严重的关节变形不会影响手术后更好的康复,膝关节全关节整形术的结果
Wayne Yong Xiang Foo1, Jerry Yongqiang Chen2, Hee Nee Pang2
1Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore. yxwayne@gmail.com.
Archives of orthopaedic and trauma surgery
|March 29, 2024
概括
在手术后增强康复 (ERAS) 膝关节全关节整形术 (TKA) 即使在患有严重形的患者中也是成功的. 这些患者的ERAS成功率很高,与对照组相似,表明Genu Varum不是一个禁忌.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 增强的恢复协议恢复协议.
背景情况:
- 手术后增强恢复 (ERAS) 越来越多地被采用在整形外科手术中.
- 在全膝关节整形术 (TKA) 中患有严重的手术前形变形的患者可能不太可能参加ERAS协议.
- 这项研究调查了ERAS TKA在患有严重形变形的患者中的成功.
研究的目的:
- 为了比较ERAS TKA在患有严重手术前形变形 (≥15°形) 和对照组 (<=14°形) 的患者之间的成功.
- 为了比较这两个组之间的术后并发症和功能结果.
主要方法:
- 在2019年8月至2021年2月期间对310个TKA进行了分析,并进行了6个月的随访.
- 主要结局:ERAS TKA成功被定义为住院时间<24小时.
- 二次结局:30天的并发症,牛津膝关节得分 (OKS),膝关节协会得分 (KSKS,KSFS),VAS-P和SF-36 (PCS,MCS).
主要成果:
- 在严重形组中有119名患者,在对照组中有191名患者.
- 在严重形和对照组之间,ERAS成功率 (>90%) 没有显著差异.
- 在30天的术后并发症或6个月的功能结果中没有显著差异.
结论:
- 经过ERAS TKA的严重手术前形变形患者获得高成功率 (>90%).
- Genu varum 不是ERAS TKA. 的一个禁忌.
- 在TKA患者中,ERAS协议对严重的形变形患者有效.
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