On May 22, news from Military Hospital 120 said that doctors from this hospital had just coordinated with doctors from the Ho Chi Minh City Orthopedic and Trauma Hospital to successfully perform arthroscopic knee surgery to reconstruct the anterior cruciate ligament and posterior cruciate ligament for two patients, VVD (55 years old, residing in Luong Hoa commune, Giong Trom district, Ben Tre) and NNQ (37 years old, residing in Binh Phuc Nhat commune, Cho Gao district, Tien Giang) who had torn their left knee ligaments due to a domestic accident.
VVD patient surgical team
Complex cruciate ligament injury
Dr. Lam Quoc Thanh, Department of Lower Limb - Ho Chi Minh City Orthopedic and Trauma Hospital, head of the arthroscopic surgery team to reconstruct the ligament for the patient with VVD, shared: "These are 2 cases of rupture and damage to the anterior cruciate ligament and posterior cruciate ligament of the knee that have been successfully operated on. However, only when performing arthroscopic surgery can we give 100% accurate advice to reassure the patient. Reconstruction of the cruciate ligament due to knee injury ensures that the replacement ligament has the full function of the ruptured or damaged ligament. Maximally restores the function of the knee joint, while helping the patient move and live normally."
Dr. Lam Quoc Thanh added that anterior cruciate ligament rupture and posterior cruciate ligament rupture are common injuries in patients with closed knee injuries, commonly seen in young athletes. Anterior cruciate ligament rupture and posterior cruciate ligament rupture cause knee instability, difficulty walking, and reduce the patient's ability to work and participate in sports activities. If not treated promptly, it will cause secondary injuries such as meniscus tears, articular cartilage rupture, and early osteoarthritis.
Surgical team of patient NNQ
Dr. Hua Xuan Phuong, Head of the Department of Trauma and Orthopedics at Military Hospital 120, head of the surgical team for patient NNQ, said that the surgery time is about 45 minutes using endoscopic surgery to reconstruct the ligament. During the surgery, the patient is completely awake, and the doctor can share with the patient about the medical condition and the process of reconstructing the cruciate ligament through real images on the endoscopic screen to understand the condition and feel secure in practicing after reconstruction. After surgery, the patient uses crutches until he feels comfortable, then practices physical therapy for 6-10 weeks, about 4-6 months for the knee joint to fully recover. If not permitted by the doctor, avoid playing sports such as tennis, martial arts, and sports that require rapid changes in direction within 6 months after surgery.
When the ligament is torn, about 70% of patients have symptoms of knee swelling, the rest often have knee pain, a feeling of weakness, easy collapse, a creaking sound when walking or loose knee. Loose knee is an important symptom and is often seen in patients with complete rupture of the cruciate ligament. Depending on the level of damage and damage to one or more ligaments, the degree of loose knee will be different.
During surgery, patients can look up at the endoscopic monitor and receive information from the doctor about their medical condition and the process of knee ligament reconstruction.
Apply modern surgical methods with many advantages
Colonel, MD, Distinguished Physician Tran Manh Hung, Director of Military Hospital 120, said that arthroscopic surgery to reconstruct the anterior cruciate ligament and posterior cruciate ligament is a modern surgical method with many outstanding advantages, such as: same-day surgery, fast surgery time (only 30 - 45 minutes); minimal intervention, less soft tissue damage, less complications; limited post-operative pain, early recovery exercise immediately after surgery. The hospital applies prophylactic antibiotics before surgery, does not use antibiotics for a long time after surgery, helping patients return to normal activities soon. Patients are covered by health insurance at a reasonable cost.
After 5 days of surgery, patient NNQ was discharged from the hospital, walking with crutches and doing physical therapy according to the doctor's regimen. Patient VVD was transferred to the Department of Traditional Medicine for knee rehabilitation exercises. Mr. D. said: "After 3 days of surgery, the doctor gave me physical therapy, walking with crutches was easier, the knee pain compared to before has decreased by more than 60%. I would like to thank the doctors and nurses here for taking good care of me and treating me very well."
Doctors take lower limb tendons to reconstruct knee tendons
Arthroscopic surgery to reconstruct the anterior and posterior cruciate ligaments has been performed at Military Hospital 120 since May 2022. For difficult and complicated cases, Military Hospital 120 coordinates with Ho Chi Minh City Orthopedic and Trauma Hospital to develop in-depth expertise, meeting the diverse needs of patients in examination and treatment of orthopedic injuries. To date, the hospital has successfully performed surgery on over 200 patients with absolute safety. The patients recovered well and returned to normal activities 5 months after surgery.
In recent times, Military Hospital 120 has increased investment in modern medical equipment, regularly sending doctors to study advanced specialties. Thereby, it has continuously improved the quality of medical services, successfully implemented many advanced techniques, successfully treated many difficult cases, including arthroscopic surgery and knee ligament reconstruction.
Doctors reattach tendons to knee joint
Source: https://thanhnien.vn/phau-thuat-noi-soi-tai-tao-day-chang-khop-goi-tai-benh-vien-quan-y-120-185240522090148165.htm
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