Elkousy Hussein, Fertitta Davin K, Elkousy Laith, Rana Maudood, Pfeil Allyson N, Hryc Corey F
Fondren Orthopedic Research Institute, Houston, Texas, U.S.A.
University of Nevada, Reno School of Medicine, Reno, Nevada, U.S.A.
Arthrosc Sports Med Rehabil. 2024 Jun 28;6(5):100965. doi: 10.1016/j.asmr.2024.100965. eCollection 2024 Oct.
To investigate the effects of arthroscopy surgery on ankylosis and synovitis after total knee arthroplasty (TKA), with patient satisfaction as the main outcome measure.
A single surgeon's database was queried for all knee arthroscopy procedures done from 2002 to 2024 using the , and , codes for ankylosis or synovitis and Current Procedural Terminology codes 29884 and 29876. Patients were excluded if they did not have a previous TKA, had a TKA but arthroscopy was done for multiple or other indications, were <2 months from TKA, lacked medical records, or were worker's compensation cases. Patients were separated into either the ankylosis group or the synovitis group. A patient satisfaction survey was collected at first and last follow-up and asked individuals to rate their condition as "better," "unchanged," or "worse" after arthroscopy. A total of 199 subjects were included: 48 in the ankylosis group and 151 in the synovitis group.
The mean initial follow-up time was 5.2 and 7.2 months for the ankylosis and synovitis groups, respectively. The mean final follow-up time was 3.7 and 4.8 years, respectively. For initial follow-up, the ankylosis group reported 31% better, 56% unchanged, and 13% worse, whereas the synovitis group reported 69% better, 29% unchanged, and 2% worse ( < .001). For final follow-up, the ankylosis group reported 44% better, 41% unchanged, and 15% worse, whereas the synovitis group reported 78% better, 10% unchanged, and 12% worse ( < .001).
After TKA, arthroscopic surgery can reduce symptoms and improve satisfaction for patients with ankylosis or synovitis. Patient satisfaction is improved in a greater percentage of patients with synovitis compared with ankylosis.
Level III, retrospective, comparative study.
以患者满意度作为主要结局指标，探讨关节镜手术对全膝关节置换术（TKA）后关节强直和滑膜炎的影响。
查询一位外科医生的数据库，获取2002年至2024年期间所有使用关节强直或滑膜炎的 、 和 编码以及当前手术操作术语编码29884和29876进行的膝关节镜检查手术。如果患者没有先前的TKA、有TKA但关节镜检查是因多种或其他指征进行、距离TKA不到2个月、缺乏病历或为工伤赔偿病例，则将其排除。患者被分为关节强直组或滑膜炎组。在首次和末次随访时收集患者满意度调查，要求患者对关节镜检查后的病情评为“好转”“未改变”或“恶化”。共纳入199名受试者：关节强直组48名，滑膜炎组151名。
关节强直组和滑膜炎组的平均初始随访时间分别为5.2个月和7.2个月。平均末次随访时间分别为3.7年和4.8年。对于初始随访，关节强直组报告31%好转、56%未改变、13%恶化，而滑膜炎组报告69%好转、29%未改变、2%恶化（P<0.001）。对于末次随访，关节强直组报告44%好转、41%未改变、15%恶化，而滑膜炎组报告78%好转、10%未改变、12%恶化（P<0.001）。
TKA后，关节镜手术可减轻关节强直或滑膜炎患者的症状并提高满意度。与关节强直患者相比，滑膜炎患者中满意度提高的比例更高。
三级，回顾性比较研究。
