{"id":1987,"date":"2023-06-30T19:00:44","date_gmt":"2023-06-30T12:00:44","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=1987"},"modified":"2023-07-31T18:05:27","modified_gmt":"2023-07-31T11:05:27","slug":"phau-thuat-han-khop","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phau-thuat-han-khop\/","title":{"rendered":"Joint welding surgery"},"content":{"rendered":"<h2>. T\u1ed4NG QUAN<\/h2>\n<p>H\u00e0n kh\u1edbp l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 t\u1ea1o ra s\u1ef1 d\u00ednh x\u01b0\u01a1ng c\u1ee7a m\u1ed9t kh\u1edbp b\u1ecb b\u1ec7nh. N\u00f3 th\u01b0\u1eddng l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p th\u1ecfa \u0111\u00e1ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng, kh\u1ed1i u, ch\u1ea5n th\u01b0\u01a1ng, li\u1ec7t d\u00e2y th\u1ea7n kinh v\u00e0 cho m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam x\u01b0\u01a1ng<\/a> kh\u1edbp v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam kh\u1edbp<\/a> d\u1ea1ng th\u1ea5p,&#8230; H\u00e0n kh\u1edbp c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c \u1ea3nh h\u01b0\u1edfng nh\u01b0: g\u00e2y c\u1ee9ng kh\u1edbp v\u00e0 t\u0103ng \u00e1p l\u1ef1c l\u00ean c\u00e1c kh\u1edbp l\u00e2n c\u1eadn khi v\u1eadn \u0111\u1ed9ng. Tuy nhi\u00ean, kh\u1ea3 n\u0103ng \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee9c ho\u1ea1t \u0111\u1ed9ng g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i, ho\u1ea1t b\u00e1t, th\u01b0\u1eddng v\u01b0\u1ee3t tr\u1ed9i h\u01a1n nh\u1eefng b\u1ea5t l\u1ee3i n\u00e0y. Ngo\u00e0i ra, ng\u00e0y nay v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ec1n y h\u1ecdc hi\u1ec7n \u0111\u1ea1i, c\u00f3 th\u1ec3 chuy\u1ec3n \u0111\u1ed5i t\u1eeb kh\u1edbp b\u1ecb h\u00e0n c\u1ee9ng sang <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phau-thuat-thay-khop-nhan-tao\/\">thay kh\u1edbp nh\u00e2n t\u1ea1o<\/a> ph\u00f9 h\u1ee3p n\u1ebfu c\u1ea7n thi\u1ebft trong cu\u1ed9c s\u1ed1ng sau n\u00e0y.<\/p>\n<p>K\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp c\u00f3 th\u1ec3 l\u00e0 n\u1ed9i kh\u1edbp, ngo\u1ea1i kh\u1edbp ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai. K\u1ef9 thu\u1eadt ngo\u1ea1i kh\u1edbp \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb em, v\u00ec ph\u1ea7n l\u1edbn b\u1ec1 m\u1eb7t kh\u1edbp c\u1ee7a tr\u1ebb em l\u00e0 s\u1ee5n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t l\u01b0\u1ee3ng l\u1edbn x\u01b0\u01a1ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed<\/a> ho\u1eb7c nhi\u1ec5m tr\u00f9ng \u0111ang ho\u1ea1t \u0111\u1ed9ng, nh\u01b0 trong b\u1ec7nh lao. K\u1ef9 thu\u1eadt n\u1ed9i kh\u1edbp cho ph\u00e9p \u0111i\u1ec1u ch\u1ec9nh bi\u1ebfn d\u1ea1ng t\u1ed1t h\u01a1n v\u00e0 \u0111\u1ea1t y\u00eau c\u1ea7u n\u1ebfu s\u1eed d\u1ee5ng \u0111\u1ee7 c\u00e1c v\u00f9ng b\u1ec1 m\u1eb7t x\u01b0\u01a1ng kh\u1ecfe m\u1ea1nh. N\u1ebfu t\u1ea1i ch\u1ed7 kh\u00f4ng c\u00f3 \u0111\u1ee7 x\u01b0\u01a1ng, n\u00ean gh\u00e9p x\u01b0\u01a1ng, t\u1ed1t nh\u1ea5t l\u00e0 x\u01b0\u01a1ng t\u1ef1 th\u00e2n, x\u01b0\u01a1ng x\u1ed1p.<\/p>\n<p>M\u1ed9t s\u1ed1 tai bi\u1ebfn c\u00f3 th\u1ec3 x\u1ea3y ra: nhi\u1ec5m tr\u00f9ng, l\u1ec7ch tr\u1ee5c, m\u00f4 m\u1ec1m che ph\u1ee7 k\u00e9m.