Joint Reconstruction Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea.
J Arthroplasty. 2010 Apr;25(3):458-464.e1-2. doi: 10.1016/j.arth.2009.01.018. Epub 2009 Feb 28.
This study was conducted to investigate functional disabilities and patient satisfaction in Korean patients after total knee arthroplasty (TKA). Of 372 female patients who had undergone TKA with a follow-up longer than 12 months, 261 patients (70.2%) completed a questionnaire designed to evaluate functional disabilities, perceived importance, and patient satisfaction. The top 5 severe functional disabilities were difficulties in kneeling, squatting, sitting with legs crossed, sexual activity, and recreational activities. The top 5 in order of perceived importance were difficulties in walking, using a bathtub, working, recreation activities, and climbing stairs. Severities of functional disabilities were not found to be correlated with perceived importance. The 23 patients (8.8%) dissatisfied with their replaced knees had more severe functional disabilities than the patients satisfied for most activities. The dissatisfied patients tended to perceive functional disabilities in high-flexion activities to be more important than the satisfied.
本研究旨在探讨全膝关节置换术(TKA)后韩国患者的功能障碍和患者满意度。在接受随访时间超过 12 个月的 372 名女性 TKA 患者中,261 名患者(70.2%)完成了一份旨在评估功能障碍、感知重要性和患者满意度的问卷。前 5 项严重的功能障碍是:跪地、深蹲、盘腿坐、性生活和娱乐活动困难。按照感知重要性的顺序排列,前 5 项是:步行、使用浴缸、工作、娱乐活动和爬楼梯困难。功能障碍的严重程度与感知的重要性无关。23 名(8.8%)对置换膝关节不满意的患者在大多数活动中比满意的患者有更严重的功能障碍。不满意的患者往往认为高屈曲活动中的功能障碍更重要,而满意的患者则认为不那么重要。