6. Mene T, Borgan O, Green A. (1982). Nikel 8. Schafer T, Bohler E, Rhhdorfer S et al.
allergy and hand dermatitis in a stratified sample (2001). Epidemiology of contact allergy in adults, of a Danish femal population; an epidemiology Allergy. 56, 1192 - 1196.
study including a statistical appendix. Acta Derm g_ Yueliang Leon Guo, Bour - Jr Wang, Ching - venereal. (Stockh), 12, 35 - 4 1 . Q\\a'ni Lee, Jung - Der Wang. (1996). Prevalence
7. Mendenhall RG,Ramsay DL, GIrand RA et of dermatoses and skin sensitisation associated al. (1978). A study of practice df dermatology in with use of pesticides in fruit farmers of souther the United States. Arch Dermatol., 114, 1456 - 62. Taiwan. Occup Environ Med., 53, 427 - 4 3 1 .
Summary
SITUATION AND FEATURES OF CONTACT DERMATITIS AT THE NATIONAL HOSPITAL OF DERMATOLOGY AND VENEREOLOGY
Objectives: To investigate the situations and features of contact dermatitis (CD) at the National Hospital of Dermatology and venereology (NHDV). Method; a cross - sectional study based on data of 27,835 patients with CD who were examined and treated at the N H D V from 01/2007 to 12/2009. Results: In 3 years, there were 27,835 patients with CD, accounting for 5.6 % of patients with skin disease. Allergic edntact dermatitis (ACD) was more common than irritant contact dermatitis (ICD) (66% ACD versus 34%
ICD). The disease was more frequent in women than men (63.7% women and 36.3% men). It was 85.4%
of patients from 1 6 to 60 years old, 37.2% of patients was housewife and 2 7 . 4 % of them was student.
There was 4 . 3 % of patients contact with metal, 1.5 % df patients ecntact with cosmetic products, 1.4% of patients contact with chemical substances and 1.4% of patients contact with drugs. However, the cause of ACD in 90.5% of patients was unknown. For the ICD: 50.3% of patients contact w i t h insects (paederus).
and the cause of ICD in 4 8 % patients was not determinated. Conclusions: Contact dermatitis is a common cutaneous pathology, accounting for 5.6% of patients with skin disease check up at the N H D V , in which ACD was more frequent than ICD. The women-were more affected than men. It was prominent in patients from 16 to 60 years old (85.4%). Housewife and student were mainly affected. The cause of CD in almost all of patients was not determinated.
Keywords: Contact dermatitis. Allergic contact dermatitis. Irritant contact dermatitis
KET QUA TAO HINH DAY CHANG CHEO TRJOfC K H 6 P GOI QUA
N O I SOI B A N G M A N H G H E P G A N ACHILLE DONG LOAI, BAO QUAN LANH SAU
Tran Trung D u n g \ Ngd Duy Thin^ Dao Xuan T i c h \ Ngo Van Toan^, Tran Hoang Tung^
'Tnfdng Dai Hoe Y Ha Noi, ^Benh vien Viet Dife
Sd dung manh ghep dong loai tao hlnb day ching cheo tnfdc khdp gdi mdi difac trien khai d Viet Nam. Chung tdi xin gidi thieu nhdng kit qua bddc dau cua viec sd dung loai manh ghep nay. Muc tieu: (1) Md ta die diem lam sang va cong hifdng td eua benh nhan ddt day chang cheo tnfdc khdp
TCNCYH 71 (dJ - 2010
gdi; (2) Nhin xet ket qua phiu thuat tao hinh DCCT bang manh ghep gin Aehille dong loai, bao quan lanh sail tai benh vien Viet Dife. Doi tugng va phuang phap nghien cdu: 16 benh nhan (7 nam, 9 nif) da difgc phau thuat tao hlnb day chang cheo trifdc khdp gd'i bing manh ghep gin Aehille dong loai tai benh vien Viet Ddc trong thdi gian td thing 7/2008 din thing 10/2009. Kit qua: Khdng cd benh nhan nio cd bleu hien nhiim trung, thai ghep hoac lay truyin benh truyen nhiim. Chifc nang khdp gdi ddac cai thien rd ret vdi ket qua ra't tdt la 2/16 (12,5%o), ket qua tdt la 11/16 (68,75%,), kit qua khi la 3/16 (18,75%o) va khdng ed ket qua kem. Kit luan: Ket qua bade dau eho thiy manh ghep dong loai cd thi sd dung eho phiu thuit tao hlnb day chang cheo tnfdc khdp gdi vdi kit qua tdt.
