{"id":3208,"date":"2023-04-10T01:03:51","date_gmt":"2023-04-09T18:03:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3208"},"modified":"2023-04-10T11:02:59","modified_gmt":"2023-04-10T04:02:59","slug":"chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/","title":{"rendered":"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n"},"content":{"rendered":"<p><strong>Thay kh\u1edbp vai b\u00e1n ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 thay th\u1ebf m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c tho\u00e1i h\u00f3a. Thay kh\u1edbp vai b\u00e1n ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch lo\u1ea1i b\u1ecf c\u00e1c b\u1ed9 ph\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng, v\u00ed d\u1ee5 nh\u01b0 b\u00f3 c\u01a1 ho\u1eb7c m\u00f4 m\u1ec1m xung quanh kh\u1edbp, sau \u0111\u00f3 s\u1eed d\u1ee5ng c\u00e1c b\u1ed9 ph\u1eadn nh\u00e2n t\u1ea1o \u0111\u1ec3 thay th\u1ebf ph\u1ea7n b\u1ecb t\u1ed5n th\u01b0\u01a1ng. B\u00e0i vi\u1ebft n\u00e0y, ch\u00fang t\u00f4i cung c\u1ea5p cho b\u1ea1n \u0111\u1ecdc th\u00f4ng tin ki\u1ebfn th\u1ee9c li\u00ean quan \u0111\u1ebfn thay kh\u1edbp vai b\u00e1n ph\u1ea7n.<\/strong><\/p>\n<p><strong>T\u00e1c gi\u1ea3:<\/strong> PGS.TS Tr\u1ea7n Trung D\u0169ng<\/p>\n<h3><strong>1. \u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai b\u00e1n ph\u1ea7n<\/strong><\/h3>\n<p>Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay th\u1ebf m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i, trong \u0111\u00f3 ph\u1ea7n \u1ed5 ch\u1ea3o x\u01b0\u01a1ng c\u00e1nh tay v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n. D\u1ef1a v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m c\u1ea5u t\u1ea1o m\u00e0 chia kh\u1edbp vai b\u00e1n ph\u1ea7n th\u00e0nh 2 lo\u1ea1i ch\u00ednh \u0111\u00f3 l\u00e0: kh\u1edbp vai b\u00e1n ph\u1ea7n ch\u1ec9 t\u00e1i t\u1ea1o b\u1ec1 m\u1eb7t kh\u1edbp v\u00e0 kh\u1edbp vai b\u00e1n ph\u1ea7n c\u1ecf chu\u00f4i. <a href=\"http:\/\/Vinmec.com\">Thay kh\u1edbp vai<\/a> b\u00e1n ph\u1ea7n c\u00f3 chu\u00f4i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn t\u1eeb l\u00e2u trong \u0111\u1ea5y ph\u1ea7n ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng m\u1ed9t ch\u1ecfm c\u1ea7u kim lo\u1ea1i v\u00e0 c\u00f3 ph\u1ea7n chu\u00f4i \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh v\u00e0o trong l\u00f2ng \u1ed1ng t\u1ee7y x\u01b0\u01a1ng c\u00e1nh tay, nh\u01b0 v\u1eady lo\u1ea1i kh\u1edbp n\u00e0y c\u00f3 th\u1ec3 b\u00f9 v\u00e0o ph\u1ea7n chi\u1ec1u d\u00e0i x\u01b0\u01a1ng c\u00e1nh tay b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Kh\u1edbp vai thay th\u1ebf b\u1ec1 m\u1eb7t t\u1ee9c l\u00e0 ch\u1ec9 ph\u1ea7n ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng m\u1ed9t ch\u1ecfm c\u1ea7u, kh\u00f4ng c\u00f3 s\u1ef1 can thi\u1ec7p v\u00e0o ph\u1ea7n c\u1ed5 hay th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay. T\u00f9y thu\u1ed9c v\u00e0o th\u01b0\u01a1ng t\u1ed5n c\u1ee7a b\u1ec7nh nh\u00e2n m\u00e0 b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh t\u1eebng lo\u1ea1i kh\u1edbp cho ph\u00f9 h\u1ee3p.<\/p>\n<p><strong>2. Ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<p><strong>2.1. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<p><strong><em>2.1.1.<\/em> G\u00e3y ph\u1ee9c t\u1ea1p \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n<ul>\n<li>G\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay 3, 4 m\u1ea3nh. Theo ph\u00e2n lo\u1ea1i Neer (1970) nh\u00f3m 4, 5, 6.