Đánh giá kết quả điều trị liệt thần kinh quay cao theo phương pháp boyes tại bệnh viện việt đức

prospectively followed for fifteen years: Study I- clinical results J Shoulder Elbow Surg, 13: 509- 516 Kashani F.0, Eghbal S, Seyed, Nadi M (2008): Is the Bristow- Latarjet operation effective for every recurrent anterior shoulder dislocation? Iranian Med, 11 (3): 270- 273 Matthes G et al (2007): Oldie but goldie: BristowLatarjet proceduce for anterior shoulder instability J Orth Surg, 15 (1): 4- DANH GIA KET QUA DIEU TRI LIFT THAN KINH QUAY CAO THEO PHU'UNG PHAP BOYES TAI BENH VIM VIET WC TRAN MANH HUNG - 14nh vien ViOt Dix TRAN TRUNG DUNG, NGUYEN XUAN THUY - TrIperng DH Y Ha Ni;li HOANG VAN - BOnh vien tinh Thanh Hoa TOM TAT: M& Cleu: bat than kinh quay cao thuang gap lam sang, viac chuyen gan theo phuang phap Boyes la can thief MK Danh gia kat qua ph3u thuat chuyen gan di& tri fiat then kinh quay cao theo phuang phap chuyen gan Boyes D6i Wong ve phuang phap nghien ctru: Nghien ceru h6i cirri fret) 32 BN fiat then kinh quay claw ph3u thuat chuyen gan theo phuang phap Boyes tai benh Wan Vint Duv.Ket qua nghien cOu: D6 tu6i trung binh la 28, Ty la nam/nt-r la 5,4, 31/32 BN liat then kinh trui'c ma, Kat qua ph3u thuOt dat rat tat va tat la 82,1% Phyc heti chirp nang lien quan chat cite tai kat qua ph3u thuat Kat Juan: Ph3u thuat chuyen gan theo ky thuat Boyes cho kat qua tat dai yeti clieu tri fiat then kinh quay Ti, khoa: Liat then kinh quay cao, ky thuat Boyes, chuyen gan SUMMARY Introductions: High level radial nerve paralysis is quiet common in clinical, Boyes method tendon transfer is necessary Objectives: To assess the results of Boyes method tendon transfer surgery for radial nerve paralysis Patients and methods: retrospective study 32 patients underwent tendon transfer for radial nerve paralysis with Boyes technique in Viet Duc University Hospital Results: average age is 28, male/female ratio is 5.4, surgical results achieved very good and good are 82.1% Rehabilitation is closely related to surgical results Conclusions:Tendon transfer with Boyes technique is useful for radial nerve paralysis treatment Keywords: Radial nerve paralysis, Boyes technique, tendon transfer DAT VAN DE Liat than kinh quay cao la tan thvang thvang gap, nguyen nhan chinh la char,' thvang, dac het gay than xvang canh tay Theo nhieu nghien am, tje le ton thvang than kinh quay gay than xvang canh tay tip 1,8% den 16% [1], 10% den 20% ton thvang than kinh quay la kh6ng h6i phuc Liet than kinh quay cao la mOt ton thuting dAn den tan tat nghiem ye chin nang ban tay, anh Wang Ian tai sinh hopt va lao de ng cua ngutei benh Ngvai benh khong the du6i dot I cac ngdon tay va clang du6i ng6n cai, met du6i chi) dOng co tay, lam anh huang 72 nghiem tong den chirc nang cern nem va lam Om luc b6p ban tay Do vay phgu thuat chuyen gan liet then kinh quay kh6ng hoi phuc la cen thiet Vi vay nghien ciru "Danh gia ket qua dieu tri phgu thuat het then kinh quay cao theo phvang phap Boyes tai Benh vien htlu nghl Viet Din" thvc hien vdei muc tieu: Danh gia ket qua phgu thuOt chuyen gan clieu tri liOt then kinh quay cao theo phumg phap chuyen gan Boyes DOI TUVNG, PHU'aNG PHAP NGHIEN CU'U Nghien ciru m6 to cat ngang 32 BN Het then kinh quay cao kh6ng h6i phyc dixac pheu thuat chuyen gan theo phiyang phap cue Boyes tai Benh vien Viet Dil,c tip nem 2008 den nem 2013 Tieu chuan Iva chon benh nhan Benh nhan dvqc char) doan Het then kinh quay cao kh6ng h6i phyc Benh nhan dtrgc pheu thuat chuyen gan theo phvang phap BOYES Day du h6 sa benh an Quy trinh nghien ciru: BN duvc chan doan Het then kinh quay cao kh6ng h6i phuc, nguyen nhan, ca the chan thvang, chup XQ Pheu thuat: BN duvc gay to dam r6i, du6i mau va garo canh b6c 10 va chuyen gan gep n6ng ngon III cho gan du6i chung cac ng6n2 gan gep nong ngon IV cho gan du6i ng6n cai va du6i rieng ngOn tro, gan gep co tay quay cho gan clang dai va du6i ngan ng6n cai, gan ca sep ton cho gan du6i co tay quay ngan va co tay quay dai [2] ; thao garo, bam rCra va dong vet thvang; dat mang CBT tu' the tuan Tap PHCN theo bai tap Danh gia ket qua Bien d0 van Ong cac khop theo bang phan loci ket oua cue Chuinard 131 C6 tay NgOn cai Ng6n tay Gip Mk Du6i diu DuOi d6 Du6i Gip ngon Dang khdep ban ng6n tai nep lien dot gan tay Rat tat >50° >30° 40°