关节整形术后的活动:哪些患者是活跃的,活跃是安全的吗?
Laura Elisa Streck1, Yu-Fen Chiu2, Sebastian Braun1,3
1Adult Reconstruction and Joint Replacement Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Journal of clinical medicine
|October 28, 2023
概括
整部关节整形术 (THA) 患者可以安全地参加高冲击体育运动. 高度活跃的患者表现出更好的无修订生存率,表明THA后体育参与的风险没有增加.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑形研究研究
- 运动医学 运动医学
背景情况:
- 身体活跃的人在全关节整形术 (THA) 后寻求恢复运动.
- 由于对植入物磨损和松动的担忧,THA后经常会阻止高影响的活动.
- 这项研究调查了高度活跃的THA患者的预测因素和修订率.
研究的目的:
- 评估THA后更高活动水平的预测因素.
- 评估THA后参与高影响性活动的患者的修订率.
- 为了确定高体力活动是否会增加修复手术的风险.
主要方法:
- 对3828名患者 (45-75岁) 的4152个部进行了回顾性分析,这些患者接受了骨关节炎的初级THA治疗.
- 最少2年的随访,评估疼痛和下肢活动量表 (LEAS).
- 活动水平被分类为低 (LEAS 1-6),中等 (LEAS 7-13) 或高 (LEAS 14-18).
主要成果:
- 在手术前至手术后2年间,疼痛和LEAS分数显著改善 (p < 0.001).
- 40.9%的患者在THA后2年实现了高活动水平.
- 年轻的年龄,较低的BMI,更好的健康评分 (ASA,CCI),男性性别和更高的手术前LEAS预测了更高的活动水平 (p < 0.001).
- 较高活动群体表现出更好的预测无修订生存率 (p < 0.001).
结论:
- 高度体力活动,包括像慢跑这样的运动,2年后THA不会提高修复手术的风险.
- 可以鼓励关节整形术患者保持高度活跃的生活方式.
- 目前对THA后高影响力活动的建议可能过于保守.
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