KẾT QUẢ PHẪU THUẬT NỘI SOI TÁI TẠO DÂY CHẰNG CHÉO TRƯỚC KHỚP GỐI BẰNG KỸ THUẬT TẤT CẢ BÊN TRONG SỬ DỤNG GÂN ĐỒNG LOẠI TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: Assess the outcomes of all-inside ACL reconstruction with tenon allografts at Viet Duc Hospital. Methods: A descriptive cross-sectional study on 55 patients with ACL lesions who underwent all-inside ACL reconstruction with tendon allografts at Viet Duc Hospital from June 2019 to March 2021. Results: 55 patients, including 36 males (65.5%), 19 females (34.5%); The mean age was 36.24 ± 10.43, the lowest was 16 and the highest was 59; traffic accidents (40%), sports injuries (38.2%). The average Lysholm scores of patients preoperatively was: 45.04 ± 12.43 points. Knee MRI: 48 patients had complete ACL ruptures, 07 patients had a partial ACL tears, 14 patients with medial meniscus tears including, 15 patients with lateral meniscus tears, and 03 both meniscus tears; The materials used for the ACL reconstruction were two types of allogeneic tendons (Achilles tendon (63.6%) and peroneus longus tendon).  The average length of the grafts was 64.18 ± 4.78 mm, the shortest was 60 mm and the longest was 70 mm. The average diameter of the grafts was 9.52 ± 0.74 mm. Results of re-examination 6 months postoperatively: Lachman and Pivot Shift tests were negative. Knee functions according to Lysholm: excellent and good (89.1%), fair (10.9%). Conclusion: Achilles and peroneus longus tendons at the tissue bank of Viet Duc Hospital used in all-inside ACL reconstruction initially testified to safety, and greatly improved knee function.