Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
J Shoulder Elbow Surg. 2013 Jun;22(6):787-91. doi: 10.1016/j.jse.2013.01.023. Epub 2013 Mar 13.
Knowledge of patient activities after total elbow arthroplasty may help delineate the true functional gains obtained after replacement. Experience suggests that some patients may perform activities excessively demanding on elbow implants, but compliance with activity restrictions recommended after elbow arthroplasty is largely unknown.
All patients who underwent a primary or revision total elbow arthroplasty at a single institution from 2005 to 2007 were surveyed regarding their activity level. The University of California, Los Angeles (UCLA) activity score and Mayo Elbow Performance Score were assessed. Patients were also questioned about whether they recalled which activities were not recommended by their surgeon.
One hundred thirteen completed surveys were analyzed. There were 29 men and 84 women with a mean age of 65 years. Of the patients, 64 had primary and 49 had revision operations. The mean Mayo Elbow Performance Score was 77 points (range, 15-100 points). The mean University of California, Los Angeles activity score was 5 points (range, 1-10 points). Moderate-demand activities were performed by 94% of patients, and high-demand activities were performed by 40% of patients. Male gender and a diagnosis of fracture/nonunion was associated with increased performance of high-demand activities (P < .05). Eighty percent of patients remembered receiving postoperative restrictions, and of these patients, 83% interpreted that they were compliant with their restrictions.
Ninety-four percent of patients engaged in moderate-demand activities after total elbow arthroplasty. Forty percent engaged in high-demand activities. Factors correlated with more demanding activities included male gender and diagnosis of fracture/nonunion. The vast majority of patients remembered receiving postoperative restrictions.
了解全肘关节置换术后患者的活动情况有助于明确置换后获得的真实功能增益。经验表明，某些患者可能会过度使用肘部植入物进行活动，但全肘置换术后患者对活动限制的依从性尚不清楚。
对 2005 年至 2007 年在一家医疗机构接受初次或翻修全肘置换术的所有患者进行了活动水平调查。评估了加利福尼亚大学洛杉矶分校（UCLA）活动评分和 Mayo 肘关节功能评分。还询问了患者是否记得哪些活动不被他们的外科医生推荐。
分析了 113 份完整的调查问卷。其中男性 29 例，女性 84 例，平均年龄 65 岁。患者中 64 例为初次手术，49 例为翻修手术。平均 Mayo 肘关节功能评分为 77 分（15-100 分）。平均 UCLA 活动评分为 5 分（1-10 分）。94%的患者进行了中等强度的活动，40%的患者进行了高强度的活动。男性和骨折/不愈合的诊断与进行高强度活动相关（P<0.05）。80%的患者记得接受过术后限制，其中 83%的患者认为自己遵守了限制。
94%的全肘置换术后患者进行了中等强度的活动。40%的患者进行了高强度的活动。与更具挑战性的活动相关的因素包括男性和骨折/不愈合的诊断。绝大多数患者记得接受过术后限制。