Td khoa: noi sol khdp gdi, day chang cheo trUdc, manh ghep ddng loai, gan Aehille, bao quan lanh sau
I. DATVAN DE
Phlu thuat tao hinh day chang eheo trflde khdp gdi (DCCT) da trd t h i n h p h l u thuat thfldng quy tai mdt sd trung tam ehan thflpng chinh hinh trong ca nflde. Chat lieu sfl dung eho tad hinh chu yeu IA m l n h ghep tfl than: gan banh che, gan Hai-nstring( gan ban gan vA gan cP thon). Mac du dem lai nhflng ke't q u i tdt nhflng ban ehe chu yeu cua cua manh ghep tfl than la de lai eac phien toll do viee lay manh ghep( dau, anh hfldng cP nang,...) M l n h ghep ddng loai da dfldc sfl dung tifdng ddi rpng rai tai My vA mpt sd nflde phat Irien, tuy nhien tai Viet Nam, mdi b i t dau dflpe nghien cflu va dfla vac sfl dung. Tfl thang 7 nam 2008 tai benh vien Viet Dflc, ehdng tdi tien hanh phau thuat tao hinh DCCT vdi chat lieu m l n h ghep gan Aehille ddng loai b i o q i i l n lanh sau.
Muc tieu:
1. Mo ta dac diim lam sang va cong htfdng ttf cua benb nhan dtft day chang cheo trtfdc
khdp gdi.
2. Nhan xet kit qua phiu thuat tao hinh DCCT bang manh ghep gan Aehille ddng loai, bao quan lanh sau tai benh vien Viet Dtfc.
II. DOI TLfONG v A PHU'ONG
P H A PNGHIEN CL/U
1. Ddi tupng nghien cufu
Gdm 16 benh nhan (7 nam, 9 nfl), tudi nhd
nhat 17, Idn nha't la 47 dflpe md tao hinh DCCT bang m l n h ghep ddng loai. Tieu ehuan chpn benh nhan: Tdn thflpng DCCT ddn t h u i n hoae kem theo tdn thfldng sun chem, khdng cd tdn thflpng cae day ehang k h i c kem thee. Benh nhan ddng thuan tham gia vao nghien cflu
2. Ky thuat phau thuat
-I- Chuan bj gan ghep theo kfch thfldc phu hpp.
-H Npi soi; Lam sach tdn thifdng thdai hda trong khdp, e l t sun chem raeh, chuan bj vj tri tao difdng h i m .
-I- Ludn m l n h ghep qua dfldng h i m , cd' djnh manh ghep trong dfldng ham b i n g vit ehd't dpc tfl tieu.
-t- Kiem tra, bPm rfla khdp gdi vA ket thue p h l u thuat.
3. Danh gia ke't qua
+ D i n h gia ket q u i g i n sau md bang theo ddi trieu ehdng lam sang.
+ D i n h gia ke't qua xa ve mat chflc nang theo thang diem Lyshome va Gilquist va do sfl di lech eua khdp gdi dfla tren phim X quang l.aehman Iflpng hda.
III. KETQUA
Ta't c l cac benh nhan d i u cd tinh trang l i l n vet thflpng thi d i u td't. Viec tap phuc hdi chflc nang ngay sau p h l u thuat thuan Ipi do trieu chflng dau khdng dang ke.
Bang 1.
Ye'u to' danh gia Tudi
Oac die'm 'chung ciia nhom benh nhan
TB;
Ke't qua
32 (min: 17; max: 47) Gidi . . •
Nam Nfl
7 9 Tdn thflpng DCCT tren MRI
Dflt DCCT dPn t h u i n
Ddt DCCT va r i c h sun chem phdi hpp Thdi gian tfl khf cha'n thflpng den khi
Diem Lyshome Gilquist trflde md
phau thu af
(min
4 12 TB; 5,4 t h i n g : 1 t h i n g ; max:18 th TB: 58,18 (min; 50; max:
Ing) :62) Trieu chflng lam sang trflde md
Da'u hieu ngan keo trflde Dl^u hieu Laehman
Nghiem phap chuyen true (Pivot shift)
16/16 16/16 15/16
Nhan xet: Chifc nang gdi glim rd ret vdi diim Lyshome Gilquist la 58,18 vi trieu chdng Idng gdi rd vdi cic ket qua tham khim bang da'u hieu ngin keo tnfdc, nghiem phip Laehman va nghiem phap chuyin true dat gin 100%o.
