Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
J Arthroplasty. 2014 Dec;29(12):2285-8. doi: 10.1016/j.arth.2014.02.018. Epub 2014 Feb 21.
Activities in Asian cultures require greater knee flexion. However, this study hypothesized that post-operative range of motion (ROM) does not correlate with patient reported outcome scores at 2years. 292 TKAs were evaluated at a public hospital in Singapore from January 2006 to May 2009. The relationship between ROM and outcome scores was examined using a multiple linear regression model with Generalized Estimating Equation (GEE) allowing adjustment for confounders and repeated TKAs within a patient. Analysis did not yield statistically significant results when patients' post-op ROM was correlated with outcome scores at 2years. Lack of post op ROM does not translate into poorer outcome scores and dissatisfaction. Doctors can now counsel patients who are concerned about a lack of ROM after TKA.
亚洲文化中的活动需要更大的膝关节弯曲度。然而,本研究假设术后的活动范围(ROM)与 2 年后患者报告的结果评分没有相关性。2006 年 1 月至 2009 年 5 月,对新加坡一家公立医院的 292 例 TKA 进行了评估。使用广义估计方程(GEE)的多元线性回归模型,对 ROM 与结果评分之间的关系进行了检查,该模型允许对混杂因素和患者内的重复 TKA 进行调整。当将患者术后 ROM 与 2 年后的结果评分进行相关性分析时,并未得出统计学上显著的结果。术后 ROM 缺乏并不会导致结果评分和满意度下降。现在,医生可以为那些担心 TKA 后 ROM 缺乏的患者提供咨询。