ĐÁNH GIÁ BƯỚC ĐẦU KẾT QUẢ PHẪU THUẬT TÁI TẠO HAI DÂY CHẰNG CHÉO TRƯỚC VÀ CHÉO SAU KHỚP GỐI QUA NỘI SOI TẠI BỆNH VIỆN QUÂN Y 121

Abstract

Objective: To preliminarily evaluate the outcomes of arthroscopic one-stage reconstruction of both the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) of the knee. Methods: A cross-sectional descriptive study was conducted on 18 patients diagnosed with combined ACL and PCL ruptures treated at Military Hospital 121. The graft materials used included a quadrupled autologous gracilis and semitendinosus tendon bundle reinforced with ultra-high-strength sutures for PCL reconstruction, and a modified peroneus longus tendon reinforced with ultra-high-strength sutures for ACL reconstruction. Postoperative outcomes were assessed using the Lysholm knee scoring scale. Results: Eighteen patients (15 males and 3 females) with combined ACL and PCL injuries were included. The age group of 19–29 years accounted for 55.6% of cases. Magnetic resonance imaging (MRI) revealed a high rate of complete ruptures of both cruciate ligaments. Postoperative evaluation showed significant improvement in knee function according to the Lysholm score, with only three patients experiencing limited range of motion after surgery. Conclusion: Preliminary assessment of arthroscopic one-stage reconstruction of both ACL and PCL demonstrated substantial improvement in knee stability and function at three months postoperatively. However, due to the small sample size, further large-scale observational studies are necessary to confirm these findings.