Shetty Saidan, Gudi Nachiket, S Elstin Anbu Raj, Maiya G Arun, Kg Mohandas Rao, Vijayan Sandeep, George Bincy M
Department of Anatomy, Melaka Manipal Medical College-Manipal Campus, Manipal Academy of Higher Education (MAHE), Manipal, 576104, Karnataka, India.
Digital Health Division, PATH, Delhi, India.
MethodsX. 2024 Nov 15;13:103057. doi: 10.1016/j.mex.2024.103057. eCollection 2024 Dec.
Knee osteoarthritis is a prevalent degenerative joint disease leading to pain, stiffness, reduced mobility in the knee, and muscle weakness. Total knee arthroplasty (TKA) is typically the preferred surgical treatment option for moderate to severe osteoarthritis. A deeper understanding of quadriceps and hamstring muscle activation after TKA is needed to monitor patient prognosis postoperatively. This review aims to synthesize and summarize the available evidence on the effects of TKA on quadriceps and hamstring muscle recovery in individuals with knee osteoarthritis. Electronic databases such as PubMed, Scopus, Web of Science, CINAHL, EMBASE, and ProQuest Health & Medical Complete will be searched using relevant keywords related to knee osteoarthritis, total knee arthroplasty, surface electromyography and quadriceps and hamstring muscle recovery. Two reviewers will independently assess the related studies and extract data from the chosen articles. The Cochrane Risk of Bias Tool-1 and the Joanna Briggs critical appraisal checklist will be used to assess the methodological quality of the studies based on study design. Based on the relevance of the data and number of studies, a meta-analysis approach will be used to obtain a unified outcome. This review's findings will support clinical decision-making and offer direction for future researchers studying this patient population. •This proposed systematic review, and meta-analysis will summarize and synthesize literature on the effect of total knee arthroplasty (TKA) on quadriceps and hamstring muscle recovery in individuals with knee osteoarthritis.•This review offers important insights into knee muscle recovery following TKA, assisting orthopedic surgeons and rehabilitation professionals in improving their clinical decision-making.
膝关节骨关节炎是一种常见的退行性关节疾病，会导致疼痛、僵硬、膝关节活动度降低和肌肉无力。全膝关节置换术（TKA）通常是中重度骨关节炎的首选手术治疗方案。需要更深入地了解TKA术后股四头肌和腘绳肌的激活情况，以监测患者术后的预后。本综述旨在综合和总结关于TKA对膝关节骨关节炎患者股四头肌和腘绳肌恢复影响的现有证据。将使用与膝关节骨关节炎、全膝关节置换术、表面肌电图以及股四头肌和腘绳肌恢复相关的关键词，检索诸如PubMed、Scopus、Web of Science、CINAHL、EMBASE和ProQuest Health & Medical Complete等电子数据库。两名评审员将独立评估相关研究，并从所选文章中提取数据。将使用Cochrane偏倚风险工具-1和乔安娜·布里格斯批判性评价清单，根据研究设计评估研究的方法学质量。根据数据的相关性和研究数量，将采用荟萃分析方法得出统一结果。本综述的结果将支持临床决策，并为未来研究该患者群体的研究人员提供方向。•本拟议的系统综述和荟萃分析将总结和综合关于全膝关节置换术（TKA）对膝关节骨关节炎患者股四头肌和腘绳肌恢复影响的文献。•本综述为TKA术后膝关节肌肉恢复提供了重要见解，有助于骨科医生和康复专业人员改进他们的临床决策。