<\/li>\n<li>G\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay t\u1ed5n th\u01b0\u01a1ng &gt; 40% m\u1eb7t kh\u1edbp.<\/li>\n<li>G\u00e3y Neer 3 \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i v\u00e0 lo\u00e3ng x\u01b0\u01a1ng.<\/li>\n<li>G\u00e3y c\u1ed5 ph\u1eabu thu\u1eadt g\u00e3y nhi\u1ec1u m\u1ea3nh nh\u1ecf kh\u00f4ng th\u1ec3 k\u1ebft h\u1ee3p x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<p><strong><em>2.1.2.<\/em> Vi\u00eam tho\u00e1i h\u00f3a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n<ul>\n<li>Vi\u00eam tho\u00e1i h\u00f3a \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay giai \u0111o\u1ea1n 3,4<\/li>\n<\/ul>\n<p><strong><em>2.1.3. <\/em>U \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p u \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay g\u00e2y ph\u00e1 h\u1ee7y x\u01b0\u01a1ng \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p><strong>2.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<ul>\n<li>G\u00e3y x\u01b0\u01a1ng h\u1edf<\/li>\n<li>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n<\/li>\n<li>B\u1ec7nh l\u00fd n\u1ed9i khoa ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh g\u00e2y m\u00ea h\u1ed3i s\u1ee9c<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m n\u1eb7ng<\/li>\n<li>G\u00e3y nhi\u1ec1u x\u01b0\u01a1ng, nhi\u1ec1u v\u1ecb tr\u00ed tr\u00ean c\u00f9ng m\u1ed9t tay<\/li>\n<li>\u00e1c b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh giai \u0111o\u1ea1n cu\u1ed1i.<\/li>\n<li>B\u1ecb li\u1ec7t \u0111\u00e1m r\u1ed1i c\u00e1nh tay c\u00f9ng b\u00ean ho\u1eb7c li\u1ec7t n\u1eeda ng\u01b0\u1eddi c\u00f9ng b\u00ean.<\/li>\n<li>G\u00e3y x\u01b0\u01a1ng b\u1ec7nh l\u00fd \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay (kh\u00f4ng do lo\u00e3ng x\u01b0\u01a1ng.)<\/li>\n<\/ul>\n<p><strong>3. \u0110\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n<p>Th\u0103m kh\u00e1m b\u1ec7nh nh\u00e2n t\u1ec9 m\u1ec9, ch\u00fa \u00fd \u0111\u1ebfn nguy\u00ean nh\u00e2n g\u00e2y g\u00e3y x\u01b0\u01a1ng, xem x\u00e9t c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan, th\u0103m kh\u00e1m \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 th\u1ea7n kinh n\u00e1ch (t\u1ec9 l\u1ec7 g\u1eb7p kho\u1ea3ng 36% v\u00e0 kho\u1ea3ng 90% t\u1ed5n th\u01b0\u01a1ng t\u1ef1 ph\u1ee5c h\u1ed3i sau 4 th\u00e1ng).<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ee5p X-quang 03 t\u01b0 th\u1ebf, n\u1ebfu c\u1ea7n n\u00ean ch\u1ee5p CT scanner \u0111\u1ec1 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng b\u1ec1 m\u1eb7t ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng c\u1ee7a \u1ed5 ch\u1ea3o.<\/p>\n<p>&#8211; \u0110o chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a x\u01b0\u01a1ng c\u00e1nh tay b\u00ean l\u00e0nh v\u00e0 b\u00ean b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<figure style=\"width: 484px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/BY6Wa2t.png\" alt=\"Minh ho\u1ea1 \u0111o chi\u1ec1u d\u00e0i x\u01b0\u01a1ng c\u00e1nh tay\" width=\"484\" height=\"425\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 \u0111o chi\u1ec1u d\u00e0i x\u01b0\u01a1ng c\u00e1nh tay<\/figcaption><\/figure>\n<p>B\u1ec7nh <strong>nh\u00e2n <\/strong>\u0111\u01b0\u1ee3c d\u00f9ng kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt, d\u00f9ng thu\u1ed1c gi\u1ea3m ph\u00f9 n\u1ec1, nh\u1ecbn \u0103n m\u1ed9t ng\u00e0y tr\u01b0\u1edbc m\u1ed5, v\u1ec7 sinh, gi\u1ea3i th\u00edch k\u1ef9 thu\u1eadt m\u1ed5, l\u00e0m \u0111\u1ea7y \u0111\u1ee7 th\u1ee7 t\u1ee5c, k\u00fd cam \u0111oan, \u0111o chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a x\u01b0\u01a1ng c\u00e1nh tay b\u00ean l\u00e0nh.