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阶段双边全膝关节整形术之间的间隔不会影响第二膝的早期并发症或第一膝和第二膝的长期功能

Feng Ji¹, Zhenguo Zhao¹, Lei Zhang¹

¹Department of Orthopedics, The Affiliated Hospital of Jining Medical University, No. 89, Guhuai Road, Jining, 272000, Shandong, China.

|May 14, 2024

概括

阶段双边全膝关节整形术 (BTKA) 之间的时间间隔不会影响并发症率或长期功能. 外科医生可以根据患者的需要和恢复安排第二次BTKA,从而在治疗时间上提供灵活性.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
康复医学康复医学康复医学

背景情况:

阶段双侧全膝关节整形术 (BTKA) 是一种常见的手术.
确定阶段性BTKA之间的最佳时间间隔对于患者的治疗结果至关重要.
尽量减少并发症和最大限度地发挥功能是关键目标.

研究的目的:

调查分阶段双边全膝关节整形术 (BTKA) 和早期术后并发症之间的时间间隔之间的关系.
为了评估BTKA间隔对两条膝盖长期功能结果的影响.
为BTKA手术中的手术时间提供基于证据的指导.

主要方法:

对266名经历阶段性BTKA (2013-2018) 的患者进行了回顾性审查.
根据BTKA间隔,患者被分为四组:1-6,6-12,12-18和18-24个月.
人口统计数据的比较,90天的术后并发症,膝盖社会得分 (KSS) 和跨组的WOMAC得分.

主要成果:

在四个间隔组之间没有观察到并发症率或功能结果 (KSS,WOMAC) 的显著差异.
在BTKA之间的时间间隔没有影响第二个膝盖的功能或早期并发症的发生率.
TKA类型和患者年龄与任何评估结果没有显著的相关性.

结论:

阶段双边全膝关节整形术 (BTKA) 之间的间隔不会影响早期并发症或长期功能.
外科医生和患者可以灵活安排第二次BTKA,根据个人的康复和症状耐受性.
这些发现支持分阶段BTKA的个性化时间,以优化患者护理.

关键词:

双边全膝关节整形术双边全膝关节整形术复杂性复杂性复杂性功能性的结果.阶段化阶段化

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