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全膝关节置换术患者功能结局和生活质量的长期评估

Long-term Assessment of Functional Outcomes and Quality of Life in Patients Undergoing Total Knee Arthroplasty.

作者信息

Sivaram J, Bothra Himanshu, Kumar Pushpendra, Khalid Mohammed Kinaan, Panja Supantha, Shashank Chapala, Satheesh Tharini

机构信息

Department of Orthopeadics, Government Sivagangai Medical College, Sivagangai, Tamil Nadu, India.

Orthopaedic, MGM Medical College, Aurangabad, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2552-S2554. doi: 10.4103/jpbs.jpbs_237_24. Epub 2024 Jun 7.

DOI:10.4103/jpbs.jpbs_237_24
PMID:39346210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426669/
Abstract

BACKGROUND

While short-term outcomes of total knee arthroplasty (TKA) have been extensively studied, there is a need for longstanding assessments to understand the enduring impact of the procedure on patient well-being.

METHODS

A retrospective cohort research to rate the longstanding functional outcomes and quality of life (QoL) in those undergoing primary TKA. Patient-reported outcomes, including SF-36 and EQ-5D scores, were collected at multiple time points postoperatively (1, 5, and 10 years). Objective assessments of functional parameters, i.e., range of motion, gait analysis, and quadriceps strength, were also recorded.

RESULTS

Current findings demonstrate significant improvements in functional outcomes post-TKA, with sustained benefits observed over a 10-year period. Range of motion, gait parameters, and quadriceps strength showed consistent enhancements postoperatively. Moreover, QoL measures, as reflected by SF-36 and EQ-5D scores, exhibited substantial improvements following TKA and remained elevated throughout the follow-up period.

CONCLUSION

This research highlights the enduring effectiveness of TKA in improving both functional outcomes and QoL in patients with advanced knee arthritis.

摘要

背景

虽然全膝关节置换术(TKA)的短期疗效已得到广泛研究,但仍需要长期评估,以了解该手术对患者健康的持久影响。

方法

一项回顾性队列研究,对接受初次TKA的患者的长期功能结局和生活质量(QoL)进行评估。在术后多个时间点(1年、5年和10年)收集患者报告的结局,包括SF-36和EQ-5D评分。还记录了功能参数的客观评估,即活动范围、步态分析和股四头肌力量。

结果

目前的研究结果表明,TKA术后功能结局有显著改善,且在10年期间持续受益。术后活动范围、步态参数和股四头肌力量均持续增强。此外,SF-36和EQ-5D评分反映的QoL指标在TKA术后有显著改善,并在整个随访期内保持升高。

结论

本研究强调了TKA在改善晚期膝关节炎患者功能结局和QoL方面的持久有效性。

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本文引用的文献

1
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J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S293-S298. doi: 10.4103/jpbs.jpbs_498_22. Epub 2023 Jul 5.
2
Medical and psychological comorbidity predicts poor pain outcomes after total knee arthroplasty.医学和心理共病预测全膝关节置换术后疼痛结局不佳。
Rheumatology (Oxford). 2013 May;52(5):916-23. doi: 10.1093/rheumatology/kes402. Epub 2013 Jan 15.
3
A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008.一项基于人群的研究:1969 年至 2008 年全髋关节和全膝关节置换术使用趋势。
Mayo Clin Proc. 2010 Oct;85(10):898-904. doi: 10.4065/mcp.2010.0115. Epub 2010 Sep 7.
4
Total knee replacement with and without patellar resurfacing: a prospective, randomised trial using the profix total knee system.有无髌骨表面置换的全膝关节置换术:一项使用Profix全膝关节系统的前瞻性随机试验。
J Bone Joint Surg Br. 2008 Jan;90(1):43-9. doi: 10.1302/0301-620X.90B1.18986.
5
Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.2005年至2030年美国初次和翻修髋关节与膝关节置换术的预测。
J Bone Joint Surg Am. 2007 Apr;89(4):780-5. doi: 10.2106/JBJS.F.00222.
6
Predicting the outcome of total knee arthroplasty.预测全膝关节置换术的结果。
J Bone Joint Surg Am. 2004 Oct;86(10):2179-86. doi: 10.2106/00004623-200410000-00008.
7
The importance of patient expectations in predicting functional outcomes after total joint arthroplasty.患者期望在预测全关节置换术后功能结局中的重要性。
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8
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9
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10
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.医学结局研究36项简明健康调查(SF-36)。I.概念框架与条目选择。
Med Care. 1992 Jun;30(6):473-83.