Bang 2. Cac kit qua lien quan din qua trinh phiu thuat va kit qua gin sau md
Ye'u t d danh gia Ket qua
Difdng kfnh manh ghep dflde sd dung 9,0mm
8,5mm
R Or^i-r>
TB; 8,3mm (min; 8,0mm; max; 9,0mm) 1
2 13
Thdi gian phau thuat tinh tfl khi raeh da TB; 50,1 phut ( 4 0 - 6 0 phut) Nhiem trung sau md
Tran dich khdp gd'i keo dai sau p h l u thuat D i n h gia ehde nang khdp gd'i theo thang diem Lyshome va Gilquist
Rat tdt
Tdt 11
Trung binh
Kem 0
Ket qua do dae di lech khdp gd'i tren phim X quang Laehman Iflpng hda
2,5 ± 0 , 8 mm ( m i n : 1,0i-nm; max: 3,0mm)
TCNCYH 71 (dJ - 2010
.Nhan xet: difdng kinh manh ghep difac sd dung chu yeu la vdi kich thifde 8,0 mm difdng kinh. Kit qua phau thuat dat ty le rat tdt va tdt la chu yeu. Sd di lech trung binh khi do dac tren X quang Laehman lifdng hda dat mifc kha trd len.
Ngay 1 Ngay 2 Ngay 3 Ngay 4 Ngay 5 Ngay 6 Ngay 7 Biiu do 1. Stf thay ddi diim dau theo thang diem VAS cac ngay sau md
Ngay 8
Nhan xet: trieu chifng dau sau md giam dan, gin nhd khdng dau sau 1 tuin vdi diem VAS trung bmh la 0,8. . • .
150 140 130 120 •' 110 100 ;
90 80
^ • « § ^ N g a y 1 )
1tJC!88(Ngay 3)
• T 0 S ^ ( Ngay 5)
I^I ' t t 7 ! ^ 0 ( 1 tuin)
I0( 4 tuin)
70 60
Bieu do 2. Thay ddi bien do gap gdi sau md
Nhan xet: bien do gip gdi cai thien nhanh va dang ke, dat mifc gin nhu binh thifdng sau 4 tuin.
IV. BAN LUAN
1. Dac diem lam sang va cong hudng tCf
Trong thdi gian tfl thang 7/2008 de'n t h i n g 10/2009, tai benh vien Viet Dflc ehung tdi da md cho 16 trfldng hdp tdn thfldng DCCT bang m l n h ghep gan Aehille ddng loai bao quan lanh sau.
Da sd cfee benh nhan nam trong Ida tudi cd nhu eau boat ddng eao vdi tudi trung binh la 32.
Nguyen nhan ehan thfldng ed 12/16 trfldng hpp chan thflpng do chdi the thao, edn 4/16 trfldng hpp dd tai nan giao thdng. Ket q u i nay eung tfldng tfl nhfl eua cae tac gia khac khi thay rang tdn
thfldng chu yeu d ngfldi tre va nguyen nhan chinh la do ehan thflpng the thao.
Thdi gian tfl khi cha'n thflong den Ichi dflpc phau thuat trung binh la 5 thang, benh nhan lau nha't la 18 thang (ed 1 benb nhan) edn lai da sd eac benh nhan dflpe p h l u t h u l t trong vdng 6 thang d i u sau c h i n thfldng. Trong nghien eflu cua t i e gia Dang Hoang Anh thdi gian trung binh la 20,3 t h i n g , benb nhan sdm nhat 2 t h i n g va benh nhan mudn nhl^t IA 1 3 nam [3]. Trdng nghien cdu cua t i c g i l Nguyen Nang Gidi, benh nhan dflpe md sdm nhat la 6 tuan va lau nha't la 5 nam vdJ thdi gian trung binh la 13,2 t h i n g [4]. Nhfl vay, e l c benh nhan treng nghien eflu cua chdng tdi dflpc phau thuat sdm hdn. D i l u nay cd the do nghien cdu cua chdng tdi tien b i n h d giai doan sau e l c nghien cflu tren nen e l e thfldng tdn ehan thfldng day chang khdp gdi ndi chung dfldc hieu biet va y thflc sdm hdn ddng thdi e l c phflpng tien chan d d l n ma cu the la cpng hfldng td cung phd bien hdn trflde nen kha,nang p h l t hien sdm tdt hdn.
