Dung Tran T, Nang Vo S Q, Son Dinh N, Du Hoang G, Long Nguyen H, Son Le M, Toan Duong D, Minh Do V, Phuong Nguyen H, Thanh Ma N
Hanoi Medical University; Saint Paul University Hospital; Hanoi Medical University Hospital, Vietnam.
Hanoi Medical University; Hanoi Medical University Hospital, Vietnam.
Arch Med Sci. 2019 Sep 9;17(2):397-405. doi: 10.5114/aoms.2019.87689. eCollection 2021.
Deforming arthrosis, or osteoarthritis, is the most common rheumatic disease that involves the musculoskeletal system. The purpose of this research is to perform a retrospective review of the quality of life of patients with knee arthrosis, who underwent total knee arthroplasty (TKA) no less than 5 years ago, to evaluate, based on the Knee Society Scoring System, the efficacy of a modified measured resection technique, and to investigate factors that affect the outcomes.
The research sample consisted of 44 patients who had severe osteoarthrosis, Kellgren-Lawrence grade III and grade IV.
The post-operative complications occurred in seven knee joints. Among them there were 2 cases of infection, 2 cases of periprosthesis fracture, and 2 cases of aseptic instability, each pair accounting for 4.3%, and 1 case of femoropatellar pain (2.3%). The remaining 38 knee joints (84.8%) were free of complications.
Knee arthrosis is a serious health problem, given the significant rate of disability among patients and the significant reduction in the quality of life. Patients often seek medical help at the later stages of the disease, when pain is strong and knee function is significantly reduced. The approach to rehabilitation procedures and, in some cases, to lifestyle improvement should be more responsible.
变形性关节炎，即骨关节炎，是最常见的累及肌肉骨骼系统的风湿性疾病。本研究的目的是对至少在5年前接受全膝关节置换术（TKA）的膝关节骨关节炎患者的生活质量进行回顾性评估，基于膝关节协会评分系统评估改良测量截骨技术的疗效，并调查影响治疗结果的因素。
研究样本包括44例患有严重骨关节炎（Kellgren-Lawrence III级和IV级）的患者。
7个膝关节出现术后并发症。其中感染2例，假体周围骨折2例，无菌性不稳定2例，各占4.3%，髌股关节疼痛1例（2.3%）。其余38个膝关节（84.8%）未出现并发症。
鉴于患者中显著的残疾率和生活质量的显著下降，膝关节骨关节炎是一个严重的健康问题。患者常在疾病后期疼痛剧烈且膝关节功能显著下降时寻求医疗帮助。康复程序以及在某些情况下改善生活方式的方法应该更加谨慎。
