KẾT QUẢ PHẪU THUẬT TÁI TẠO DÂY CHẰNG CHÉO SAU BẰNG PHƯƠNG PHÁP NỘI SOI “TẤT CẢ BÊN TRONG” SỬ DỤNG ĐƯỜNG MỔ HAI LỐI TRƯỚC TẠI BỆNH VIỆN VIỆT ĐỨC, GIAI ĐOẠN 2018 - 2023

Abstract

To describe the surgical characteristics and postoperative follow-up results of patients with posterior cruciate ligament (PCL) rupture using the arthroscopic “all-inside” PCL reconstruction technique with two anterior portals, we conducted a study on 88 patients with PCL rupture treated at Viet Duc Hospital from 2018 to 2023. The study results showed that the patients were mainly male (78.4%), the average age was 31.4 ± 8.3 years old, the injury cause was due to traffic acidents (44.4%), the MRI location of the PCL rupture was in the thigh (46.6%), the trunk (37.5%) and there were no ligament, menicus contusions (63.6%). The average surgical time was 35.36 ± 4.81 minutes. 100% of patients used autologous tendon grafts with an average graft diameter of 7.96 ± 0.75 mm. After surgery, no cases of knee joint infection or surgical site infection were recorded. Patient follow-up showed that knee function and stability after arthroscopic DCCS reconstruction surgery improved significantly: The average Lysholm score increased from 45.5 ± 8.95 before surgery to 87.34 ± 10.68 points after surgery; the average IKDC 2000 score increased from 44.0 ± 7.91 before surgery to 85.18 ± 7.17 points after surgery; the average Tegner score for physical activity level increased from 2.69 ± 1.07 before surgery to 5.86 ± 1.48 points after surgery, with statistical significance.