Sau kbi tdn thfldng day ehang chec trflde khdp gdi, chdc nang gdi bj g i l m rd ret vdi diem Lyshome Gilquist trflde md trung binh la 58,18 diem (bang 1). Ket qua nay cung tfldng tfl nhfl dac diem cua benh nhan trong e l e nghien edu cua cac tac gia khac [3, 4 ] . Trieu chflng lam sang d i y du va dien hinh vdi 100% cac benh nhan ed dau hieu ngan keo trflde va Laehman dfldng tfnh rd.
Tuy nhien khi tham k h l m b i n g nghiem phap ehuyen true, chi cd 15/16 benh nhan dflpng tfnh (bang 1), mae du thfldng tdn dflt day ehang hoan toAn, dieu nay cd the giai thfch dflpc la do tham kham bang nghiem p h l p ehuyen true, ddi hdi sfl phdi hdp r i t tdt eua benh nhan mdi thflc hien dfldc. Tae g i l Dang HdAng Anh cung ed nhan xet tfldng tfl khi ty le dfldng tinh cua nghiem phap ehuyen true IA 9 3 , 6 % [3]. .
Ket qua cpng hfldng tfl ehe thay thfldng tdn day chang ddn t h u i n ehi cd 4/16 benh nhan
(25%) edn lai 12/16 benh nhan (75%) la thfldng tdn phdi hdp vdi r i c h sun chem kem theo. Tuy nhien, sd lieu nghien edu eua ehdng tdi edn nhd nen chfla tha'y rd sfl k h i c biet ed y nghTa thdng ke eua mdi lien quan gifla thfldng tdn phdi hpp va thdi gian td khi ehan thflpng den khi md tuy nhien, eae t i e g i l khac nhfl Dang Hcang Anh, Nguyin Nang Gidi, eung nhan xet thay la thflpng tdn phdi hpp ehiem.da sd trcng e l e trfldng hpp cha'n thflpng gdi ed tdn thfldng day chang cheo trflde va thdi gian den mudn la yeu to' ed y nghTa thdng ke I n h hfldng den tdn thfldng phdi hpp [3, 4, 6]. Dieu nay dflde g i l l thfch la do tdn thflpng day c h i n g eheo trflde khdp gdi se dan den eac tdn thflpng thfl phat k h i c eua khdp gdi nhfl sun chem, sun khdp [6].
2. Ket qua dieu trj
Thdi gian p h l u thuat trung binh la 50,1 phut (bang 2). Mae du thdi gian p h l u thuat phu thupe vao n h i l u yeu t d k h i c nfla nhfl sfl thanh thao ky thuat cua p h l u thuat vien do dd khd ed sfl so sanh chfnh x l c gifla cac nghien cflu k h i c nhau tuy nhien, viee rut n g i n thdi gian phau thuat la dflong nhien do khdng mat thdi gian lay gan tfl than.
C I c benh nhan dflpe theo ddi du 100% vdi thdi gian theo ddi sau riid n g i n nha't la 6 t h i n g va 18 t h i n g . Trieu chdng dau sau md g i l m dang ke vdi mde dp dau cua benh nhan gan nhfl het hoan toan sau 1 t u i n (bieu do 7). Viec cai thien trieu chflng dau chu yeu la do khdng phai lay gan tfl than cua benh nhan. Ddng thdi cung do mfle dp dau eua benh nhap g i l m nhanh nen bien dp gap gdi cua benh nhan e i i thien nhanh ehdng va dang ke, gan nhfl dat dflpe bien dp gap gdi hoan toan sau 4 tuan (biiu do 2) va khdng ed benh nhan nao bj mat dudi gdi. Ket q u i nay the hien flu diem vflpt trpi cda viee sfl dung m l n h ghep ddng loai so vdi m l n h ghep tfl than khi so sinh vdi nghien edu eua c i c tae gia khae. Trong nghien edu cua Dang Hoang Anh vdi ty le la
TCNCYH 71 (6J - 2010
29,8% benh nhan chi dat dflpe tam van ddng dfldi 120° va edn benb nhan bi han ehe dudi gd'i sau 12 t u i n [3] hay trong nghien eflu eua Nguyen Nang Gidi vdi 2 benb nhan bi ban ehe gap va 5 benh nhan bj ban ehe dudi sau 6 thang [4].
