伴随性疾病状况对膝关节功能的影响 膝关节整形术后1年:基于人口的队列研究
Katrine Glintborg Iversen1, Rikke Sommer Haaber2, Martin Bækgaard Stisen3
1Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus; Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus. kagliv@gmail.com.
Acta orthopaedica
|May 17, 2024
概括
高并发症不会对全膝关节整形术 (TKA) 后的功能和临床结果产生负面影响. 膝关节骨关节炎 (OA) 和较高的并发症得分的患者在TKA后在美国膝关节协会得分 (AKSS) 中表现出类似的改善.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑造研究 关节塑造研究
- 共同病情评估的评估.
背景情况:
- 有限的研究存在于共患病对膝关节全膝关节整形术 (TKA) 后膝关节得分的影响.
- 了解并发症的影响对于膝关节骨关节炎 (OA) 患者的治疗结果至关重要.
研究的目的:
- 为了比较高与低的查尔森并发症指数 (CCI) 对TKA后功能和临床结果的影响.
- 分析从基线到TKA后52周的美国膝盖协会得分 (AKSS) 的变化,基于并发症水平.
主要方法:
- 一项基于人口的队列研究,包括来自丹麦膝关节关节整形注册表 (1997-2021) 的22533名患者.
- 用CCI将患者分为低,中,高并发症组.
- 多重线性回归分析了平均AKSS变化 (手术前至TKA后1年),调整为共变量.
主要成果:
- 与较低的并发症相比,高并发症患者的平均功能AKSS变化为-6点.
- 与较低的并发症相比,高并发症患者的临床AKSS平均变化为-1点.
- 患病率:75%低,21%中等,4%高的并发病率.
结论:
- 膝关节OA和中等或高并发症患者在TKA后经历了可比的功能和临床改善.
- 根据CCI测量的并发症水平,在AKSS得分中不会减少TKA的好处.
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