<\/p>\n<p>H\u00e0n kh\u1edbp th\u00e0nh c\u00f4ng l\u00e0 m\u1ed9t c\u00e1ch ch\u1eafc ch\u1eafn \u0111\u1ec3 gi\u1ea3m \u0111au v\u0129nh vi\u1ec5n nh\u01b0ng n\u00f3 ph\u1ea3i \u0111\u00e1nh \u0111\u1ed5i b\u1eb1ng s\u1ef1 c\u1ee9ng kh\u1edbp.<\/p>\n<h2><strong>2. CH\u1ec8 \u0110\u1ecaNH V\u00c0 CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH CHUNG<\/strong><\/h2>\n<h3><strong>2.1 Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h3>\n<ul>\n<li>Vi\u00eam kh\u1edbp sau ch\u1ea5n th\u01b0\u01a1ng \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb<\/li>\n<li>Vi\u00eam kh\u1edbp tho\u00e1i h\u00f3a<\/li>\n<li>C\u1ee9u c\u00e1nh cho vi\u1ec7c thay kh\u1edbp th\u1ea5t b\u1ea1i<\/li>\n<li>B\u1ec7nh kh\u1edbp do th\u1ea7n kinh (b\u1ec7nh kh\u1edbp Charcot)<\/li>\n<li>C\u1eaft b\u1ecf kh\u1ed1i u<\/li>\n<li>B\u1ec7nh lao<\/li>\n<li>Bi\u1ebfn d\u1ea1ng n\u1eb7ng \u1edf t\u00ecnh tr\u1ea1ng li\u1ec7t<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">Vi\u00eam t\u1ee7y<\/a> s\u1ed1ng<\/li>\n<li>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/li>\n<\/ul>\n<h3><strong>2.2 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong>&#8211; Tuy\u1ec7t \u0111\u1ed1i:<\/h3>\n<p>+ Nhi\u1ec5m tr\u00f9ng huy\u1ebft n\u1eb7ngPh\u1eabu thu\u1eadt\u00a0+ Suy gi\u1ea3m ch\u1ee9c n\u0103ng m\u1ea1ch m\u00e1u t\u1ea1i v\u1ecb tr\u00ed m\u1ed5.<\/p>\n<ul>\n<li>T\u01b0\u01a1ng \u0111\u1ed1i:<\/li>\n<\/ul>\n<p>+ Lo\u00e3ng x\u01b0\u01a1ng qu\u00e1 n\u1eb7ng<\/p>\n<p>+ B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/p>\n<h2><strong>3. C\u00c1C PH\u1eaaU THU\u1eacT H\u00c0N KH\u1edaP TH\u01af\u1edcNG G\u1eb6P<\/strong><\/h2>\n<h3><strong>3.1 Kh\u1edbp c\u1ed5 ch\u00e2n<\/strong><\/h3>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/\">H\u00e0n kh\u1edbp c\u1ed5 ch\u00e2n<\/a> th\u01b0\u1eddng g\u1eb7p h\u01a1n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp h\u00e1ng<\/a> v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">kh\u1edbp g\u1ed1i<\/a>. Ch\u1ec9 \u0111\u1ecbnh th\u01b0\u1eddng g\u1eb7p l\u00e0 vi\u00eam kh\u1edbp n\u1eb7ng sau ch\u1ea5n th\u01b0\u01a1ng, ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c: vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, nhi\u1ec5m tr\u00f9ng, th\u1ea5t b\u1ea1i trong thay kh\u1edbp c\u1ed5 ch\u00e2n to\u00e0n ph\u1ea7n, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/u-xuong-va-phan-mem\/\">u x\u01b0\u01a1ng<\/a> v\u00f9ng c\u1ed5 ch\u00e2n.<\/p>\n<p>T\u01b0 th\u1ebf t\u1ed1i \u01b0u \u0111\u1ec3 h\u00e0n kh\u1edbp c\u1ed5 ch\u00e2n l\u00e0:<\/p>\n<ul>\n<li>G\u1ea5p 0 \u2013 5<sup>o<\/sup><\/li>\n<li>V\u1eb9o trong 0 \u2013 5<sup>o<\/sup><\/li>\n<li>Xoay ngo\u00e0i 5 \u2013 10<sup>o<\/sup> v\u1edbi x\u01b0\u01a1ng s\u00ean h\u01a1i tr\u01b0\u1ee3t ra sau.<\/li>\n<\/ul>\n<p>H\u1ea7u h\u1ebft c\u00e1c k\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp c\u1ed5 ch\u00e2n \u0111\u1ec1u \u0111\u1ea1t v\u1eefng ch\u1eafc 80 \u2013 90% b\u1ec7nh nh\u00e2n. Sau ph\u1eabu thu\u1eadt h\u00e0n kh\u1edbp, h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n h\u00e0i l\u00f2ng v\u1edbi s\u1ef1 gi\u1ea3m \u0111au, nh\u01b0ng t\u1ea5t c\u1ea3 \u0111\u1ec1u b\u1ecb gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng b\u00e0n ch\u00e2n ph\u00eda sau, \u0111i\u1ec1u n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c \u0111i l\u1ea1i kh\u00f3 kh\u0103n ngay c\u1ea3 tr\u00ean b\u1ec1 m\u1eb7t ph\u1eb3ng.