全膝关节置换术（TKA）患者在术后3个月和12个月时的改善程度低于全髋关节置换术（THA）患者。一项回顾性观察队列研究。
TKA patients experience less improvement than THA patients at 3 and 12 months after surgery. A retrospective observational cohort study.
作者信息
Marques Carlos J, Pinnschmidt Hans O, Bohlen Karina, Lorenz Juergen, Lampe Frank
机构信息
Science Office of the Orthopaedic and Joint Replacement Department at the Schoen Clinic Hamburg Eilbek, Dehnhaide 120, D-22081, Hamburg, Germany.
Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
出版信息
J Orthop. 2020 Sep 17;21:517-522. doi: 10.1016/j.jor.2020.09.007. eCollection 2020 Sep-Oct.
Abstract
PURPOSE
To investigate whether WOMAC scores changes after THA or TKA are gender and joint specific.
METHODS
Retrospective cohort study. The data of 855 THA and 684 TKA patients were analyzed.
RESULTS
Follow-up time (p < 0.001), gender (p < 0.001), joint (p < 0.001), and interaction FU by joint (p < 0.001) had significant effects on WOMAC total and sub-scores. Patients after TKA perceived less improvement in all dimensions in comparison to THA patients (p < 0.001).
CONCLUSION
WOMAC score changes after THA or TKA are joint-specific. Patients after TKA perceived less improvement. These results can be used to adjust patients' expectations.
摘要
目的
研究全髋关节置换术（THA）或全膝关节置换术（TKA）后WOMAC评分的变化是否具有性别和关节特异性。
方法
回顾性队列研究。分析了855例THA患者和684例TKA患者的数据。
结果
随访时间（p < 0.001）、性别（p < 0.001）、关节（p < 0.001）以及随访与关节的交互作用（p < 0.001）对WOMAC总分及各分项评分均有显著影响。与THA患者相比，TKA患者在所有维度上的改善均较少（p < 0.001）。
结论
THA或TKA术后WOMAC评分变化具有关节特异性。TKA术后患者的改善较少。这些结果可用于调整患者的预期。
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