<\/p>\n<p><strong>4. K\u1ef9 thu\u1eadt m\u1ed5<\/strong><\/p>\n<p><strong>4.1.<\/strong> <strong>Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n<\/strong><\/p>\n<h3>4.1. <strong><em>T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n v\u00e0 v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt vi\u00ean<\/em><\/strong><\/h3>\n<ul>\n<li>\u00a0T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n:<\/li>\n<\/ul>\n<p>&#8211;\u00a0 B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, ph\u1ea7n th\u00e2n m\u00ecnh \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh v\u1eefng v\u00e0o b\u00e0n ph\u1eabu thu\u1eadt v\u00e0 t\u1ea1o v\u1edbi m\u1eb7t ph\u1eb3ng ngang m\u1ed9t g\u00f3c 45-&gt;600.<\/p>\n<p>C\u00e1nh tay b\u00ean ph\u1eabu thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1ec3 ra ngo\u00e0i b\u00e0n ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u00fap cho thao t\u00e1c xoay ngo\u00e0i v\u00e0 xoay trong ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng.<\/p>\n<ul>\n<li>\u00a0V\u1ecb tr\u00ed ph\u1eabu thu\u1eadt vi\u00ean (PTV):<\/li>\n<\/ul>\n<p>&#8211; PTV ch\u00ednh v\u00e0 ph\u1ee5 m\u1ed9t \u0111\u1ee9ng c\u00f9ng bcn v\u1edbi b\u00ean c\u1ea7n ph\u1eabu thu\u1eadt<\/p>\n<p>&#8211; PTV ch\u00ednh \u0111\u1ee9ng v\u1ec1 ph\u00eda d\u01b0\u1edbi vai, ng\u01b0\u1eddi ph\u1ee5 th\u1ee9 nh\u1ea5t \u0111\u1ee9ng ngang vai b\u1ec7nh nh\u00e2n<\/p>\n<p>&#8211; Ph\u1ee5 th\u1ee9 hai \u0111\u1ee9ng b\u00ean \u0111\u1ed1i di\u1ec7n ng\u01b0\u1eddi ph\u1ee5 th\u1ee9 nh\u1ea5t, ng\u01b0\u1eddi ph\u1ee5 d\u1ee5ng c\u1ee5 \u0111\u1ee9ng \u0111\u1ed1i di\u1ec7n b\u00ean v\u1edbi PTV ch\u00ednh.<\/p>\n<figure style=\"width: 653px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/rTuwar6.png\" alt=\"Minh ho\u1ea1 ng\u01b0\u1eddi ph\u1ee5 m\u1ed5 th\u1ee9 2\" width=\"653\" height=\"436\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 ng\u01b0\u1eddi ph\u1ee5 m\u1ed5 th\u1ee9 2<\/figcaption><\/figure>\n<h3>4.2. V\u00f4 c\u1ea3m<\/h3>\n<p>&#8211;\u00a0 G\u00e2y m\u00ea to\u00e0n th\u00e2n l\u00e0 t\u1ed1t nh\u1ea5t, <strong>c\u00f3 <\/strong>th\u1ec3 g\u00e2y t\u00ea v\u00f9ng.<\/p>\n<h3>4.3. C\u00e1c th\u00ec c\u1ee7a ph\u1eabu thu\u1eadt<\/h3>\n<p><strong><em>4.3.1.<\/em> <em>\u0110\u01b0\u1eddng m\u1ed5 v\u00e0 c\u00e1ch x\u1eed tr\u00ed m\u1ea3nh v\u1ee1 c\u1ee7 l\u1edbn, c\u1ee7 b\u00e9 x\u01b0\u01a1ng c\u00e1nh tay<\/em><\/strong><\/p>\n<ul>\n<li>\u0110\u00e1nh d\u1ea5u m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong v\u00e0 tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i<\/li>\n<\/ul>\n<figure style=\"width: 443px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/Tr9yH8m.png\" alt=\"H\u00ecnh 9.3: \u0110\u00e1nh d\u1ea5u \u0111i\u1ebfm tr\u00ean l\u1ed3i c\u1ea7u trong v\u00e0 tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i\" width=\"443\" height=\"272\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.3: \u0110\u00e1nh d\u1ea5u \u0111i\u1ebfm tr\u00ean l\u1ed3i c\u1ea7u trong v\u00e0 tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i<\/figcaption><\/figure>\n<ul>\n<li>\u0110\u01b0\u1eddng m\u1ed5 theo r\u00e3nh Delta ng\u1ef1c t\u1eeb ngay b\u1edd d\u01b0\u1edbi \u0111i\u1ec3m n\u1ed1i 1\/3 ngo\u00e0i v\u00e0 1\/3 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n, d\u00e0i 10-&gt; 15 cm.