Oktas Birhan, Vergili Ozge
Orthopaedie and Traumatology Department, Kirikkale University Faculty of Medicine, Yurtkur Sokak, No:1 Yahsihan, Kirikkale, Turkey.
Physiotherapy and Rehabilitation Department, Kirikkale University Faculty of Health Sciences, Kirikkale, Turkey.
J Orthop Surg Res. 2018 Sep 12;13(1):233. doi: 10.1186/s13018-018-0924-9.
Total knee arthroplasty (TKA) is a gold standard for terminal term gonarthrosis patients in order to diminish pain, correct deformities, and regain stability. Postoperative functional recovery of patients depends on the current postoperative rehabilitation program to an important extent. The purpose of our study is to compare midterm functional level of gonarthrosis patients who were included in physiotherapy rehabilitation program following TKA with people in similar ages without any surgical indication nor intervention. We have aimed also to compare functionality of people who had additional kinesiotaping (KT) treatment with people who had conservative treatment only after knee arthroplasty.
Functional level and knee functionality of people in study were evaluated at the end of postoperative first month by 6-min walk test and Lysholm knee score respectively.
There was no statistical difference between groups with and without TKA in terms of height, weight, body mass index, Lysholm score, and 6-min walk test score (p > 0.05). In patient group with TKA, people with postoperative KT treatment had greater 6-min walk test score for postoperative first month (p = 0.005).
TKA is considered a gold standard procedure in order to increase the quality of life and improve functionality of terminal term gonarthrosis patients. It is necessary to immediately control pain and edema of knee and apply intensive rehabilitation program aimed at muscle strengthening around hip and knee in order to increase the success of operation.
全膝关节置换术(TKA)是终末期膝关节炎患者减轻疼痛、纠正畸形和恢复稳定性的金标准。患者术后的功能恢复在很大程度上取决于当前的术后康复计划。我们研究的目的是比较接受TKA后纳入物理治疗康复计划的膝关节炎患者与年龄相仿、无手术指征且未接受干预的人群的中期功能水平。我们还旨在比较接受额外肌内效贴扎(KT)治疗的人群与仅接受膝关节置换术后保守治疗的人群的功能情况。
分别通过6分钟步行试验和Lysholm膝关节评分在术后第一个月末评估研究对象的功能水平和膝关节功能。
接受TKA和未接受TKA的组在身高、体重、体重指数、Lysholm评分和6分钟步行试验评分方面无统计学差异(p>0.05)。在接受TKA的患者组中,术后接受KT治疗的人群在术后第一个月的6分钟步行试验评分更高(p = 0.005)。
TKA被认为是提高终末期膝关节炎患者生活质量和改善功能的金标准手术。为提高手术成功率,有必要立即控制膝关节疼痛和肿胀,并实施旨在加强髋部和膝关节周围肌肉的强化康复计划。