被遗忘的关节分数是全关节整形术的有效结果指标:一项前性研究
Antonio Mazzotti1,2, Simone Ottavio Zielli1,2, Elena Artioli1,2
1IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatologic Clinic, Bologna, Italy.
Clinical orthopaedics and related research
|April 30, 2024
概括
遗忘关节评分 (FJS) 对全脚关节整形术 (TAA) 患者表现出强大的可靠性和有效性,为评估结果提供了有价值的工具. 这个分数适合用于评估TAA成功的临床使用.
科学领域:
- 整形外科 整形外科 整形外科
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
背景情况:
- 关节整形术 (TAA) 的成功取决于客观和主观措施,包括患者报告的结果.
- 遗忘关节评分 (FJS) 已被验证用于其他关节置换,但在TAA中证据有限.
研究的目的:
- 评估FJS在TAA患者中的可靠性,有效性,响应性和潜在的地板/天花板效应.
- 在TAA中对FJS结果进行性别分析.
主要方法:
- 这是一项120名TAA患者 (平均年龄62岁) 的前性观察性研究,12个月后有77%的随访.
- 在AOFAS,MOXFQ和VAS分数旁边使用了FJS的经过验证的意大利版本.
- 包括一个II级治疗研究设计.
主要成果:
- 对于FJS来说,内部一致性 (Cronbach α = 0.95) 和测试重试可靠性 (ICC = 0.99) 非常好.
- 通过与AOFAS,MOXFQ和VAS分数 (r > 0.7或<-0.7) 的高相关性显示出强大的FJS有效性.
- 证明了对6-12个月之间的变化 (科恩d = 0.37) 的反应,具有低地板/天花板效应.
结论:
- 在TAA患者中,FJS表现出强大的测试特性和有效性.
- FJS适用于TAA结果评估中的临床应用.
- 建议进行进一步的研究,以确认不同患者群体的发现.
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