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本文引用的文献

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Role of Suction Drain after Knee Arthroplasty in the Tranexamic Acid Era: A Randomized Controlled Study.膝关节置换术后引流管的作用：氨甲环酸时代的一项随机对照研究。
Clin Orthop Surg. 2019 Mar;11(1):73-81. doi: 10.4055/cios.2019.11.1.73. Epub 2019 Feb 18.
2
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Early Outcomes After Total Knee Arthroplasty: 24-Hour Data From the PILLAR Study.局部浸润镇痛联合脂质体布比卡因可改善全膝关节置换术后早期结局：PILLAR 研究 24 小时数据。
J Arthroplasty. 2019 May;34(5):882-886.e1. doi: 10.1016/j.arth.2018.12.026. Epub 2018 Dec 25.
3
Blood loss of total knee arthroplasty in osteoarthritis: an analysis of influential factors.骨关节炎患者全膝关节置换术的失血情况：影响因素分析
J Orthop Surg Res. 2018 Dec 22;13(1):325. doi: 10.1186/s13018-018-1038-0.
4
Preoperative celecoxib analgesia is more efficient and equally tolerated compared to postoperative celecoxib analgesia in knee osteoarthritis patients undergoing total knee arthroplasty: A randomized, controlled study.在接受全膝关节置换术的膝骨关节炎患者中，术前塞来昔布镇痛比术后塞来昔布镇痛更有效且耐受性相当：一项随机对照研究。
Medicine (Baltimore). 2018 Dec;97(51):e13663. doi: 10.1097/MD.0000000000013663.
5
Preoperative high-intensity strength training improves postural control after TKA: randomized-controlled trial.术前高强度力量训练可改善 TKA 后的姿势控制：随机对照试验。
Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1057-1066. doi: 10.1007/s00167-018-5246-2. Epub 2018 Oct 25.
6
An evidence-based review of enhanced recovery after surgery in total knee replacement surgery.全膝关节置换手术中术后加速康复的循证综述。
J Perioper Pract. 2019 Sep;29(9):281-290. doi: 10.1177/1750458918791121. Epub 2018 Sep 13.
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Tourniquetless Total Knee Arthroplasty With Modern Perioperative Protocols Decreases Pain and Opioid Consumption in Women.无止血带全膝关节置换术结合现代围手术期方案可减少女性的疼痛和阿片类药物消耗。
J Arthroplasty. 2018 Nov;33(11):3455-3459. doi: 10.1016/j.arth.2018.06.038. Epub 2018 Jul 5.
8
Multiple Doses of Perioperative Dexamethasone Further Improve Clinical Outcomes After Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.多剂量围手术期地塞米松进一步改善全膝关节置换术后的临床结局：一项前瞻性、随机、对照研究。
J Arthroplasty. 2018 Nov;33(11):3448-3454. doi: 10.1016/j.arth.2018.06.031. Epub 2018 Jul 4.
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Prevalence of knee osteoarthritis in former athletes: a systematic review with meta-analysis.前运动员膝关节骨关节炎的患病率：系统评价和荟萃分析。
Braz J Phys Ther. 2018 Nov-Dec;22(6):437-451. doi: 10.1016/j.bjpt.2018.03.012. Epub 2018 Apr 4.
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Blood flow restriction training as a prehabilitation concept in total knee arthroplasty: A narrative review about current preoperative interventions and the potential impact of BFR.血流限制训练作为全膝关节置换术的一种围手术期康复概念：关于当前术前干预措施以及 BFR 的潜在影响的叙述性综述。
Med Hypotheses. 2018 Jan;110:53-59. doi: 10.1016/j.mehy.2017.10.029. Epub 2017 Oct 31.

老年骨关节炎患者全膝关节置换术的围手术期处理。

Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty.

机构信息

Department of Trauma and Orthopeadics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK.

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

出版信息

J Perioper Pract. 2021 Jun;31(6):209-214. doi: 10.1177/1750458920936940. Epub 2021 Mar 21.

DOI:10.1177/1750458920936940
PMID:33745384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8167922/
Abstract

Knee osteoarthritis is a common arthritic disease which mainly affects the elderly (≥65 years old) population. As a result of the cartilage degeneration, it can cause a significant amount of pain and functional limitation. In patients who are refractory to conservative management, total knee arthroplasty is being utilised as the last resort in management. In this review, we discuss the perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty.

摘要

膝骨关节炎是一种常见的关节炎疾病，主要影响老年（≥65 岁）人群。由于软骨退化，它会导致大量疼痛和功能受限。对于保守治疗无效的患者，全膝关节置换术是治疗的最后手段。在这篇综述中，我们讨论了需要全膝关节置换术的老年骨关节炎患者的围手术期管理。