Trauma and Orthopaedic Unit, Gabriel Narutowicz Municipal Specialist Hospital in Krakow, 31-202 Krakow, Poland.
Institute of Applied Sciences, Faculty of Motor Rehabilitation, University of Physical Education, 31-571 Krakow, Poland.
Medicina (Kaunas). 2024 Sep 26;60(10):1582. doi: 10.3390/medicina60101582.
The aim of this study was to assess postural stability in patients after total and unicompartmental knee arthroplasties. : The study included 40 women who had undergone knee arthroplasties-20 women who had undergone total knee arthroplasty (TKA) (mean age 63.47 ± 2.17) and 20 women who had undergone unicompartmental knee arthroplasty (UKA) (mean age 64.65 ± 1.93). The comparison group consisted of 20 healthy women aged 60-69 years (mean age 64.45 ± 3.12). The average time from surgery to stabilometry was 14.4 months. Each patient underwent stabilography using a single-plate stabilography platform, which included both Romberg's test and a dynamic test. Additionally, the WOMAC scale was administered, where patients assessed their condition both before surgery and at the present time. : The averaged Romberg's test results show a slight displacement in the center of mass (COM) toward the forefoot and towards the right limb in both the TKA and UKA groups. The WOMAC scale results showed significant improvement and satisfactory functional outcomes in both groups. The study indicated that one year after surgery, patients in both groups required a larger base of support to maintain postural control. However, the results for the UKA group were more similar to those of healthy individuals.
本研究旨在评估全膝关节置换术和单髁膝关节置换术后患者的姿势稳定性。研究纳入了 40 名女性患者,其中 20 名接受了全膝关节置换术(TKA)(平均年龄 63.47 ± 2.17 岁),20 名接受了单髁膝关节置换术(UKA)(平均年龄 64.65 ± 1.93 岁)。对照组由 20 名 60-69 岁健康女性组成(平均年龄 64.45 ± 3.12 岁)。从手术到平衡测试的平均时间为 14.4 个月。每位患者均使用单平板平衡测试平台进行平衡测试,包括 Romberg 测试和动态测试。此外,还使用 WOMAC 量表对患者进行评估,评估内容包括手术前和当前的身体状况。 Romberg 测试的平均结果显示,在 TKA 和 UKA 组中,重心(COM)都有轻微向前脚和右侧肢体的位移。WOMAC 量表的结果显示两组患者都有显著改善,且功能结局都令人满意。研究表明,术后一年,两组患者都需要更大的支撑基础来维持姿势控制,但 UKA 组的结果与健康个体更相似。