<\/li>\n<\/ul>\n<figure style=\"width: 795px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/6fWkMEJ.png\" alt=\"H\u00ecnh 9.4. \u0110\u01b0\u1eddng r\u1ea1ch da\" width=\"795\" height=\"259\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.4. \u0110\u01b0\u1eddng r\u1ea1ch da<\/figcaption><\/figure>\n<ul>\n<li>Ph\u1eabu t\u00edch qua r\u00e3nh Delta ng\u1ef1c b\u1ed9c l\u1ed9 v\u00f9ng g\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay.<\/li>\n<\/ul>\n<figure style=\"width: 440px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/9u1tT3J.png\" alt=\"H\u00ecnh 9.5: Ph\u1eabu t\u00edch v\u00e0o r\u00e3nh Delta ng\u1ef1c\" width=\"440\" height=\"296\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.5: Ph\u1eabu t\u00edch v\u00e0o r\u00e3nh Delta ng\u1ef1c<\/figcaption><\/figure>\n<p><strong>4.3.2. \u00a0 X\u00e1c \u0111\u1ecbnh v\u00e0 c\u00e1ch x\u1eed tr\u00ed m\u1ea3nh v\u1ee1 c\u1ee7 l\u1edbn, c\u00f9 b\u1ebb x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n<p>&#8211; D\u00f9ng elevator \u0111\u1ea7u t\u00f9 b\u00e2y v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ea3nh g\u00e0y c\u1ee7a c\u1ee7 l\u1edbn v\u00e0 c\u1ee7 b\u00e9 x\u01b0\u01a1ng c\u1ea3nh tay. Trong ki\u1ec3u g\u00e3y 4 m\u1ea3nh ( neer type 4) th\u00ec c\u1ee7 b\u00e9 x\u01b0\u01a1ng c\u00e1nh tay c\u00f9ng v\u1edbi \u0111i\u1ec3m b\u00e1m c\u1ee7a g\u00e2n d\u01b0\u1edbi vai th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn m\u1ed9t m\u1ea3nh g\u00e3y. Do v\u1eady ki\u1ec3m so\u00e1t c\u1ee7 b\u00e9 x\u01b0\u01a1ng c\u00e1nh tay c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch x\u00e1c \u0111\u1ecbnh c\u1ee7 x\u01b0\u01a1ng c\u00f3 g\u00e2n d\u01b0\u1edbi vai \u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 ngay sau g\u00e2n qu\u1ea1 c\u00e1nh tay v\u00e0 \u0111\u1ea7u ng\u1eafn g\u00e2n nh\u1ecb \u0111\u1ea7u.<\/p>\n<figure style=\"width: 425px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/K0kE1SL.png\" alt=\"H\u00ecnh 9.6: Ph\u00e2n t\u00edch ki\u00eam so\u00e1t c\u1ee7 l\u1edbn v\u1edd c\u1ee7 b\u00e9\" width=\"425\" height=\"249\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.6: Ph\u00e2n t\u00edch ki\u00eam so\u00e1t c\u1ee7 l\u1edbn v\u1edd c\u1ee7 b\u00e9<\/figcaption><\/figure>\n<p>&#8211; Kh\u00e2u s\u1ee3i ch\u1ec9 ch\u1edd s\u1ed1 1 (si\u00eau b\u1ec1n) m\u1ed9t \u0111\u1ea7u s\u1ee3i \u1edf ph\u00eda tr\u00ean v\u00e0 \u0111\u1ea7u m\u1ed9t s\u1ee3i \u1edf ph\u00eda d\u01b0\u1edbi qua ph\u1ea7n g\u00e2n d\u01b0\u1edbi vai b\u00e1m v\u00e0o c\u1ee7 b\u00e9.<\/p>\n<p>&#8211; \u0110\u00e1nh tr\u1eadt kh\u1edbp vai ho\u1eb7c t\u00e1ch gi\u1eefa c\u00e1c m\u1ea3nh g\u00e3y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ea3nh v\u1ee1 c\u1ee7a b\u1ec1 m\u1eb7t kh\u1edbp ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p>&#8211; D\u00f9ng k\u1eb9p l\u1ea5y b\u1ecf m\u1ea3nh v\u1ee1 c\u1ee7a b\u1ec1 m\u1eb7t ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 c\u00e1c m\u1ea3nh v\u1ee1 nh\u1ecf.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.imgur.com\/jPThF2j.png\" \/><\/p>\n<p>&#8211; X\u00e1c \u0111\u1ecbnh c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay: Th\u01b0\u1eddng n\u1eb1m ph\u00eda sau c\u1ee7a kh\u1edbp vai, th\u00f4ng th\u01b0\u1eddng c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 n\u01a1i c\u00f3 v\u1ecf x\u01b0\u01a1ng c\u1ee9ng m\u1ecfng v\u1eady n\u00ean ph\u1ea3i c\u1ea9n th\u1eadn trong thao t\u00e1c \u0111\u1ec3 tr\u00e1nh g\u00e2y v\u1ee1.