KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ BONG DIỆN BÁM CHÀY DÂY CHẰNG CHÉO TRƯỚC KHỚP GỐI TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: To evaluate the result of arthroscopic treatment of anterior cruciate ligament tibial avulsion at Ha Noi Medical University hospital. Subjects and Methods: This was a cross-sectional descriptive study with longitudinal follow-up, combining both retrospective and prospective data on 33 patients diagnosed with anterior cruciate ligament (ACL) tibial avulsion fractures and treated arthroscopically at Hanoi Medical University Hospital from January 2019 to February 2025. Results: Among the 33 patients included in the study, the male-to-female ratio was 1:2. The mean age was 32.03 ± 16.07 years (range: 11–62 years), with the most common age group being 20–39 years (45.5%). The most frequent cause of injury was traffic accidents (69.7%). Most patients underwent surgery within 10 days of injury (81.8%). The most common injury classifications were type IIIA (42.5%) and IIIB (33.3%) according to the Meyers, McKeever, and Zaricznys classification. Preoperative Lysholm and IKDC scores were not assessed as most patients presented with acute injuries. Postoperatively, all avulsion fragments were anatomically fixed; no cases of surgical site infection occurred, and the mean hospital stay was 4.97 ± 2.11 days. Patients were followed up for an average of 26.3 months (range: 6–65 months). The mean postoperative Lysholm score was 92.12 ± 5.04 (range: 81–98); 54.5% of patients achieved excellent outcomes, and 39.4% achieved good outcomes, with no poor outcomes recorded. IKDC assessment showed that 93.9% of patients had knee function rated as excellent or good, and 6.1% rated as fair. Factors such as age, timing of surgery, and postoperative rehabilitation significantly influenced surgical outcomes and knee function. Conclusion: Arthroscopic treatment of ACL tibial avulsion fractures is a minimally invasive procedure that allows for stable fragment fixation, reduced hospital stay, and improved postoperative functional recovery. Further research with a larger sample size and longer follow-up is needed to enhance the objectivity and scientific validity of the study