Nguyen nhan chinh dflpe cae t i e g i l chi ra la do dau sau md va van d l phuc hdi chflc nang sau phau thuat.
Ket q u i chflc nang xa cua cua benh nhan dflOc d i n h gia bang thang diem ehfle nang Ly- shome Gilquist. Theo bang 2, t'y" le ket qua tdt va rat tdt cua chdng tdi la 13/16 benh nhan (81,25%), ket q u i nay tfldng tfl nhfl ket qua cua mpt s d t i c gia khac [3, 4, 5, 7]. Tuy nhien, ehung tdi khdng gap ket q u i kem nao, dieu nay cd the do tieu chuan Ifla chpn benh nhan cua ehung tdi da loai trfl e l e thfldng tdn day chang k h i c phd'i hpp nhfl day ehang ben trong, day c h i n g ben ngoai, day chang cheo sau,..: do dd viec tao hinh lai day ehang eheo trflde gan nhfl d i m b i o phuc hdi hoan toan g i l l phau cua khdp gdi. Trong ket qui eua t i c g i l Dang Hoang Anh v l N g u y i n Nang Gidi cd e l e l e trfldng hpp ke't q u i kem, tuy nhien nhflng benh nhan nay thfldng cd tdn thflpng phdi hpp [3, 4].
Theo bang 2, sfl di lech trung binh cua khdp gdi la 2,5 ± 0,8, theo thang diem cua Feagin_[6], mde dp di lech nay thupe nhdm ket q u i tdt. Cd 2 benh nhan (12,5%) cd mde di lech la 3,0mm thupe nhdm k h i theo Feagin. Dang Hoang Anh cung eho ke't q u i di lech trung binh la 2,9 mm, tat c l e l c trfldng hpp d i u thudc nhdm ke't q u i tdt va k h i , theo Feagin [3]. N g u y i n Nang Gidi d i n h gia sfl di lech b i n g m i y KT 1000 thay rang sau 12 thang, 93,9% benh nhan cd ket qua tdt va kha (di lech < 5mm) trong dd 87,9% cd ket qua tdt (di lech
< 2mm). Tae g i l cung chi ra rang, nguyen nhan cua e l c trfldng hpp ke't qua kem la do mot sd van d l nhfl ky thuat phau thuat khi ed dinh manh ghep, tap phue hdi chflc nang sau md, ... [4].
Vdi thdi gian theo ddi n g i n nha't la 6 t h i n g , dai nha't la 18 thang, ben canh viec d i n h gia cae ke't qua chflc nang khdp gdi, ehdng tdi khdng gap eae bieu hien lam sang eung nhfl can lam sang eua eac ye'u t d nguy cd lien quan den viee sd dung m l n h ghep ddng loai nhfl van de n h i l m trung hay t h i i ghep. Ket q u i nay la do nhflng yeu td thuan Ipi v l eau trde md hpe va dac diem mien djch ghep cua manh ghep gan ddng loai [1, 2, 8, 9]. Cac benh nhan dflpc xet nghiem d i n h gia e l e benh ly cd the lien quan den viec sd dung manh ghep ddng loai v i o thdi diem ngoai 6 t h i n g sau p h l u thuat nhfl HIV, HBsAg, HCV nhflng khdng ed trfldng hpp nad cd bieu hien lay nhiem qua dfldng sd dung manh ghep. Vdi nhflng thdng bao dau tien tren Y van ve sfl dgng manh ghep ddng loai tao hinh ACL la eua FR Noyes (My, 1990) cho tha'y cac ket q u i thu dflpe la k h i quan va ed the so s i n h dflpe vdi m l n h ghep tfl than, khdng cd bieu hien nhiem trdng, thai ghep hay lay t r u y i n cae benh t r u y i n n h i l m dflpc ghi nhan. Mpt so t i e g i l khac cung thdng b i o nhflng ket q u i tflpng tfl nhfl Douglas va cpng sfl (1996), Walter R Shenton (My, 1997), J Victor va cpng sfl (Bi, 1997), Robert Peterson va cpng sfl (My, 2001), Spencer Chang va epng sfl( My, 2003), T Kustos va cdng sfl (Hungary, 2004), A Rihn va cpng sfl (My, 2006), Daniel Rueff va epng sfl (My, 2006), Ken Nakata va cdng sfl (Nhat, 2007) [5, 7].
