ĐÁNH GIÁ KẾT QUẢ THAY KHỚP HÁNG VỚI KỸ THUẬT KHÂU TĂNG CƯỜNG BAO KHỚP BẰNG CHỈ SIÊU BỀN TẠI BỆNH VIỆN QUÂN Y 121

Abstract

Objective: To evaluate the outcomes of hip arthroplasty using a high-strength suture technique to reinforce the joint capsule at Military Hospital 121. Methods: A prospective cross-sectional study with longitudinal follow-up was conducted on 71 patients (75 hips) who underwent total or partial hip arthroplasty between March 2020 and March 2022. Postoperative recovery was assessed using the Harris Hip Score at 1, 3, and 6 months, and intra- and postoperative complications were recorded. Results: Patients aged over 60 years accounted for 45.1%, with an almost equal sex distribution. The main causes were femoral neck fracture (45.3%) and avascular necrosis of the femoral head (32%). Good to excellent outcomes were achieved in 88% of hips, fair in 9.3%, and average in 2.7%. Postoperative dislocation rate was low (1.3%), and most limb length discrepancies were <1 cm (57.1%). Other complications included deep vein thrombosis (5.33%), peroneal nerve injury (2.67%), and superficial infection (1.3%). Conclusion: Reinforcing the hip joint capsule with high-strength sutures significantly improves postoperative function, reduces pain, and minimizes early complications.