Belmont Philip J, Heida Ken, Keeney James A, Hamilton William, Burks Rob, Waterman Brian R
Department of Orthopaedic Surgery Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
J Arthroplasty. 2015 Jun;30(6):968-72. doi: 10.1016/j.arth.2015.01.044. Epub 2015 Jan 31.
This investigation sought to determine occupational outcomes after total knee arthroplasty (TKA) in a high-demand cohort. A total of 159 military servicemembers underwent 181 primary TKAs with mean follow-up of 4.1 (range, 2.0-6.6) years. Approximately 18% of servicemembers underwent medical separation from the military due to TKA-related limitations, and age <45 years (OR=2.36; 95% CI: 1.14, 4.90) was established as the significant risk factor. Twenty servicemembers (12.6%) performed postoperative combat deployments, with age <45 years (OR=3.10; 95% CI: 1.29, 7.47) or combat arms designation (OR=2.75; 95% CI: 1.13, 6.73) associated with higher rates of deployment. Nine revision TKAs (5.0%) were performed at an average of 1.9 years. Following TKA, 82% of servicemembers remained on active-duty or completed their military service.
IV.
本研究旨在确定高需求队列中全膝关节置换术（TKA）后的职业结局。共有159名军人接受了181次初次TKA，平均随访4.1年（范围2.0 - 6.6年）。约18%的军人因TKA相关限制从军队中医疗退役，年龄<45岁被确定为显著风险因素（OR = 2.36；95% CI：1.14，4.90）。20名军人（12.6%）进行了术后战斗部署，年龄<45岁（OR = 3.10；95% CI：1.29，7.47）或战斗兵种指定（OR = 2.75；95% CI：1.13，6.73）与更高的部署率相关。9例（5.0%）进行了翻修TKA，平均时间为1.9年。TKA后，82%的军人仍在现役或完成了兵役。
IV。
