Shah Nilen A, Patil Hitendra G, Vaishnav Vinod O, Kathawadia Krunal M
Department of Orthopaedics, Bombay Hospital, Mumbai 400 026, India.
J Orthop. 2015 Jun 5;13(3):235-7. doi: 10.1016/j.jor.2015.05.004. eCollection 2016 Sep.
Every surgical procedure involves certain amount of postoperative morbidity which varies among different surgeries and the same surgery done by different techniques. Minimally invasive surgeries have evolved in all surgical branches and are believed to have a lesser morbidity than the traditional procedures; however there is no score or index to assess the immediate recovery after any surgical procedure in the literature. We tried to devise an immediate postoperative assessment method that takes into account the early recovery phase of patient post total knee arthroplasty (TKA) from day1 to day3. We called it as morbidity index. It consists of a 10 different parameters which could overall assess the patient's postoperative recovery.
MATERIALS & METHODS: A prospective study was conducted in order to evaluate feasibility of the morbidity index and its usefulness in assessing the immediate postoperative recovery in TKA. We evaluated 50 consecutive TKA patients and scored at day 1, day 2 and day 3 postoperatively by a morbidity index.
The mean score on day one was 13.88 which decreased to 4.68 by day three indicating morbidity has decreased.
The morbidity index can be a tool to assess the immediate postoperative recovery of the patient after TKA and can be used to compare different approaches and procedure.
每台外科手术都涉及一定程度的术后发病率，不同手术以及同一手术采用不同技术时，术后发病率各不相同。微创外科手术已在所有外科领域得到发展，并且据信其发病率低于传统手术；然而，文献中尚无用于评估任何外科手术后即刻恢复情况的评分或指标。我们试图设计一种术后即刻评估方法，该方法要考虑到全膝关节置换术（TKA）患者术后第1天至第3天的早期恢复阶段。我们将其称为发病率指数。它由10个不同参数组成，这些参数可以全面评估患者的术后恢复情况。
进行了一项前瞻性研究，以评估发病率指数的可行性及其在评估TKA术后即刻恢复情况方面的有用性。我们评估了50例连续的TKA患者，并在术后第1天、第2天和第3天采用发病率指数进行评分。
第1天的平均评分为13.88，到第3天时降至4.68，表明发病率有所下降。
发病率指数可以作为评估TKA术后患者即刻恢复情况的一种工具，并且可用于比较不同的手术方法和操作。