<\/p>\n<p>Kh\u00e2u 02 ch\u1ec9 ch\u1edd qua ch\u1ed7 b\u00e1m c\u1ee7a g\u00e2n ch\u00f3p xoay v\u00e0o c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p>C\u00e1c s\u1ee3i ch\u1ec9 ch\u1edd s\u1ebd gi\u00fap cho d\u1ec5 d\u00e0ng ki\u1ec3m so\u00e1t c\u1ee7 l\u1edbn, v\u00e0 gi\u00fap cho qu\u00e1 tr\u00ecnh c\u1ed1 \u0111\u1ecbnh c\u1ea3 c\u1ee7 l\u1edbn v\u00e0 c\u1ee7 b\u00e9 x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<figure style=\"width: 576px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/BgAVekG.png\" alt=\"H\u00ecnh 9.8: Ki\u1ebfm so\u00e1t c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u1ea3nh tay b\u1eb1ng 2 ch\u1ec9 ch\u1edd v\u00e0o c\u1ee7 l\u1edbn x\u01b0\u01a1ngc\u00e1nh tay\" width=\"576\" height=\"386\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.8: Ki\u1ebfm so\u00e1t c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u1ea3nh tay b\u1eb1ng 2 ch\u1ec9 ch\u1edd v\u00e0o c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay<\/figcaption><\/figure>\n<p><strong>4.3.3. \u00a0 X\u00e1c \u0111\u1ecbnh v\u00e0 chu\u1ea9n b\u1ecb th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n<p>&#8211; Sau khi \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u1ee7 l\u1edbn v\u00e0 c\u1ee7 b\u00e9 x\u01b0\u01a1ng c\u00e1nh tay, ti\u1ebfn h\u00e0nh b\u1ed9c l\u1ed9 \u0111\u1ea7u tr\u00ean, x\u00e1c \u0111\u1ecbnh th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p>&#8211; Ti\u1ebfn h\u00e0nh roa l\u00f2ng \u1ed1ng t\u1ee7y x\u01b0\u01a1ng c\u00e1nh tay nh\u1eb9 nh\u00e0ng t\u0103ng d\u1ea7n, tr\u00e1nh th\u00f4 b\u1ea1o c\u00f3 th\u1ec3 g\u00e2y g\u00e3y x\u01b0\u01a1ng v\u00ec \u0111a ph\u1ea7n b\u1ec7nh nh\u00e2n c\u00f3 lo\u00e3ng x\u01b0\u01a1ng. \u0110\u01b0\u1eddng k\u00ednh c\u1ee7a l\u00f2ng \u1ed1ng tu\u1ef7 roa s\u1ebd t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a chu\u00f4i x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p>Roa \u1ed1ng tu\u1ef7 t\u1edbi khi \u0111\u1eb7t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng k\u00ednh roa l\u1edbn nh\u1ea5t m\u00e0 m\u0169i roa c\u00f3 th\u1ec3 \u0111i trong l\u00f2ng \u1ed1ng tu\u1ef7 kh\u00f4ng kh\u00f3 kh\u0103n. Th\u01b0\u1eddng ch\u1ecdn \u0111\u01b0\u1eddng k\u00ednh chu\u00f4i c\u00e1nh tay th\u1eadt nh\u1ecf h\u01a1n \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a roa \u1ed1ng tu\u1ef7, tr\u00e1nh ch\u1ecdn \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a chu\u00f4i x\u01b0\u01a1ng c\u00e1nh tay th\u1eadt qu\u00e1 nh\u1ecf \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra chu\u00f4i c\u00e1nh tay v\u1eb9o trong ho\u1eb7c v\u1eb9o ngo\u00e0i<\/p>\n<figure style=\"width: 310px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/y3dcVIT.png\" alt=\"H\u00ecnh 9.9: Roa l\u00f2ng \u1ed1ng t\u1ee7y\" width=\"310\" height=\"452\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.9: Roa l\u00f2ng \u1ed1ng t\u1ee7y<\/figcaption><\/figure>\n<h3><em>4.3.4.<\/em> \u00a0 L\u1ef1a ch\u1ecdn chu\u00f4i v\u00e0 ch\u1ecfm c\u00e1nh tay thay th\u1ebf<\/h3>\n<p>&#8211; Th\u01b0\u1eddng l\u1ef1a ch\u1ecdn \u0111\u01b0\u1eddng k\u00ednh chu\u00f4i c\u00e1nh tay th\u1eed nh\u1ecf h\u01a1n \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a roa \u1ed1ng tu\u1ef7, tr\u00e1nh ch\u1ecdn \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a chu\u00f4i x\u01b0\u01a1ng c\u00e1nh tay qu\u00e1 nh\u1ecf \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ebf g\u00e2y ra chu\u00f4i c\u00e1nh tay v\u1eb9o trong ho\u1eb7c v\u1eb9o ngo\u00e0i. Ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay v\u1ee1 th\u01b0\u1eddng c\u00f3 d\u1ea1ng h\u00ecnh tr\u1ee9ng v\u1edbi m\u1ed9t \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf v\u00e0 m\u1ed9t \u0111\u01b0\u1eddng k\u00ednh l\u1edbn h\u01a1n. Ch\u1ecdn k\u00edch th\u01b0\u1edbc c\u1ee7a ch\u1ecfm \u00a0x\u01b0\u01a1ng c\u00e1nh tay nh\u00e2n t\u1ea1o t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u01b0\u1eddng k\u00ednh nh\u1edf c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay v\u1ee1, tr\u00e1nh ch\u1ecdn \u0111\u01b0\u1eddng k\u00ednh qu\u00e1 l\u1edbn s\u1ebd d\u1eabn t\u1edbi m\u1ea5t \u0111\u1ed3ng nh\u1ea5t v\u1edbi c\u1ee7 l\u1edbn v\u00e0 c\u1ee7 b\u00e9<\/p>\n<h3>4.3.5. \u00a0 V\u1ecb tr\u00ed c\u1ee7a kh\u1edbp nh\u00e2n t\u1ea1o<\/h3>\n<p>&#8211; S\u1eed d\u1ee5ng khung \u0111\u1ecbnh v\u1ecb, x\u00e1c \u0111\u1ecbnh tr\u1ee5c x\u01b0\u01a1ng c\u00e1nh tay v\u1edbi t\u01b0 th\u1ebf khu\u1ef7u vu\u00f4ng g\u00f3c, c\u1eb3ng tay ng\u1eeba v\u00e0 g\u00f3c ng\u1ea3 sau c\u1ee7a c\u1ed5, th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay trong kho\u1ea3ng 20&#8243; \u2013 30&#8243;<\/p>\n<p>&#8211; \u0110\u00e1nh d\u1ea5u c\u00e1c ch\u1ec9 s\u1ed1 v\u1ec1 k\u00edch th\u01b0\u1edbc ch\u1ecfm, v\u1ecb tr\u00ed g\u00f3c nghi\u00eang v\u00e0 chi\u1ec1u d\u00e0i c\u1ee7a stem trong th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay v\u1edbi d\u1ee5ng c\u1ee5 th\u1eed<\/p>\n<figure style=\"width: 692px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/J8WU5uL.png\" alt=\"H\u00ecnh 9,10: \u0110o chi\u1ec1u d\u00e0i c\u1ee7a chu\u00f4i trong l\u1ecfng \u1ed5ng t\u1ee7y\" width=\"692\" height=\"516\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9,10: \u0110o chi\u1ec1u d\u00e0i c\u1ee7a chu\u00f4i trong l\u1ecfng \u1ed5ng t\u1ee7y<\/figcaption><\/figure>\n<p>&#8211; Ti\u1ebfn h\u00e0nh \u0111o x\u00e1c \u0111\u1ecbnh chi\u1ec1u cao th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay d\u1ef1a v\u00e0o m\u1ed1c l\u00e0 \u0111i\u1ec3m tr\u00ean l\u1ed3i c\u1ea7u trong v\u00e0 \u0111i\u1ec3m tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i (d\u1ef1a tr\u00ean s\u1ed1 \u0111o chi\u1ec1u d\u00e0i c\u1ee7a tay l\u00e0nh). T\u1eeb \u0111\u00f3 x\u00e1c \u0111\u1ecbnh chi\u1ec1u d\u00e0i ph\u1ea7n chu\u00f4i trong th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p>Ti\u1ebfn h\u00e0nh khoan 2 l\u1ed3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 2mm \u1edf m\u1eb7t tr\u01b0\u1edbc ngo\u00e0i th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay c\u00e1ch \u1ed5 g\u00e3y kho\u1ea3ng 1 cm v\u00e0 2 l\u1ed7 c\u00e1ch nhau \u00ed cm (2 l\u1ed7 n\u00e0y d\u00f9ng \u0111\u1ec3 lu\u1ed3n ch\u1ec9 ch\u1edf sau n\u00e0y d\u00f9ng \u0111\u1ec1 kh\u00e2u c\u1ed1 \u0111\u1ecbnh \u0111i\u1ec3m b\u00e1m ch\u00f3p xoay, bao kh\u1edbp ph\u00eda tr\u01b0\u1edbc v\u00e0 g\u00e2n c\u01a1 d\u01b0\u1edbi vai)<\/p>\n<figure style=\"width: 323px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/Q8MY5Ud.png\" alt=\"H\u00ecnh 9.11: \u0110\u00e1nh \u0111\u1ea9u v\u1ecb tr\u00ed g\u00f3c nghi\u00eang c\u1ee7a stem\" width=\"323\" height=\"413\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.11: \u0110\u00e1nh \u0111\u1ea9u v\u1ecb tr\u00ed g\u00f3c nghi\u00eang c\u1ee7a stem<\/figcaption><\/figure>\n<p>L\u1eafp n\u00fat ch\u1eb7n \u1ed1ng tu\u1ef7, ti\u1ebfn h\u00e0nh b\u01a1m xi m\u0103ng l\u00f2ng \u1ed1ng t\u1ee7y. L\u1eafp chu\u00f4i, ch\u00f2m v\u00e0 \u0111i\u1ec1u ch\u1ec9nh g\u00f3c c\u1ed3 ch\u1ecfm theo th\u00f4ng s\u1ed1 v\u00e0 v\u1ecb tr\u00ed \u0111\u00e3 \u0111\u00e1nh d\u1ea5u<\/p>\n<figure style=\"width: 559px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/y3dMNNZ.png\" alt=\"H\u00ecnh 9.12: Khoan l\u1ed7 lu\u1ed3n ch\u1ec9 ch\u1edd \u1edf