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全膝关节置换术后三个月步态和临床结果对患者满意度的影响。

How gait and clinical outcomes contribute to patients' satisfaction three months following a total knee arthroplasty.

机构信息

Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Switzerland.

出版信息

J Arthroplasty. 2013 Sep;28(8):1297-300. doi: 10.1016/j.arth.2013.01.031. Epub 2013 Mar 23.

Abstract

The objective of this study was to investigate how gait and clinical outcomes contribute to patients' satisfaction three months following a total knee arthroplasty (TKA). Seventy-eight patients with knee osteoarthritis (OA) and a control group of twenty-nine subjects were evaluated. The gait parameters, Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain and functional levels, quality of life and patients' satisfaction following TKA were assessed. A multiple linear regression model shows that the WOMAC functional score explained 39% of the global satisfaction and 37% of the satisfaction related to pain relief following TKA. Finally, the model shows that 65% of the satisfaction related to the functional improvement was explained by a combination of clinical and gait parameters. This study demonstrated the contribution of both gait and clinical outcomes to patients' satisfaction following TKA.

摘要

本研究旨在探讨全膝关节置换术(TKA)后三个月患者的步态和临床结果如何影响其满意度。共评估了 78 例膝关节骨关节炎(OA)患者和 29 例对照组患者。评估了 TKA 后的步态参数、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)疼痛和功能水平、生活质量和患者满意度。多元线性回归模型显示,WOMAC 功能评分解释了 TKA 后整体满意度的 39%和与疼痛缓解相关的满意度的 37%。最后,该模型表明,与功能改善相关的满意度有 65%可由临床和步态参数的组合来解释。本研究表明,步态和临床结果均对 TKA 后患者的满意度有影响。

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