Nunley Ryan M, Nam Denis, Bashyal Ravi K, Della Valle Craig J, Hamilton William G, Berend Michael E, Parvizi Javad, Clohisy John C, Barrack Robert L
Department of Orthopedic Surgery, Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri.
NorthShore University Health System, Skokie, Illinois.
J Arthroplasty. 2015 Feb;30(2):335-40. doi: 10.1016/j.arth.2014.09.029. Epub 2014 Oct 2.
There is limited information regarding sexual function following total hip (THA) and knee arthroplasty (TKA). A multicenter study of 806 THA, 542 TKA, and 181 control patients less than 60 years of age was conducted using an independent survey center to question subjects about their sexual function. Only 1.3% of THA and 1.6% of TKA patients stated they were not sexually active due to their operation. No significant differences were noted in sexual function based on the bearing surface, femoral head size, or use of surface replacement arthroplasty in the hip cohort. Multivariate analysis revealed no difference in the percentage of patients sexually active following a THA or TKA (OR 1.19, P=0.38). Most young active patients return to sexual activity after hip and knee arthroplasty.
关于全髋关节置换术（THA）和全膝关节置换术（TKA）后性功能的信息有限。一项针对806例全髋关节置换术患者、542例全膝关节置换术患者和181例年龄小于60岁的对照患者的多中心研究，通过一个独立的调查中心询问受试者的性功能情况。只有1.3%的全髋关节置换术患者和1.6%的全膝关节置换术患者表示，他们因手术而没有性活动。在髋关节队列中，基于承重面、股骨头大小或表面置换关节成形术的使用情况，性功能方面未发现显著差异。多变量分析显示，全髋关节置换术或全膝关节置换术后性活跃患者的百分比没有差异（比值比1.19，P=0.38）。大多数年轻活跃的患者在髋关节和膝关节置换术后恢复了性活动。
