Lim Jason Beng Teck, Chou Andrew Chia Chen, Chong Hwei Chi, Lo Ngai Nung, Chia Shi-lu, Tay Keng Jin Darren, Yeo Seng Jin
Acta Orthop Belg. 2015 Dec;81(4):682-9.
This study aims to review the quality of life and physical improvement achieved by total joint arthroplasty surgery, namely unilateral TKA, bilateral TKA and THA. We hypothesize that patients who undergo bilateral TKA should have greater improvement in patient-reported outcome measures, as compared to patients who had unilateral TKA, and their outcomes may be comparable to that of THA. We analyzed prospectively collected data of all patients who underwent unilateral TKA, bilateral TKA and THA (5291, 187 and 529 patients respectively) for end-stage osteoarthritis at a tertiary hospital during the 5-year period. Patients who underwent bilateral TKA had a greater degree of improvement in SF-36 and Knee Society Scores as compared to unilateral TKA at 6 months and 2 years follow-up. Bilateral TKA had the highest proportion of patients who were satisfied and had expectations met by surgery.
本研究旨在评估全关节置换手术，即单侧全膝关节置换术（TKA）、双侧TKA和全髋关节置换术（THA）所实现的生活质量改善和身体状况改善情况。我们假设，与接受单侧TKA的患者相比，接受双侧TKA的患者在患者报告结局指标方面应有更大改善，且其结局可能与THA相当。我们分析了一家三级医院在5年期间对所有因终末期骨关节炎接受单侧TKA、双侧TKA和THA（分别为5291例、187例和529例患者）的患者进行前瞻性收集的数据。在6个月和2年随访时，与单侧TKA相比，接受双侧TKA的患者在SF-36量表和膝关节协会评分方面有更大程度的改善。双侧TKA患者对手术满意且期望达成的比例最高。
