ĐÁNH GIÁ BƯỚC ĐẦU KẾT QUẢ THAY KHỚP HÁNG VÀ KHỚP GỐI TOÀN PHẦN THEO QUI TRÌNH PHẪU THUẬT MỚI

Mừng Phan Đình; Trung Nguyễn Võ Sỹ; Bình Nguyễn Văn; Sang Nguyễn Ảnh; Nam Đỗ Hải

Keywords:

OWC, knee replacement, hip replacement, charity surgery

Abstract

Objectives: preliminary evaluating the results of total hip and knee replacement in the charity operation at 175 Military Hospital.

Subjects and methods: Prospective study 30 patient’s total hip replacement and 13 patient’s (18 knee joint) total knee replacement were donated from May 25 to June 5, 2019, at Hospital 175.

Result: 25 patients with hip : good and very good: 88% on the Harris scale. 14 patients with the right hip (56%). 11 patients patients with the left hip (44%). 15 patients with knee (18 knee joints): good and very good rate: 89.89%. 5 patients with the right knee(33.3%) 07 patients patients with the left knee (40%). 3 patients with both sides knee (26.7%). 41/43 joints (95.35%) healing the incision . 02/43 joints (4.65%) surface infections. 04/43 joints (9.3%) limited joint movement.

Conclusion: Arthroplasty of total hip and knee no drain and early rehabilitation help faster recover, reduces pain and expense. Post-operative, good results and very excellence account for a high proportion: hip joint: 88% (Harris score) of knee joint: 89.89% (KSS score) There were no poor results.

References

Trần Trung Dũng (2014). Nhận xét kết quả thay khớp háng toàn bộ với đường mổ nhỏ điều trị gãy cổ xương đùi do chấn thương., Y học thực hành. 3: 9-11.

Đinh Thế Hùng (2003). Đánh giá kết quả phẫu thuât thay khớp háng toàn phần không xi măng., Luận văn thạc sĩ y học, Hà Nội.

Phạm Chi Lăng. (2008). Nghiên cứu y học một số kinh nghiệm trong điều trị ngoại khoa thoái hóa khớp gối nhân 103 khớp gối., Y H ọ c TP. Hồ Chí Minh Chuyên Đề Ngoại Chuyên Ngành – Xương Khớp Nghiên cứu Y học. 12(4):21–28.

Arun H. S. , Anil Kumar., Reddy N.R. et al. (2017). Evaluation of the functional outcome of total knee replacement in rural population. International Journal of Orthopaedics Sciences ; Vol 3(3): 464-471

Hiroaki S., Atsushi T., Tomoyuki S., et al. (2018). Radiographic assessment and clinical outcomes after total knee arthroplasty using an accelerometer-based portable navigation device. Arthroplasty Today, vol 4: 319-322.

Nakagawa S., Arai Y., Inoue H. et al. (2016). Comparative Effects of Periarticular Multimodal Drug Injection and Single-Shot Femoral Nerve Block on Pain Following Total Knee Arthroplasty and Factors Influencing Their Effectiveness. Knee Surg Relat Res, Vol 28(3):233-238.

Razak H. R. B. A., Tan C. S. , Chen Y. J. D. et al. (2016). Age and Preoperative Knee Society Score Are Significant Predictors of Outcomes Among Asians Following Total Knee Arthroplasty. J Bone Joint Surg Am. Vol 98: 735-41.

Tiwari V., Lee J., Sharma G. et al. (2019). Temporal patterns of commonly used clinical outcome scales during a 5-year period after total knee arthroplasty. J. Orthop. Traumatol., vol. 20, no. 1, 2019.

Witzleb W.C., Stephan L., Krummenauer F. et al. (2009). Short-term outcome after posterior versus lateral surgical approach for total hip arthroplasty-a randomized clinical trial. European journal of medical research, vol 14: 256-263.