NGHIÊN CỨU ỨNG DỤNG PHẪU THUẬT NỘI SOI TÁI TẠO DÂY CHẰNG CHÉO SAU KHỚP GỐI QUA NỘI SOI BẰNG GÂN HAMSTRING TỰ THÂN

Abstract

Background: Posterior cruciate ligament reconstruction remains a practice with differing views on surgical indications, techniques, and postoperative rehabilitation. Posterior cruciate ligament reconstruction remains a practice with differing views on surgical indications, techniques, and postoperative rehabilitation. Objectives: 1) To study the clinical features, magnetic resonance imaging, and x-ray of the knee joint with posterior cruciate ligament damage; 2) To evaluate the results of posterior cruciate ligament reconstruction through endoscopy with an autologous Hamstring tendon graft. Materials and methods: The study was designed by  prospective and clinical intervention retrospective study that did not have a control group but a convenient sample size. 54 patients with a ruptured cruciate ligament behind the knee joint who came for examination and were treated for reconstructive surgery with an autologous Hamstring tendon at Vietnam Sports Hospital. Results: At the time of admission, the following drawer tests were present in 100% of the patients studied. 100% of patients present with lesions Posterior Cruciate Ligament on MRI. After 12 months Lysholm's knee function was very good and good at 92.6%, accounting for an average of 7.4% with no poor results. The results according to the IKDC transcript ranked A accounting for 89.7%, grade B accounting for 9.3%, and no cases rated C and D. Conclusions: 100% of patients present with joint fluid and have Posterior Cruciate Ligament lesions on MRI films with varying degrees of damage. Knee rehabilitation results after 12 months of classification according to IKDC rated A accounted for 89.7%, category B accounted for 9.3%, no cases rated C and D.