Đánh giá kết quả điều trị trật khớp vai tái diễn ra trước bằng phẫu thuật Latarjet - Bristow tại Bệnh viện Việt Đức

ndm 2010, Ha Noi.

9 Bq Y te (2006), Thdng tu> lien tich sd 02/TTLT￾BYT-BNV-BTC Huxyng dan thi/c hi$n Quyet djnh

276/2005/QD-TTg cua Thu tuong Chinh phu ve che dd

uv dai nghe, Ha Noi

10. Bo Y te (2008), Bao cSo kiem tra cua 932 b$nh

vi$n cua Cue quan ly Kham chOa benh, Ha Noi.

11. Chinh Phu (2006), Nghi dinh so 43/2006/ND-CP

quy dinh quyen ty chu tis chju trach nhiem ve thi/c hi$n

nhiem vu, to chuc bp may, bien che va tai chinh doi v&i

dem vi sy nghiep cong l$p, Ha Noi

12. Chinh Phu (2008), Nghi dinh 13/2008AID-CP

ngay 0402/2008 cua Chinh phu vS vi$c quy dinh to chuc

cac co quan chuyen mdn thudc Uy ban nhan dan tinh,

thanh pho tnsc thudc trung uxyng, Ha Noi.

13. Uy ban nhan dan tinh Ha Giang (2013) Quyet

djnh so 898/QD - UBND ngay 15/5K013 cua Uy ban

nhan dan tinh Ha Giang ve ban hanh danh muc cac IJnh

vise can thu hut tren dian ban tinh Ha Ging nam 2013

DANH GIA KET QUA DIEU TRj THAT KHCfP VAI TAI DIEN RA TRltfC

BANG PHAU THUAT LATARJET - BRISTOW TAI BENH VIEN VIET Difc

DC VAN MINH, TRAN TRUNG DUNG - Trir&ng Dai hoc Y Ha Noi

NGO VAN TOAN - Benh vien Viet Dire

TOM TAT

Muc tieu: 1.M6 tS ddc diem lam sang cua benh

nhan tr$t kh&p vai tSi dien ra truxyc. 2. DSnh giS ket

qua dieu trj trat kh&p vai tai di§n (TKVTD) ra truxyc

bdng p hiu thuat Latarjet- Bristow. Phuxyng phSp

nghien cisu: Nghien cisu mo ta visa hoi cisu, visa tien

cisu 42 tnrong hop. Ghi nhan lan trat kh&p dau tien,

co ch6 chan thuxyng, tong so lan tai trat. DSnh giS

chisc nSng kh&p vai sau mo bSng thang diem Walch￾Duplay. Ket qua: DSnh giS chung chisc nSng kh&p vai

sau mo IS tot v&i diem Watch- Duplay trung binh IS 84

diem, trong do 13 BN dat ket qua rat tot, 17 BN dat

kSt quS tot, 11 BN dat ket qua trung binh vS 1 BN dat

k k quS kSm. C& 1 BN bi tSi trat sau phau thuat. Ket

luSn: PhSu thuat Latarjet- Bristow dem lai ket quS tot

cho BN TKVTD ra truxyc do chan thuxyng.

TCr khoa: Trat kh&p vai tSi dien ra truxyc, Latarjet￾Bristow

SUMMARY

Purposes: 1. To describe the clinical

characteristics of recurrent anterior glenohumeral

dislocation. 2. To analyze the functional outcome of

the Bristow- Latarjet procedures in patient with

recurrent anterior glenohuhumeral dislocation.

Methods: Records o f 42 patients (42 glenohumeral

joints) were reviewed retrospectively and

prospectively. Date o f first dislocation, mechanical

injury, and number o f recurrent dislocation before and

after surgery were recorded. The overall function and

instability of the glenohumeral join t were evaluated.

Results: All of the glenohumeral joint dislocations

were caused by trauma. The overall functional

outcome was good, with the mean Watch- Duplay

scores of 84 points. Scores of 13 of the patients were

excellent, 17 were good. 11 were fair and 1 was poor.

Conclusions: The Bristow- Latarjet procedure is a

good surgical treatment for recurrent anterior

dislocation of the glenohumeral joint.

Keyw ords: Recurrent anterior glenohumeral

dislocation, Latarjet- Bristow

OAT VAN 0£

Trat khdp vai tai d iin (TKVTD) la tinh trang trat tai

di tai lai cua mot phan hoSc toan bo chom xuong

canh tay ra khoi o chao xuong vai. TKVTD co the xay

ra d phia trudc, phia sau, phia dudi hay nhieu

hudng nhung chu yeu la TKVTD ra tru’dc, chiAm

khoang 97% cSc trudng hop. C6 hon 150 phu’ong

phap mo md kh^c nhau dieu tri TKVTD ra tru’dc 6S

du’ac gidi thieu va ap dung tren lam sang. Tuy nhien,

do ton thuang giai phiu benh cua TKVTD r it phuc

tap nen khong mot phu’ong ph^p phiu thuSt n^o

dime coi l£ toan dien cho dieu tri moi benh nhSn

TKVTD Phiu thuat (PT) Latarjet- Bristow l& mot

phiu thuat kinh dien du’ac coi 13 mot phu’ang ph3p

co hieu qua dieu tri TKVTD ra tru’dc vdi ty le tai trSt

thap. Tai benh vien Viet Bdc, nai da ap dung kh£ pho

bien PT Latarjet- Bristow trong dieu tri TKVTD ra

tru’dc nhung chua co mot danh gia tong ket nao.

Chung toi tien hanh nghien cdu de tai nay nhim muc

tieu: 1. Md ta dSc diem ISm sang benh nhan TKVTD

ra tns&c. 2.DSnh giS ket qua dieu tri TKVTD ra truxyc

bSng phSu thuSt Latarjet- Bristow.

0 6 l TUONG, PHU’ONG PHAP NGHIEN CLfU

D6i tu’ang nghien cu>u: Gom 42 BN (42 khdp

vai) du’ac chin doan TKVTD ra tru’dc, du’ac tien

hanh phiu thuat Latarjet- Bristow de dieu tri, tai Benh

vien Viet Bdc trong thdi gian td thang 7 nam 2006

den het thang 6 nSm 2011.

Tieu chuan lisa chon:

Khong phan biet tuoi, gidi, dia dif.

Chan doan xac dinh TKVTD ra tru’dc du’a tren

benh sd, kham lam sang, ton thiKang X quang vS ton

thuang trong mo.

Du’ac tien hanh phiu thuat Latarjet- Bristow de

dieu trj.

Buac kham lai, chup X quang khdp vai kiem tra

sau phiu thuat it nhat 3 thang

Tieu chuan loai tru:

Benh nhan (BN) co tien su phiu thuat khdp vai

trudc do.

Y HOC THUC HANH (922) - SO 6/2014 69