u1ee7a BTN v\u00e0 BST<\/figcaption><\/figure>\n

 <\/p>\n

\"H\u00ecnh
H\u00ecnh \u1ea3nh \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y c\u1ee7a BTN v\u00e0 BST tr\u00ean c\u1ed9ng h\u01b0\u1edfng t\u1eeb (A) v\u00e0 tr\u00ean n\u1ed9i soi kh\u1edbp (B)<\/figcaption><\/figure>\n

Lu\u1ed3n v\u00e0 c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p: M\u1ea3nh gh\u00e9p \u0111\u01b0\u1ee3c k\u00e9o t\u1eeb ngo\u00e0i v\u00e0o \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y \u0111\u1ec3 v\u00e0o kh\u1edbp g\u1ed1i r\u1ed3i l\u00ean \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i. C\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p tr\u00ean \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i tr\u01b0\u1edbc v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc b\u1eb1ng v\u00edt ch\u1eb9n t\u1ef1 ti\u00eau. C\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p tr\u00ean \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y sau v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p c\u1ea3 v\u00edt ch\u1eb9n t\u1ef1 ti\u00eau v\u00e0 d\u1ee5ng c\u1ee5 c\u1ed1 \u0111\u1ecbnh g\u00e2n v\u00e0o h\u00e0nh x\u01b0\u01a1ng ch\u00e0y (stabler). Hai m\u1ea3nh gh\u00e9p \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh \u1edf hai t\u01b0 th\u1ebf c\u0103ng kh\u00e1c nhau. B\u00f3 tr\u01b0\u1edbc ngo\u00e0i \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh \u1edf t\u01b0 th\u1ebf g\u1ed1i g\u1ea5p 70 – 90 \u0111\u1ed9, x\u01b0\u01a1ng ch\u00e0y xoay ngo\u00e0i v\u00e0 th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p ng\u0103n k\u00e9o tr\u01b0\u1edbc. B\u00f3 sau trong \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh \u1edf t\u01b0 th\u1ebf g\u1ed1i du\u1ed7i, c\u00f3 th\u1ec3 du\u1ed7i qu\u00e1 5-10 \u0111\u1ed9, m\u00e2m ch\u00e0y \u0111\u01b0\u1ee3c k\u00e9o nh\u1eb9 ra ph\u00eda tr\u01b0\u1edbc. Sau c\u1ed1 \u0111\u1ecbnh DCCS sau t\u1ea1o h\u00ecnh \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng n\u1ed9i soi kh\u1edbp g\u1ed1i v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ebf ch\u1eafc ch\u1eafn kh\u00f4ng c\u00f2n d\u1ea5u hi\u1ec7u ng\u0103n k\u00e9o sau.<\/p>\n

\"H\u00ecnh
H\u00ecnh \u1ea3nh DCCS sau khi t\u1ea1o h\u00ecnh<\/figcaption><\/figure>\n

2.2 K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS hai b\u00f3 ki\u1ec3u lai<\/h3>\n

C\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u1ea1o h\u00ecnh DCCT, DCCS k\u1ef9 thu\u1eadt hai b\u00f3 ki\u1ec3u lai c\u0169ng s\u1eed d\u1ee5ng m\u1ed9t \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng ch\u00e0y v\u00e0 hai \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng \u0111\u00f9i. K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS hai b\u00f3 ki\u1ec3u lai c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng khoan \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y ho\u1eb7c g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y. K\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 v\u1edbi b\u1ed1n \u0111\u01b0\u1eddng h\u1ea7m ri\u00eang bi\u1ec7t nh\u01b0ng thay v\u00ec khoan hai \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y th\u00ec trong ph\u1eabu thu\u1eadt n\u00e0y ch\u1ec9 t\u1ea1o h\u1ec9nh 1 \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y duy nh\u1ea5t n\u1eb1m \u0111\u00f9ng t\u00e2m di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS nguy\u00ean th\u1ee7y<\/p>\n

\"T\u1ea1o
T\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau hai b\u00f3 ki\u1ec3u lai v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y<\/figcaption><\/figure>\n

Xem th\u00eam: \u0110\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau, khi n\u00e0o c\u1ea7n ph\u1eabu thu\u1eadt?<\/a><\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n

    \n
  1. Clancy W.G.J., Shelboume K.D., Zoellner G.B., et al. (1983). Treatment of knee joint instability secondary to rupture of t|ie posterior cruciate ligament. Report of a new procedure. JBJS, 65(3), 310.<\/li>\n
  2. Fanelli G.c. (2004). Transtibial tunel posterior cruciate ligament reconstruction, Textbook of Arthroscopy, Saunders, An Imprint of Elsevier, 893- 925.<\/li>\n
  3. Ahn J,-H, and Ha c.w. (2000). Posterior trans-septal portal for arthroscopic surgery of the knee joint. Arthrose J Arthrose Relat Surg, 16(7), 774\u2014779.<\/li>\n
  4. Ahn J,H. (2006). Arthroscopic Transtibial Posterior Cruciate Ligament Reconstruction With Preservation of Posterior Cruciate Ligament Fibers: Clinical Results of Minimum 2-Year Follow-up. Am J Sports Med, 34(2), 194-204.<\/li>\n
  5. Berg E.E. Posterior cruciate ligament tibial inlay reconstruction. Arthroscopy. 1995;11: 69-76.<\/li>\n
  6. Rauh M.A., Bergfeld G.A., Wind W.M., Parker R.D (2008). Inlay posterior cruciate ligament reconstruction, Reconstructive Knee Surgery, 3rd edition, Lippincotl Williams & Wilkins, 254- 263.<\/li>\n
  7. Adler G.G. (2013). AlUInside Posterior Cruciate Ligament Reconstruction With a GraftLink. Arthrose Tech, 2(2), ell 1-el 15.<\/li>\n
  8. Slullitel D., Galan H., Ojeda v., et al. (2012). Double-Bundle \u201cAll-Inside\u201d Posterior Cruciate Ligament Reconstruction. Arthrose Tech. 1(2), e 141 e 148.<\/li>\n
  9. Stannard J.p, and Cook J.L. (2015). Tibial Iniay Posterior Cruciate Ligament Reconstruction: Advances to a New Technique. Oper Tech Spoits Med, 23(4), 298-301.<\/li>\n<\/ol>\n
    \n

    <\/p>\n

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

    K\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau m\u1ed9t b\u00f3 v\u00e0 hai b\u00f3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o h\u00ecnh d\u1ef1a v\u00e0o s\u1ed1 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng h\u1ea7m. V\u1edbi m\u1ed7i m\u1ed9t k\u1ef9 thu\u1eadt, c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean c\u0169ng d\u1ef1a tr\u00ean c\u1ea5u tr\u00fac gi\u1ea3i ph\u1ea9u, ch\u1ee9c n\u0103ng v\u00e0 nguy\u00ean t\u1eafc c\u1ee7a t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau \u0111\u1ec3 ph\u1eabu thu\u1eadt. 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