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全膝关节置换术后的临床与功能分析

CLINICAL AND FUNCTIONAL ANALYSIS AFTER TOTAL KNEE ARTHROPLASTY.

作者信息

Araujo Helder Rocha da Silva, Heyn Renan Simoes, Torres Marcelo Rodrigues, Paranhos Halley, da Silva Ulbiramar Correa, Oliveira Enio Chaves

机构信息

Centro Estadual de Reabilitação e Readaptação Dr. Henrique Santillo, Goiânia, GO, Brazil.

Universidade Federal de Goiás, Faculty of Medicine, Institute of Orthopedics and Traumatology, Knee Group, Goiás, GO, Brazil.

出版信息

Acta Ortop Bras. 2022 May 23;30(3):e247855. doi: 10.1590/1413-785220223003e247855. eCollection 2022.

DOI:10.1590/1413-785220223003e247855
PMID:35694028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9150874/
Abstract

UNLABELLED

Osteoarthritis is a major cause of disability worldwide.

OBJECTIVE

To evaluate the effects of Total Knee Arthroplasty of subjects with knee osteoarthritis by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC ).

METHODS

Prospective, non-randomized study with convenience sampling. We included subjects with knee osteoarthritis with indication for surgical treatment. We used WOMAC to evaluate the level of pain, joint stiffness, physical activity, and quality of life in the preoperative and postoperative phase six months after unilateral surgery. We compared WOMAC to the factors age, gender, Body Mass Index and the type of angular deformity of the knee.

RESULTS

In total, we analyzed 58 patients with significant improvements in pain relief, joint stiffness, level of physical activity, and quality of life six months after total knee arthroplasty according to WOMAC.

CONCLUSION

Total knee arthroplasty showed positive effects on the quality of life of patients with knee osteoarthritis.

摘要

未标注

骨关节炎是全球残疾的主要原因。

目的

通过西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评估全膝关节置换术对膝骨关节炎患者的影响。

方法

采用方便抽样的前瞻性、非随机研究。我们纳入了有手术治疗指征的膝骨关节炎患者。我们使用WOMAC评估单侧手术后六个月的术前和术后疼痛程度、关节僵硬程度、身体活动情况和生活质量。我们将WOMAC与年龄、性别、体重指数和膝关节角畸形类型等因素进行比较。

结果

根据WOMAC,我们总共分析了58例患者,全膝关节置换术后六个月疼痛缓解、关节僵硬、身体活动水平和生活质量有显著改善。

结论

全膝关节置换术对膝骨关节炎患者的生活质量有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/9150874/4a5bb5b4dd10/1809-4406-aob-30-03-e247855-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/9150874/4a5bb5b4dd10/1809-4406-aob-30-03-e247855-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/9150874/4a5bb5b4dd10/1809-4406-aob-30-03-e247855-gf1.jpg

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本文引用的文献

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The outcomes of total knee arthroplasty in morbidly obese patients: a systematic review of the literature.病态肥胖患者全膝关节置换术的结果:文献系统综述
Arch Orthop Trauma Surg. 2019 Apr;139(4):553-560. doi: 10.1007/s00402-019-03127-5. Epub 2019 Feb 16.
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Function scores of different surgeries in the treatment of knee osteoarthritis: A PRISMA-compliant systematic review and network-meta analysis.不同手术治疗膝关节骨关节炎的功能评分:一项遵循PRISMA标准的系统评价和网状Meta分析
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No difference in implant survivorship and clinical outcomes between full-cementless and full-cemented fixation in primary total knee arthroplasty: A systematic review and meta-analysis.
初次全膝关节置换中,全非骨水泥固定与全骨水泥固定在假体生存率和临床结果方面无差异:系统评价和荟萃分析。
Int J Surg. 2018 May;53:312-319. doi: 10.1016/j.ijsu.2018.04.015. Epub 2018 Apr 12.
4
No difference in the functional improvements between unilateral and bilateral total knee replacements.单侧与双侧全膝关节置换术在功能改善方面无差异。
BMC Musculoskelet Disord. 2018 Mar 21;19(1):87. doi: 10.1186/s12891-018-2006-x.
5
The effects of advanced age on primary total knee arthroplasty: a meta-analysis and systematic review.高龄对初次全膝关节置换术的影响:一项荟萃分析与系统评价
BMC Geriatr. 2016 Feb 10;16:41. doi: 10.1186/s12877-016-0215-4.
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Call for standardized definitions of osteoarthritis and risk stratification for clinical trials and clinical use.呼吁制定骨关节炎的标准化定义以及用于临床试验和临床应用的风险分层。
Osteoarthritis Cartilage. 2015 Aug;23(8):1233-41. doi: 10.1016/j.joca.2015.03.036. Epub 2015 Apr 9.
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Intermediate and long-term quality of life after total knee replacement: a systematic review and meta-analysis.全膝关节置换术后的中期和长期生活质量:系统评价和荟萃分析。
J Bone Joint Surg Am. 2015 Jan 21;97(2):156-68. doi: 10.2106/JBJS.M.00372.
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OARSI guidelines for the non-surgical management of knee osteoarthritis.美国骨与软组织放射学会膝关节骨关节炎非手术治疗指南
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