KẾT QUẢ PHẪU THUẬT NỘI SOI TÁI TẠO LẠI DÂY CHẰNG CHÉO TRƯỚC KHỚP GỐI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To evaluate the results of arthroscopic surgery to revision anterior cruciate ligament reconstruction of the knee at Viet Duc Hospital. Subjects and methods: Retrospective descriptive was conducted on 45 patients who had recurrent ACL tears of the knee and underwent ACL reconstruction at Viet Duc Hospital from January 2018 to June 2023. Results: The average age was 33.3 ± 8.9, mainly male (80%), the cause of ACL re-injury was most often due to accidents with a rate of 62.2%. Clinical symptoms: knee pain (100%), knee laxity (60%), associated meniscus injury (28.9%), degenerative injury of the femoral condyle and tibial plateau (17.8%). In this surgery, the long lateral peroneal tendon (60%) and the Hamstring tendon (38%) were used the most, the tendon graft had an average length of 61.11 ± 6.11 and an average diameter of 8.7 ± 1.0. After surgery, the Lachman and Pivot-Shift tests were negative in 100%, the IKDC score improved from C, D to A, B (100%). The Lysholm score improved from 42.8 ± 3.29 points to 88.9 ± 4.12 points. The average tibial plateau displacement was 2.01 ± 1.15 mm. Conclusion: Revision anterior cruciate ligament reconstruction has a high success rate, helping to reduce pain and improve knee function