<\/p>\n<p>T\u1eeb khi Charnley gi\u1edbi thi\u1ec7u k\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp c\u1ed5 ch\u00e2n \u0111\u1ebfn nay, \u0111\u00e3 xu\u1ea5t hi\u1ec7n h\u01a1n 30 k\u1ef9 thu\u1eadt kh\u00e1c nhau \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3. Nh\u00ecn chung, c\u00e1c k\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c ph\u00e2n chia d\u1ef1a v\u00e0o: &#8211; \u0110\u01b0\u1eddng v\u00e0o: ph\u00eda tr\u01b0\u1edbc, xuy\u00ean m\u1eaft c\u00e1, ph\u00eda sau &#8211; Ph\u01b0\u01a1ng ph\u00e1p c\u1ed1 \u0111\u1ecbnh: b\u00ean ngo\u00e0i, b\u00ean trong.<\/p>\n<p>B\u1ea5t k\u1ec3 k\u1ef9 thu\u1eadt \u0111\u1eb7c bi\u1ec7t n\u00e0o \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, theo Mann, m\u1ed9t s\u1ed1 nguy\u00ean t\u1eafc chung c\u1ea7n \u0111\u01b0\u1ee3c tu\u00e2n th\u1ee7:<\/p>\n<ul>\n<li>C\u1ea7n c\u1ed1 g\u1eafng t\u1ea1o ra b\u1ec1 m\u1eb7t x\u01b0\u01a1ng x\u1ed1p, ph\u1eb3ng, \u0111\u1ec3 \u00e1p v\u00e0o nhau, t\u1ea1o s\u1ef1 k\u1ebft d\u00ednh v\u1eefng ch\u1eafc<\/li>\n<li>V\u1ecb tr\u00ed h\u00e0n kh\u1edbp c\u1ea7n \u0111\u01b0\u1ee3c <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> b\u1eb1ng k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u00ean trong, n\u1ebfu c\u00f3 th\u1ec3 ho\u1eb7c v\u1edbi c\u1ed1 \u0111\u1ecbnh ngo\u00e0i. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 kh\u00f3 cho b\u1ec7nh nh\u00e2n lo\u00e3ng x\u01b0\u01a1ng n\u1eb7ng.<\/li>\n<li>Ch\u00e2n sau vu\u00f4ng g\u00f3c v\u1edbi c\u1eb3ng ch\u00e2n v\u00e0 t\u1eeb tr\u01b0\u1edbc ra sau c\u1ee7a b\u00e0n ch\u00e2n t\u1ea1o th\u00e0nh h\u00ecnh b\u00e0n ch\u00e2n b\u1eb9t<\/li>\n<\/ul>\n<p><figure id=\"attachment_1991\" aria-describedby=\"caption-attachment-1991\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1991\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture5-1-300x130.jpg\" alt=\"Picture5\" width=\"300\" height=\"130\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture5-1-300x130.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture5-1-18x8.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture5-1.jpg 414w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1991\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.1.<\/strong> K\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp c\u1ed5 ch\u00e2n, c\u1ed1 \u0111\u1ecbnh b\u00ean trong b\u1eb1ng v\u00edt [10]<\/figcaption><\/figure> <figure id=\"attachment_1992\" aria-describedby=\"caption-attachment-1992\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1992\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-1-300x155.png\" alt=\"Picture6\" width=\"300\" height=\"155\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-1-300x155.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-1-1024x528.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-1-768x396.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-1-18x9.