Shubin Stein Beth E, Brady Jacqueline M, Grawe Brian, Tuakli-Wosornu Yetsa, Nguyen Joseph T, Wolfe Elizabeth, Voigt Marcia, Mahony Gregory, Strickland Sabrina
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
Am J Orthop (Belle Mead NJ). 2017 Nov/Dec;46(6):E353-E357.
Patellofemoral arthroplasty (PFA) is used to treat isolated patellofemoral arthritis, but little is known about post-PFA activity levels and functional outcome scores. We reviewed 48 consecutive cases (39 patients) of PFAs performed between 2009 and 2014. Three validated patient-reported outcome measures (Kujala score, Lysholm score, International Knee Documentation Committee score) were used to evaluate knee function before and after surgery. Patient-reported outcome measures were significantly improved after surgery. Return to previous preferred activity was reported by 72.2% of patients, and 52.8% of patients reported returning to the same activity level or to a higher level. Historically, the literature evaluating knee arthroplasty outcomes has focused on implant survivorship, pain relief, and patient satisfaction. Our findings show that patients who undergo PFA have a high rate of return to their preferred activities. These findings can be used to inform patients who want to remain active after PFA.
髌股关节置换术(PFA)用于治疗孤立性髌股关节炎,但关于PFA术后的活动水平和功能结局评分知之甚少。我们回顾了2009年至2014年间连续进行的48例(39名患者)PFA手术。使用三项经过验证的患者报告结局指标(库贾拉评分、莱霍尔姆评分、国际膝关节文献委员会评分)来评估手术前后的膝关节功能。患者报告的结局指标在术后有显著改善。72.2%的患者报告恢复到之前的首选活动,52.8%的患者报告恢复到相同活动水平或更高水平。从历史上看,评估膝关节置换术结局的文献主要集中在植入物存活率、疼痛缓解和患者满意度上。我们的研究结果表明,接受PFA手术的患者恢复到首选活动的比例很高。这些发现可用于为希望在PFA术后保持活跃的患者提供信息。