Freijo Valentín, Navarro Claudia, Villalba Jordi
Department of Physical Medicine and Rehabilitation, Parc Taulí Hospital Universitari Institut d'Investigació i Innovació Parc Taulí I3PT, Parc Taulí, 1, 08208 Sabadell, Spain.
Service of Orthopaedics and Traumatology, Consorci Hospitalari de Vic, Carrer de Francesc Pla el Vigatà, 1, 08500 Vic, Spain.
J Clin Med. 2024 Sep 12;13(18):5392. doi: 10.3390/jcm13185392.
: Treatment of advanced knee osteoarthritis with total knee arthroplasty typically results in an improvement in function, gait, and quality of life, which tend to be affected by the condition. It is, however, necessary to determine the baseline factors that could influence the patients' postoperative outcome. : This is a single-center prospective observational study of patients with advanced knee osteoarthritis (Kellgren-Lawrence grade 3 or 4) treated with total knee arthroplasty. Gait parameters were recorded at baseline and at various postoperative time points using a wireless device. Progression of function was assessed using the Knee Society Score questionnaire and quality of life by means of the EQ-5D and Knee Injury and Osteoarthritis Outcome Score questionnaires. Progression of gait and quality of life was analyzed in all patients, distinguishing between those where baseline velocity was < 1 m/s and those where it was ≥1 m/s. The potential correlation between baseline and postoperative parameters was also evaluated. : All 119 patients showed a significant improvement in their gait, function, and quality of life parameters at one year from the procedure ( < 0.05). No statistically significant differences were found in any of the postoperative subscales, regardless of baseline velocity (< o ≥ 1 m/s) or between any of the baseline or postoperative parameters (r < 0.29). : Baseline gait parameters in patients with advanced knee osteoarthritis do not appear to bear a statistically significant relationship with function or quality of life outcomes following total knee arthroplasty. Such parameters exhibit a significant improvement one year after surgery.
全膝关节置换术治疗晚期膝骨关节炎通常会改善功能、步态和生活质量，而这些往往会受到该疾病的影响。然而，有必要确定可能影响患者术后结果的基线因素。
这是一项针对接受全膝关节置换术的晚期膝骨关节炎患者（Kellgren-Lawrence分级为3级或4级）的单中心前瞻性观察研究。使用无线设备在基线和术后不同时间点记录步态参数。使用膝关节协会评分问卷评估功能进展，并通过EQ-5D和膝关节损伤与骨关节炎结果评分问卷评估生活质量。对所有患者的步态和生活质量进展进行分析，区分基线速度<1 m/s的患者和基线速度≥1 m/s的患者。还评估了基线参数与术后参数之间的潜在相关性。
所有119例患者在术后一年时步态、功能和生活质量参数均有显著改善（<0.05）。无论基线速度（<或≥1 m/s）如何，术后任何子量表均未发现统计学上的显著差异，基线参数与术后参数之间也未发现统计学上的显著差异（r<0.29）。
晚期膝骨关节炎患者的基线步态参数似乎与全膝关节置换术后的功能或生活质量结果没有统计学上的显著关系。这些参数在术后一年有显著改善。