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture6-1.png 1210w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1992\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.2. <\/strong>K\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp c\u1ed5 ch\u00e2n, c\u1ed1 \u0111\u1ecbnh ngo\u00e0i [1]<\/figcaption><\/figure><\/p>\n<p><strong>2.2. Kh\u1edbp g\u1ed1i<\/strong><\/p>\n<p>H\u00e0n kh\u1edbp g\u1ed1i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7u ti\u00ean b\u1edfi gi\u00e1o s\u01b0 Albert <a href=\"https:\/\/vi.wikipedia.org\/wiki\/Ng%C6%B0%E1%BB%9Di_%C3%81o\" target=\"_blank\" rel=\"noopener\">ng\u01b0\u1eddi \u00c1o<\/a> v\u00e0o n\u0103m 1878 cho s\u1ef1 m\u1ea5t v\u1eefng g\u00e2y ra b\u1edfi b\u1ec7nh b\u1ea1i li\u1ec7t. Hibbs h\u00e0n kh\u1edbp g\u1ed1i do lao v\u00e0o n\u0103m 1911 v\u00e0 Key m\u00f4 t\u1ea3 h\u00e0n kh\u1edbp g\u1ed1i b\u1eb1ng c\u1ed1 \u0111\u1ecbnh ngo\u00e0i v\u00e0o n\u0103m 1932. C\u00e1c c\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y \u0111\u01b0\u1ee3c thay \u0111\u1ed5i c\u1ea3i ti\u1ebfn b\u1edfi Charnley v\u00e0o n\u0103m 1948 v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i. H\u00e0n kh\u1edbp g\u1ed1i s\u1eed d\u1ee5ng \u0111inh n\u1ed9i t\u1ee7y \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 v\u00e0o n\u0103m 1948 b\u1edfi Chapchal, ng\u01b0\u1eddi gi\u1edbi thi\u1ec7u \u0111inh Kuntscher xuy\u00ean v\u00e0o c\u1eeda s\u1ed5 ph\u00eda tr\u01b0\u1edbc x\u01b0\u01a1ng \u0111\u00f9i qua kh\u1edbp g\u1ed1i v\u00e0 \u0111\u1ea1t v\u1eefng ch\u1eafc 85% b\u1ec7nh nh\u00e2n. N\u0103m 1948, Kuntscher m\u00f4 t\u1ea3 m\u1ed9t k\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp g\u1ed1i s\u1eed d\u1ee5ng \u0111inh n\u1ed9i t\u1ee7y d\u00e0i, l\u1ed1i v\u00e0o t\u1eeb \u0111\u1ec9nh m\u1ea5u chuy\u1ec3n l\u1edbn x\u01b0\u01a1ng \u0111\u00f9i \u0111\u1ebfn \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng ch\u00e0y. K\u1ef9 thu\u1eadt c\u1ed5 \u0111i\u1ec3n c\u1ee7a \u00f4ng g\u1ea7n gi\u1ed1ng v\u1edbi k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i ng\u00e0y nay.<\/p>\n<figure id=\"attachment_1993\" aria-describedby=\"caption-attachment-1993\" style=\"width: 135px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1993\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-135x300.png\" alt=\"Picture7\" width=\"135\" height=\"300\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-135x300.png 135w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-459x1024.png 459w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1-5x12.png 5w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture7-1.png 483w\" sizes=\"(max-width: 135px) 100vw, 135px\" \/><figcaption id=\"caption-attachment-1993\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.3.<\/strong> \u0110inh n\u1ed9i t\u1ee7y c\u1ed1 \u0111\u1ecbnh c\u1ee9ng kh\u1edbp g\u1ed1i, s\u1eed d\u1ee5ng \u0111inh Kuntscher [1]<\/figcaption><\/figure>\n<p>V\u1edbi s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a k\u1ef9 thu\u1eadt thay kh\u1edbp g\u1ed1i to\u00e0n ph\u1ea7n, ph\u1eabu thu\u1eadt h\u00e0n kh\u1edbp g\u1ed1i d\u1ea7n tr\u1edf th\u00e0nh ph\u1eabu thu\u1eadt s\u01a1 \u0111\u1eb3ng v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 thay kh\u1edbp g\u1ed1i to\u00e0n ph\u1ea7n. Th\u1ec9nh tho\u1ea3ng, \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb