骨关节炎患者分期或同期手术行双侧全膝关节置换术。
Complete bilateral knee arthroplasty in staged or simultaneous surgeries in patients with osteoarthritis.
作者信息
Ghadimi Keyvan, Motififard Mehdi, Mohammadi Reza, Rafiee Zadeh Aryan
机构信息
School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Department of Orthopedic, Isfahan University of Medical Sciences Isfahan, Iran.
出版信息
Int J Burns Trauma. 2022 Apr 15;12(2):59-65. eCollection 2022.
BACKGROUND
Considering the increasing importance of the new method of arthroplasty in the treatment of knee osteoarthritis and the possibility of its two-stage and one-stage process, as well as considering that each method has its own merits, this study examines these disadvantages and comparisons.
METHODS
In this cross-sectional study, 119 patients undergoing bilateral knee arthroplasty surgery were enrolled in the study, in the first group with the simultaneous process (60) and the second group who were willing two stages (from a period of three months or more) 59 patients, Then the treatment outcomes were compared in both groups.
RESULTS
The mean duration of hospitalization in the simultaneous group was significantly lower than that in the staged group (P < 0.05). The average surgery cost in the staged method was significantly higher than that of the same group (P < 0.05). The mean knee motion range and patients' satisfaction in the two groups did not significantly differ. In the short term, patients' satisfaction was higher in the stage method.
CONCLUSION
The simultaneous approach to hospitalization time and costs was better than the staged method, but in the long-term, there was a significant difference in other aspects.
背景
考虑到关节置换新方法在膝关节骨关节炎治疗中的重要性日益增加，以及其两阶段和一阶段手术过程的可能性，同时考虑到每种方法都有其自身优点，本研究对这些缺点进行了考察和比较。
方法
在这项横断面研究中，119例行双侧膝关节置换手术的患者被纳入研究，第一组为同期手术组（60例），第二组为愿意接受两阶段手术（间隔三个月或更长时间）的59例患者，然后比较两组的治疗结果。
结果
同期手术组的平均住院时间显著低于分期手术组（P < 0.05）。分期手术方法的平均手术费用显著高于同期手术组（P < 0.05）。两组的平均膝关节活动范围和患者满意度无显著差异。短期内，分期手术方法的患者满意度更高。
结论
同期手术在住院时间和费用方面优于分期手术方法，但从长期来看，在其他方面存在显著差异。
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