ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI CHỨC NĂNG KHỚP GỐI SAU PHẪU THUẬT NỘI SOI TÁI TẠO DÂY CHẰNG CHÉO TRƯỚC TẠI BỆNH VIỆN ĐA KHOA BẠC LIÊU

Abstract

Introduction: Anterior cruciate ligament (ACL) injury is a common knee joint injury, frequently encountered in sports and traffic accidents. It affects mobility and can lead to muscle atrophy and joint degeneration. Arthroscopic ACL reconstruction with autograft is an effective method, yet there has been no research evaluating knee joint functional recovery after surgery at Bac Lieu General Hospital. Objective: The objective of this study is to evaluate knee joint functional recovery after arthroscopic ACL reconstruction at Bac Lieu General Hospital using a semitendinosus tendon autograft. Subjects and Methods: This is a prospective, cross-sectional descriptive study conducted with 20 patients who underwent arthroscopic ACL reconstruction at Bac Lieu General Hospital from June 2024 to February 2025. The evaluation parameters included knee extension and flexion limitations, muscle atrophy, thigh muscle strength, knee stability (IKDC), and knee function (Lysholm score). Results: After 6 months of surgery, the recovery indicators showed significant improvement: 100% of patients achieved knee extension under 3° and flexion under 5° (p < 0.001); 95% of patients showed muscle atrophy of less than 1 cm (p < 0.001); thigh extension and flexion muscle recovery reached grade 5 (p < 0.001). The knee stability assessment using IKDC showed that 100% of patients scored ≥ 12 (p < 0.001), and 95% achieved excellent results on the Lysholm score (p < 0.001). Conclusion: Arthroscopic ACL reconstruction with an autograft provides excellent recovery results, helping to restore knee function quickly and effectively, comparable to studies both within the country and internationally.