b\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/thoai-hoa-khop\/\">tho\u00e1i h\u00f3a kh\u1edbp<\/a> n\u1eb7ng, h\u00e0n kh\u1edbp c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn thay th\u1ebf cho thay kh\u1edbp v\u00ec c\u00e1c y\u1ebfu t\u1ed1: c\u00e2n n\u1eb7ng, ngh\u1ec1 nghi\u1ec7p ho\u1eb7c m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng. C\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c cho h\u00e0n kh\u1edbp g\u1ed1i: \u0111au c\u1ee9ng kh\u1edbp sau nhi\u1ec5m tr\u00f9ng, vi\u00eam lao, ch\u1ea5n th\u01b0\u01a1ng, bi\u1ebfn d\u1ea1ng n\u1eb7ng do b\u1ea1i li\u1ec7t, b\u1ec7nh kh\u1edbp th\u1ea7n kinh, c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u00e1c t\u00ednh \u1edf kh\u1edbp g\u1ed1i. H\u1ea7u h\u1ebft c\u00e1c ch\u1ec9 \u0111\u1ecbnh h\u00e0n kh\u1edbp g\u1ed1i th\u01b0\u1eddng l\u00e0 c\u1ee9u c\u00e1nh cho vi\u1ec7c thay kh\u1edbp g\u1ed1i to\u00e0n ph\u1ea7n th\u1ea5t b\u1ea1i.<\/p>\n<p>C\u00e1c b\u00e1o c\u00e1o v\u1ec1 h\u00e0n kh\u1edbp g\u1ed1i cho t\u1ec9 l\u1ec7 \u0111\u00f3ng c\u1ee9ng th\u00e0nh c\u00f4ng t\u1eeb 80 \u2013 90% c\u00e1c tr\u01b0\u1eddng h\u1ee3p, \u0111a ph\u1ea7n \u0111\u1ec1u h\u00e0i l\u00f2ng v\u1ec1 \u0111\u1ed9 c\u1ee9ng kh\u1edbp g\u1ed1i, \u0111\u1eb7c bi\u1ec7t l\u00e0 gi\u1ea3m \u0111au sau m\u1ed5. M\u1ed9t s\u1ed1 ph\u00e0n n\u00e0n sau m\u1ed5 t\u1eadp trung v\u00e0o cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y, kh\u00f3 kh\u0103n khi di chuy\u1ec3n n\u01a1i c\u00f4ng c\u1ed9ng, c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n c\u00f4ng c\u1ed9ng, kh\u00f3 kh\u0103n khi ng\u1ed3i trong c\u00e1c r\u1ea1p phim ho\u1eb7c r\u1ea1p h\u00e1t, g\u1eb7p v\u1ea5n \u0111\u1ec1 \u0111\u1ee9ng d\u1eady sau t\u00e9 ng\u00e3.<\/p>\n<p>Harris v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 so s\u00e1nh ch\u1ee9c n\u0103ng sau <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/dai-cuong-phau-thuat-cat-cut-chi-the\/\">c\u1eaft c\u1ee5t<\/a>, h\u00e0n kh\u1edbp, thay kh\u1edbp to\u00e0n ph\u1ea7n cho c\u00e1c kh\u1ed1i u \u1edf kh\u1edbp g\u1ed1i, k\u1ebft lu\u1eadn r\u1eb1ng t\u1ed1c \u0111\u1ed9 di chuy\u1ec3n khi \u0111i l\u1ea1i v\u00e0 hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng gi\u1eefa ba ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. Nh\u1eefng b\u1ec7nh nh\u00e2n trong nh\u00f3m h\u00e0n kh\u1edbp h\u1ea7u h\u1ebft \u0111\u1ec1u c\u00f3 ch\u00e2n v\u1eefng ch\u1eafc v\u00e0 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c h\u1ea7u h\u1ebft c\u00e1c c\u00f4ng vi\u1ec7c v\u1eadt l\u00fd v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y, nh\u01b0ng h\u1ecd kh\u00f3 kh\u0103n trong vi\u1ec7c ng\u1ed3i v\u00e0 t\u1ef1 ti v\u1ec1 b\u1ea3n th\u00e2n h\u01a1n nh\u00f3m b\u1ec7nh nh\u00e2n thay kh\u1edbp.<\/p>\n<figure id=\"attachment_1994\" aria-describedby=\"caption-attachment-1994\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1994\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-300x118.png\" alt=\"Picture8\" width=\"300\" height=\"118\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-300x118.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-1024x402.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-768x302.