th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay\" width=\"559\" height=\"360\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.12: Khoan l\u1ed7 lu\u1ed3n ch\u1ec9 ch\u1edd \u1edf th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay<\/figcaption><\/figure>\n<figure style=\"width: 283px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/kJ62b68.png\" alt=\"H\u00ecnh 9.13: c\u1ed1 \u0111\u1ecbnh kh\u1edbp nh\u00e2n t\u1ea1o\" width=\"283\" height=\"427\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.13: c\u1ed1 \u0111\u1ecbnh kh\u1edbp nh\u00e2n t\u1ea1o<\/figcaption><\/figure>\n<p><strong>4.3.6. N\u1eafn ch\u1ec9nh v\u00e0 c\u1ed5 \u0111\u1ecbnh c\u1ee7 x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n<p>&#8211; C\u1ed1 \u0111\u1ecbnh m\u1ea5u \u0111\u1ed9ng l\u1edbn, m\u1ea5u \u0111\u1ed9ng b\u00e9, c\u00e1c m\u1ea3nh x\u01b0\u01a1ng g\u00e3y l\u1edbn + gh\u00e9p x\u01b0\u01a1ng v\u00e0o v\u1ecb tr\u00ed \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay quanh chu\u00f4i theo gi\u1ea3i ph\u1eabu b\u1eb1ng ch\u1ec9 si\u00eau b\u1ec1n.<\/p>\n<p>&#8211; X\u01b0\u01a1ng gh\u00e9p n\u1eb1m d\u1ecdc theo tr\u1ee5c c\u1ee7a \u0111\u01b0\u1eddng g\u00e3y, th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh li\u1ec1n x\u01b0\u01a1ng c\u1ee7a c\u00f9 l\u1edbn v\u00e0 c\u1ee7 b\u00e9 v\u1edbi th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n<p>&#8211; Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y vi\u1ec7c c\u1ed1 \u0111\u1ecbnh v\u1eefng ch\u1eafc v\u00e0 ph\u1ee5c h\u1ed3i t\u1ed1t gi\u1ea3i ph\u1eabu gi\u00fap cho vi\u1ec7c t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 li\u1ec1n x\u01b0\u01a1ng t\u1ed1t h\u01a1n. T\u1eeb \u0111\u00f3 \u0111em \u0111\u1ebfn k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt t\u1ed1t h\u01a1n.<\/p>\n<p><figure style=\"width: 194px\" class=\"wp-caption alignleft\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/FBkLRMO.png\" alt=\"H\u00ecnh 9.14: Gh\u00e9p x\u01b0\u01a1ng quanh chu\u00f4i [3]\" width=\"194\" height=\"176\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.14: Gh\u00e9p x\u01b0\u01a1ng quanh chu\u00f4i [3]<\/figcaption><\/figure><img decoding=\"async\" src=\"https:\/\/i.imgur.com\/pINmyxw.png\" \/><\/p>\n<p>&nbsp;<\/p>\n<figure style=\"width: 789px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/yBcZq2A.png\" alt=\"H\u00ecnh 9,15: c\u1ed5 \u0111\u1ecbnh c\u00e1c m\u1ea3nh x\u01b0\u01a1ng quanh chu\u00f4i\" width=\"789\" height=\"294\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9,15: c\u1ed5 \u0111\u1ecbnh c\u00e1c m\u1ea3nh x\u01b0\u01a1ng quanh chu\u00f4i<\/figcaption><\/figure>\n<p>&#8211; \u0110\u1eb7t d\u1ea7n l\u01b0u v\u1ebft m\u1ed5.<\/p>\n<p>&#8211; Kh\u00e2u ph\u1ee5c h\u1ed3i c\u00e2n c\u01a1 v\u00e0 da theo t\u1eebng l\u1edbp gi\u1ea3i ph\u1eabu.<\/p>\n<figure style=\"width: 785px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/IykICca.png\" alt=\"H\u00ecnh 9. 16: Kh\u00e2u ph\u1ee5c h\u1ed3i da\" width=\"785\" height=\"436\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9. 