OrthoIndy Knee Care Institute and Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN 46237, USA.
Phys Sportsmed. 2009 Dec;37(4):53-61. doi: 10.3810/psm.2009.12.1742.
Osteoarthritis becomes more prevalent with increasing age, and currently is occurring more frequently in the "baby boomer" generation (ages 44-66 years). However, many individuals may be reluctant to undergo arthroplasty procedures because potential activity limitations. Thus, physicians must consider each patient's history and desired activity level after treatment. Osteoarthritis treatments include nonoperative measures such as weight reduction, injections, and nonsteroidal anti-inflammatory drugs, as well as operative options, including partial and total knee arthroplasty. Each treatment type will vary in its impact on activity levels. If arthroplasty is required, patients must be cautioned to minimize component overload, which may result in polyethylene wear and loosening; however, cardiopulmonary fitness and general conditioning benefits of activity can be maintained.
骨关节炎随着年龄的增长而更为普遍,目前在“婴儿潮一代”(44-66 岁)中更为常见。然而,许多人可能不愿意接受关节置换手术,因为潜在的活动受限。因此,医生必须考虑每个患者的病史和治疗后的预期活动水平。骨关节炎的治疗包括非手术措施,如减轻体重、注射和非甾体抗炎药,以及手术选择,包括部分和全膝关节置换术。每种治疗类型对活动水平的影响都不同。如果需要进行关节置换,必须告诫患者尽量减少组件过载,这可能会导致聚乙烯磨损和松动;然而,可以保持活动的心肺健康和一般身体状况的益处。