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-1536x603.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8-18x7.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture8.png 1553w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1994\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.4.<\/strong> C\u1ed1 \u0111\u1ecbnh ngo\u00e0i s\u1eed d\u1ee5ng cho h\u00e0n kh\u1edbp g\u1ed1i. <strong>A<\/strong>: c\u1ed1 \u0111\u1ecbnh m\u1eb7t ph\u1eb3ng ngang. <strong>B<\/strong>: c\u1ed1 \u0111\u1ecbnh tam gi\u00e1c,<br \/>\n1\/2 \u0111inh. <strong>C<\/strong>: c\u1ed1 \u0111\u1ecbnh tam gi\u00e1c, to\u00e0n b\u1ed9 \u0111inh, cung c\u1ea5p \u0111\u1ed9 v\u1eefng ch\u1eafc v\u1edbi nhi\u1ec1u m\u1eb7t ph\u1eb3ng [11]<\/figcaption><\/figure>\n<p><strong>2.3. <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">Kh\u1edbp vai<\/a><\/strong><\/p>\n<p>H\u00e0n kh\u1edbp vai l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Albert v\u00e0o n\u0103m 1879 cho b\u1ec7nh nh\u00e2n b\u1ecb li\u1ec7t chi tr\u00ean, th\u01b0\u1eddng g\u00e2y ra b\u1edfi b\u1ec7nh b\u1ea1i li\u1ec7t, bi\u1ebfn d\u1ea1ng h\u01b0 h\u1ea1i kh\u1edbp n\u1eb7ng n\u1ec1 sau nhi\u1ec5m tr\u00f9ng nh\u01b0 lao. B\u1edfi v\u00ec k\u1ef9 thu\u1eadt r\u1ea5t th\u00e0nh c\u00f4ng, n\u00ean danh s\u00e1ch ch\u1ec9 \u0111\u1ecbnh \u0111\u00e3 t\u0103ng l\u00ean trong nhi\u1ec1u th\u1eadp k\u1ef7.<\/p>\n<p>K\u1ef9 thu\u1eadt c\u1ed1 \u0111\u1ecbnh ngo\u00e0i h\u00e0n kh\u1edbp vai \u00edt khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, th\u01b0\u1eddng ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam kh\u1edbp do lao, tuy nhi\u00ean, k\u1ef9 thu\u1eadt n\u00e0y c\u00f3 nhi\u1ec1u h\u1ea1n ch\u1ebf v\u00e0 tr\u1edf n\u00ean kh\u00f4ng c\u1ea7n thi\u1ebft. Trong nh\u1eefng n\u0103m 1930 \u0111\u1ebfn 1940, Watson-Jones, Gill, Putti v\u00e0 Steindler \u0111\u00e3 b\u00e1o c\u00e1o c\u00e1c k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng c\u1ed1 \u0111\u1ecbnh b\u00ean trong v\u1edbi h\u1ed7 tr\u1ee3 c\u1ee7a b\u1ed9t c\u1ed1 \u0111\u1ecbnh v\u00e0 c\u1ed1 \u0111\u1ecbnh b\u00ean trong ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng nhi\u1ec1u h\u01a1n. C\u1ed1 \u0111\u1ecbnh b\u00ean trong cho ph\u00e9p b\u1ea5t \u0111\u1ed9ng t\u1ed1t h\u01a1n, k\u1ebft n\u1ed1i c\u00e1c b\u1ec1 m\u1eb7t v\u00e0 t\u1ea1o s\u1ef1 k\u1ebft d\u00ednh. N\u1ebfu c\u1ed1 \u0111\u1ecbnh b\u00ean trong v\u1eefng ch\u1eafc, c\u00e1c n\u1eb9p v\u00e0 b\u1ed9t kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng, \u0111\u1ec3 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/a> cho chi tr\u00ean.<\/p>\n<p>C\u00e1c nh\u00f3m c\u01a1 ch\u1ee9c n\u0103ng \u1edf v\u00f9ng vai, nh\u01b0 nh\u00f3m c\u01a1 vai \u2013 ng\u1ef1c, c\u01a1 tr\u00f2n b\u00e9, n\u00ean \u0111\u01b0\u1ee3c b\u1ed9c l\u1ed9 khi h\u00e0n kh\u1edbp, ngay c\u1ea3 khi h\u00e0n kh\u1edbp l\u00e0m t\u0103ng \u0111\u1ed9 v\u1eefng v\u1edbi tr\u01b0\u1eddng h\u1ee3p li\u1ec7t to\u00e0n b\u1ed9 kh\u1edbp vai. T\u00ecnh tr\u1ea1ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp khu\u1ef7u<\/a> c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, b\u1edfi v\u00ec c\u1ea7n duy tr\u00ec t\u1ea7m v\u1eadn \u0111\u1ed9ng kh\u1edbp khu\u1ef7u sau h\u00e0n kh\u1edbp vai \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam kh\u1edbp. \u0110\u00f3ng c\u1ee9ng kh\u1edbp vai ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u1ee9ng kh\u1edbp khu\u1ef7u v\u00e0 kh\u00f4ng khuy\u1ebfn kh\u00edch \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u00f3ng c\u1ee9ng kh\u1edbp vai \u0111\u1ed1i di\u1ec7n. Ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7c bi\u1ec7t c\u1ee7a h\u00e0n kh\u1edbp vai bao g\u1ed3m: nhi\u1ec5m tr\u00f9ng, b\u1ea5t \u0111\u1ed9ng do b\u1ea1i li\u1ec7t, sau ch\u1ea5n th\u01b0\u01a1ng li\u1ec7t \u0111\u00e1m r\u1ed1i c\u00e1nh tay, b\u1ea5t \u0111\u1ed9ng sau <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/rach-chop-xoay\/\">r\u00e1ch ch\u00f3p xoay<\/a> qu\u00e1 l\u1edbn v\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c, c\u1ee9u c\u00e1nh cho thay kh\u1edbp vai th\u1ea5t b\u1ea1i, kh\u1ed1i u v\u00f9ng kh\u1edbp vai t\u00e2n sinh.<\/p>\n<p>B\u1edfi v\u00ec h\u1ea7u h\u1ebft s\u1ee5n ti\u1ebfp h\u1ee3p \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay \u0111\u00f3ng l\u1ea1i trong \u0111\u1ed9 tu\u1ed5i 18 \u2013 22, n\u00ean ph\u1eabu thu\u1eadt tr\u01b0\u1edbc khi s\u1ee5n ti\u1ebfp h\u1ee3p \u0111\u00f3ng c\u00f3 th\u1ec3 ng\u0103n c\u1ea3n s\u1ef1 ph\u00e1t tri\u1ec3n, tuy nhi\u00ean, trong c\u00e1c ph\u1eabu thu\u1eadt \u0111\u00f3ng c\u1ee9ng kh\u1edbp vai, nguy c\u01a1 ch\u1eadm ph\u00e1t tri\u1ec3n th\u00ec nhi\u1ec1u l\u00fd thuy\u1ebft h\u01a1n th\u1ef1c t\u1ebf. M\u1eb7c d\u00f9 v\u00e0i nghi\u00ean c\u1ee9u khuy\u1ebfn c\u00e1o \u0111\u1ed9 tu\u1ed5i t\u1ed1i thi\u1ec3u l\u00e0 10 \u2013 12, trong m\u1ed9t b\u00e0i h\u1ed3i c\u1ee9u 102 kh\u1edbp vai \u0111\u01b0\u1ee3c h\u00e0n kh\u1edbp, ch\u1ec9 c\u00f3 1 tr\u01b0\u1eddng h\u1ee3p \u1ea3nh h\u01b0\u1edfng s\u1ef1 ph\u00e1t tri\u1ec3n \u1edf b\u1ec7nh nh\u00e2n 11 tu\u1ed5i.<\/p>\n<p>T\u01b0 th\u1ebf th\u00edch h\u1ee3p c\u1ee7a c\u00e1nh tay khi h\u00e0n kh\u1edbp vai v\u1eabn c\u00f2n tranh c\u00e3i. Hi\u1ec7n nay, h\u1ea7u h\u1ebft c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ec1 ngh\u1ecb: d\u1ea1ng 25 \u2013 40<sup>o<\/sup>, g\u1ea5p 20 \u2013 30<sup>o<\/sup> v\u00e0 xoay trong 25 \u2013 30<sup>o<\/sup>. T\u1ea5t c\u1ea3 t\u00e1c gi\u1ea3 tin r\u1eb1ng t\u01b0 th\u1ebf xoay l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng t\u1ed1i \u01b0u.<\/p>\n<p><figure id=\"attachment_1995\" aria-describedby=\"caption-attachment-1995\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1995\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1-300x130.png\" alt=\"Picture9\" width=\"300\" height=\"130\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1-300x130.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1-1024x442.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1-768x332.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1-1536x663.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1-18x8.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture9-1.png 1658w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1995\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.5.