16: Kh\u00e2u ph\u1ee5c h\u1ed3i da<\/figcaption><\/figure>\n<figure style=\"width: 321px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/4IXU6q5.png\" alt=\"H\u00ecnh 9.17: \u1ea2nh ch\u1ee5p C-arm ki\u1ec3m tra ngay sau m\u1ed5\" width=\"321\" height=\"427\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh 9.17: \u1ea2nh ch\u1ee5p C-arm ki\u1ec3m tra ngay sau m\u1ed5<\/figcaption><\/figure>\n<p style=\"text-align: center;\">Ngu\u1ed3n t\u00e1c gi\u1ea3<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thay kh\u1edbp vai b\u00e1n ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 thay th\u1ebf m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c tho\u00e1i h\u00f3a. Thay kh\u1edbp vai b\u00e1n ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch lo\u1ea1i b\u1ecf c\u00e1c b\u1ed9 ph\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng, v\u00ed d\u1ee5 nh\u01b0 b\u00f3 c\u01a1 ho\u1eb7c m\u00f4 m\u1ec1m xung quanh kh\u1edbp, sau \u0111\u00f3 s\u1eed d\u1ee5ng [&hellip;]<\/p>\n","protected":false},"author":6,"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>K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n - Vinmec<\/title>\n<meta name=\"description\" content=\"Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i\" \/>\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=\"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-09T18:03:51+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-10T04:02:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i.imgur.com\/BY6Wa2t.png\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/\",\"name\":\"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-09T18:03:51+00:00\",\"dateModified\":\"2023-04-10T04:02:59+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6\"},\"description\":\"Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6\",\"name\":\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g\",\"caption\":\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/phamvanhoa1612gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n - Vinmec","description":"Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n - Vinmec","og_description":"Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/","og_site_name":"Vinmec","article_published_time":"2023-04-09T18:03:51+00:00","article_modified_time":"2023-04-10T04:02:59+00:00","og_image":[{"url":"https:\/\/i.imgur.com\/BY6Wa2t.png"}],"author":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy","Est. reading time":"13 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/","name":"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-09T18:03:51+00:00","dateModified":"2023-04-10T04:02:59+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6"},"description":"Thay kh\u1edbp vai nh\u00e2n t\u1ea1o b\u00e1n ph\u1ea7n l\u00e0 thay m\u1ed9t ph\u1ea7n c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ee5 th\u1ec3 l\u00e0 thay th\u1ebf ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay b\u1eb1ng b\u1ed9 ph\u1eadn gi\u00e0 l\u00e0 kim lo\u1ea1i","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/chi-dinh-chong-chi-dinh-thay-khop-vai-ban-phan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"K\u1ef9 thu\u1eadt thay kh\u1edbp vai b\u00e1n ph\u1ea7n"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6","name":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g","contentUrl":"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g","caption":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/phamvanhoa1612gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/3208"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=3208"}],"version-history":[{"count":5,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/3208\/revisions"}],"predecessor-version":[{"id":3358,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/3208\/revisions\/3358"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=3208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=3208"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=3208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}