髌股关节置换术和全膝关节置换术患者的患者报告结局测量（PROMs）：一项比较研究。
Patient-reported outcome measures (PROMs) in patients undergoing patellofemoral arthroplasty and total knee replacement: A comparative study.
作者信息
Perrone Fabio Luigi, Baron Steffen, Suero Eduardo M, Lausmann Christian, Kendoff Daniel, Zahar Akos, Gehrke Thorsten, Citak Mustafa
机构信息
Department of Orthopaedic Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany.
Department of Orthopaedics and Traumatology, University of Rome Tor Vergata, "Policlinico Tor Vergata" Foundation, Rome, Italy.
出版信息
Technol Health Care. 2018;26(3):507-514. doi: 10.3233/THC-181185.
BACKGROUND
Incongruity in the evaluation of outcomes between patients and surgeons has led to an increasing utilization of patient-reported outcome measures (PROMs) as an evaluation method of outcome.
OBJECTIVE
The aim of this study was to compare Oxford Knee Score (OKS), KOOS-PS and Kujala Score results in patients who received either PFA or TKA with and without patella resurfacing in the tretament of knee osteoarthritis.
METHODS
A total of 50 patients (PFA = 19 patients; TKA with patelloplasty = 15 patients; TKA with patellar resurfacing = 16 patients) undergone surgery between 2011 and 2014 and were included for final analysis.
RESULTS
No statistical significance was found for OKS, KOOS-PS and Kujala scores between the three groups. However, although patients with PFA experienced higher levels of pain.
CONCLUSIONS
According to our results, it is essential to discuss the treatment options and quality of life expectations with the patient prior joint replacement surgery in order to reduce patient dissatisfaction.
LEVEL OF EVIDENCE
Level III, retrospective comparative study.
背景
患者与外科医生对治疗结果评估的不一致，导致患者报告结局测量（PROMs）作为一种结局评估方法的使用日益增加。
目的
本研究旨在比较接受全膝关节置换术（PFA）或全膝关节置换术（TKA）且有或无髌骨表面置换的膝关节骨关节炎患者的牛津膝关节评分（OKS）、膝关节损伤和骨关节炎疗效评分-患者自评（KOOS-PS）和库贾拉评分结果。
方法
共有50例患者（PFA组19例；行髌骨成形术的TKA组15例；行髌骨表面置换的TKA组16例）在2011年至2014年间接受手术，并纳入最终分析。
结果
三组之间的OKS、KOOS-PS和库贾拉评分无统计学意义。然而，尽管接受PFA的患者疼痛程度较高。
结论
根据我们的结果，在关节置换手术前与患者讨论治疗方案和生活质量期望至关重要，以减少患者的不满。
证据级别
三级，回顾性比较研究。
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