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一项按性别分层的全膝关节置换术后结局的前瞻性纵向研究。

A Prospective, Longitudinal Study of Outcomes Following Total Knee Arthroplasty Stratified by Gender.

作者信息

Cherian Jeffrey J, O'Connor Mary I, Robinson Kristen, Jauregui Julio J, Adleberg Jason, Mont Michael A

机构信息

Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland.

Mayo Clinic, Jacksonville, Florida.

出版信息

J Arthroplasty. 2015 Aug;30(8):1372-7. doi: 10.1016/j.arth.2015.03.032. Epub 2015 Mar 31.

Abstract

This study aimed to compare temporal trends in outcomes between men and women following TKA. A database of 272 TKAs at 7 years follow-up were evaluated for survivorship, functional, activity, and quality of life outcomes. Evaluation of implant survivorship, KSS scores, and ROM showed no significance differences between men and women, but both functional KSS scores and LEAS showed that men had significantly higher functional scores. The SF-36 physical component was found to be significantly better in men at multiple time points, whereas, the mental component was significantly better in men at pre-operative and 2 years. Both men and women benefit from TKA, however, men have higher levels of function and activity both prior to and after TKA than women.

摘要

本研究旨在比较全膝关节置换术(TKA)后男性和女性患者预后的时间趋势。对一个包含272例TKA患者且随访7年的数据库进行评估,以了解其假体生存率、功能、活动及生活质量等预后情况。对假体生存率、膝关节协会(KSS)评分和活动度的评估显示,男性和女性之间无显著差异,但功能KSS评分和下肢活动量表(LEAS)均表明男性的功能评分显著更高。在多个时间点发现男性的SF-36身体维度显著更好,而在术前和术后2年男性的心理维度显著更好。男性和女性均从TKA中获益,然而,男性在TKA前后的功能和活动水平均高于女性。

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