Bican Orhan, Jacovides Christina, Pulido Luis, Saunders Cheri, Parvizi Javad
Department of Orthopaedics, Rothman Institute, Philadelphia, PA 19107, USA.
J Knee Surg. 2011 Dec;24(4):265-71. doi: 10.1055/s-0031-1280880.
Fibromyalgia has recently emerged as a diagnosis of exclusion for patients with chronic, widespread pain. We investigated the influence of this comorbidity on outcomes of total knee arthroplasty (TKA). We matched 59 patients (90 knees) who underwent primary TKA with a diagnosis of fibromyalgia to control patients who underwent the same surgery. Postoperative satisfaction and functional outcomes were assessed using a Likert scale and the SF-36 survey, respectively. At 3.4 years' follow-up, fibromyalgia patients were less satisfied with TKA than control patients, and had lower preoperative and postoperative SF-36 scores. They demonstrated improvement comparable to that of controls following TKA, however. Fibromyalgia patients appear to show improvement comparable to that of controls following surgery. This syndrome should not be considered a contraindication for surgery.
纤维肌痛症最近已成为慢性广泛性疼痛患者的排除性诊断。我们研究了这种合并症对全膝关节置换术（TKA）结果的影响。我们将59例诊断为纤维肌痛症并接受初次TKA的患者（90个膝关节）与接受相同手术的对照患者进行匹配。分别使用李克特量表和SF-36调查问卷评估术后满意度和功能结果。在3.4年的随访中，纤维肌痛症患者对TKA的满意度低于对照患者，术前和术后的SF-36评分也较低。然而，他们在TKA后显示出与对照组相当的改善。纤维肌痛症患者术后似乎显示出与对照组相当的改善。这种综合征不应被视为手术的禁忌症。