<\/strong> T\u01b0 th\u1ebf c\u00e1nh tay cho h\u00e0n kh\u1edbp vai [13]<\/figcaption><\/figure> <figure id=\"attachment_1996\" aria-describedby=\"caption-attachment-1996\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1996\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-300x130.png\" alt=\"Picture10\" width=\"300\" height=\"130\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-300x130.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-768x333.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1-18x8.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture10-1.png 989w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1996\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.6.<\/strong> K\u1ef9 thu\u1eadt gi\u00fap x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 xoay trong ph\u00f9 h\u1ee3p cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u00e0n kh\u1edbp vai. <strong>A<\/strong>: B\u00e0n tay \u1edf t\u01b0 th\u1ebf ngay \u0111\u01b0\u1eddng trung tuy\u1ebfn gi\u1eefa x\u01b0\u01a1ng \u1ee9c v\u00e0 x\u01b0\u01a1ng b\u1ea3 vai. <strong>B<\/strong>: G\u1ea5p khu\u1ef7u tay v\u00e0 ng\u00f3n c\u00e1i ch\u1ea1m c\u1ea7m [12]<\/figcaption><\/figure> <figure id=\"attachment_1997\" aria-describedby=\"caption-attachment-1997\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1997\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1-300x94.png\" alt=\"Picture11\" width=\"300\" height=\"94\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1-300x94.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1-1024x322.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1-768x242.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1-1536x484.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1-18x6.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture11-1.png 1610w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1997\" class=\"wp-caption-text\"><strong>H\u00ecnh 15.7.<\/strong> C\u00e1c k\u1ef9 thu\u1eadt h\u00e0n kh\u1edbp vai, c\u1ed1 \u0111\u1ecbnh b\u00ean trong [14]<\/figcaption><\/figure><\/p>\n<h2><strong>4. K\u1ebeT LU\u1eacN<\/strong><\/h2>\n<p>V\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a k\u1ef9 thu\u1eadt thay kh\u1edbp, ph\u1eabu thu\u1eadt h\u00e0n kh\u1edbp kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh r\u1ed9ng r\u00e3i, tuy nhi\u00ean, n\u00f3 v\u1eabn \u0111em l\u1ea1i gi\u00e1 tr\u1ecb nh\u1ea5t \u0111\u1ecbnh khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh v\u00e0 l\u00e0 c\u1ee9u c\u00e1nh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 ti\u1ebfn h\u00e0nh thay kh\u1edbp.<\/p>\n","protected":false},"featured_media":2266,"comment_status":"open","ping_status":"closed","template":"","tags":[171,146,167],"chuyen-muc":[58],"class_list":["post-1987","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-han-khop","tag-phau-thuat","tag-phau-thuat-thay-khop","chuyen-muc-dieu-tri-co-ban-trong-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1987","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=1987"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1987\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2266"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=1987"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=1987"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=1987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}