V. KET LUAN
Qua nghien cdu tren 16 benh nhan dflpe p h l u thuat tao hinh day ehang eheo trflde khdp gdi bang m l n h ghep gan Aehille ddng loai bao quan lanh sau ehung tdi thay rang:
+ Cae trieu ehdng lam sang va can lam sang cua benh nhan dien hinh vdi trieu chdng Idng gdi rd; dau hieu ngan keo trflde 100%, dau hieu Laehman 100%, nghiem phap ehuyen true 93,75% (15/16 benh nhan). Tdn thfldng day
chang cheo trflde ddn thuan chiem 25%, tdn thflpng phdi hpp vdi raeh sun chem chiem 75%.
Chdc nang gdi g i l m rd ret sau cha'n thfldng vdi diem Lyshdme Gilquist trung binh la 58,18.
+ Ket q u i phau thuat tao hinh day chang eheo trflde dat ket qua chdc nang td't va rat tdt chiem 81,25% theo Lyshome'Gilquist va khdng cd ket q u i kem. Ket qua do di lech khdp gdi tren phim X quang Laehman Ifldng hda I I 2,5 ± 0,8. Khdng ed eac bieu hien eua nhiem trung hay t h i i ghep d eac benh nhan nghien eflu.
T A I LIEU THAM KHAO
1. Trjnh Binh (2007). Md Men ket chinh thflc.
Bai g i l n g Md - Phdi P h i n Md Hpe. Nha xua't ban Y hpe, 3 9 - 5 2 .
2. Vu DUtfng Quy, Pham Manh Hung (2006).
M i l n dich ghep. M i l n dich hpe. Nha Xul't Ban Y Hpe, 277 - 290.
3. Dang Hoang Anh (2008). Nghien edu d i l u trj dflt d i y chang cheo trflde khdp gdi bang phau thuat npi soi sfl dung gan cP b i n gan va g i n cP thon. Luan an Tien sy Y hpe. Hpe Vien Quan Y.
4. Nguyen Nang Gldl (2008). Nghien edu t l i tao day ehang eheo trflde bang manh ghep gan banh che tfl than vdi ky thuat npi sdi. Luan I n Tien sy Y hpe.
Vien Nghien Cufl Khoa Hoc Y Dflde Lam Sang 108.
5. Aaron J. Krych, Jeffrey D. Jackson, Tanya L.
Hoskin, and Diane L. Dahm, (2007). A Meta - analysis of Patellar Tendon Autograft Versus Patellar Tendon Allograft in ACL reconstruction".
Arthrdseopy: The Jdurnal df Artbrdsecpie and Related Surgery.
6. Feagin J.A. (1988). The' cruciate ligament;
diagndsis and treatment of ligamentous injuries about the knee, Churchill Livingstone, NewYork, 178 - ifeS.
7. Jeffrey A. Rihn, Christopher D. Harner (2003). The Use of Musculoskeletal Allograft Tissue in Knee Surgery. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 10 (December, SuppI), 51 - 66.
8. C. Thomas Vangsness, Jr., Phillip P. Wagner, Tillman M . Moore and Michael R. Roberts (2006).
Overview of Safety Issues Concerning the Preparation and Processing of Soft - Tissue Allografts. Arthroscopy:
The Journal of Arthroscopic and Related Surgery, Vol 22, No 12 (December), 1 351 - 1 3 5 8 .
9. Scott A. Barbour and Warrpn King (2003).
Basic Science Update. The Safe and Effective Use of Allograft Tissue - An Update. A m . J. Sports Med.
3 1 , 791 - 799.
Summary
ALLOGRAFT ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH CRYOPRESERVED ACHILLE TENDON
We introduce the prelimitary result df allograft ACL reconstruction with eryopreserved Aehille tendon in Viet Due Hospital. Objective: (1) Describe the clinical and MRI characters patients suffer from ACL rupture; (2) Evaluate the result of ACL reconstruction with allograft Aehille tendon. Methods: 16 patients (7 males, 9 females) were done ACL reconstruction with allograft Aehille tendon from July 2008 to October 2009. Results: No patients suffer from infection, graft rejection or transmitted diseases. Knee function is improved clearly with excellent result is 2/16 (12.5%), good result is 11/16 (68.75%) moderate result is 3/16 (18.75%) and no bad result. Conclusion: The allograft Aehille tendon can be used fcr ACL reconstruction with good result.
Keywords: knee arthroscopy, anterior cruclat ligament, allograft, Aehille tendon, deep frozen preservation
