全膝关节置换术后的生活质量：沙特阿拉伯的经验。
Quality of life post total knee arthroplasty: Saudi Arabian experience.
机构信息
Department of Orthopaedic Surgery, King Fahd Hospital of the University, Imam AbdulRahman Bin Faisal University, Al Khobar, Saudi Arabia.
出版信息
Ann Afr Med. 2022 Apr-Jun;21(2):158-160. doi: 10.4103/aam.aam_106_20.
BACKGROUND AND OBJECTIVE
Osteoarthritis of knee is quite common in Saudi Arabian population. Total knee arthroplasty (TKA) was reluctantly accepted in Saudi Arabia about 2 decades ago but there are few small number reports on quality of life (QOL) postsurgery. The objective of this study was to investigate the QOL and overall satisfaction postTKA.
METHODS
We retrospectively studied 200 patients' consecutive patients who underwent primary TKA at King Fahd Hospital of the University, AlKhobar, Saudi Arabia. Patient's age, sex, weight, height, body mass index, and range of movements at the time of surgery were extracted from the QuadraMED patients Database. The minimum follow-up was 24 months. At the last visit of 24 months, patients were evaluated using modified Western Ontario and McMaster Universities Osteoarthritis Index (MWOMAC), QOL using Short Form-36 Health Survey (SF-36), and patient satisfaction was assessed.
RESULTS
Among the 212 TKAs performed, 52 were male and 148 were female. One hundred and twenty two were right side and 90 were left side and 22 were bilateral. The mean age was 62.7 ± 5.1 years. There were no intraoperative complications. Nearly 95% resulted in patient satisfaction. SF-36 and all the parameters assessed significantly improved (P < 0.001). MWOMAC scores of the patients, which show all functions, had statistically significantly improved to (P < 0.001) except prayers before and after surgery did not change which was expected. The overall level of satisfaction was observed 95% of patients.
CONCLUSIONS
Our study shows that TKA has a positive effect on pain, mobility, QOL, and ultimate satisfaction.
背景与目的
膝关节骨关节炎在沙特阿拉伯人群中较为常见。全膝关节置换术（TKA）在大约 20 年前才在沙特阿拉伯勉强被接受，但关于术后生活质量（QOL）的报告很少。本研究的目的是调查 TKA 后的 QOL 和总体满意度。
方法
我们回顾性研究了在沙特阿拉伯阿卜杜拉国王科技大学法赫德国王医院接受初次 TKA 的 200 例连续患者。从 QuadraMED 患者数据库中提取患者的年龄、性别、体重、身高、体重指数和手术时的运动范围。最低随访时间为 24 个月。在 24 个月的最后一次就诊时，使用改良的西安大略和麦克马斯特大学骨关节炎指数（MWOMAC）评估患者的健康状况，使用健康调查简表 36 项（SF-36）评估 QOL，并评估患者满意度。
结果
在进行的 212 例 TKA 中，男性 52 例，女性 148 例。右侧 122 例，左侧 90 例，双侧 22 例。平均年龄为 62.7 ± 5.1 岁。无术中并发症。近 95%的患者对手术结果表示满意。SF-36 和所有评估参数均显著改善（P < 0.001）。MWOMAC 评分显示所有功能均有统计学意义的改善（P < 0.001），但手术前后的祈祷没有变化，这是预期的。观察到 95%的患者总体满意度水平较高。
结论
我们的研究表明，TKA 对疼痛、活动能力、QOL 和最终满意度有积极影响。
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