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在整体关节关节整形术后恢复骑自行车
Adam S Driesman1, Roseann M Johnson1, Charlie C Yang1
1Colorado Joint Replacement, Denver, Colorado.
The Journal of arthroplasty
|May 20, 2024
概括
大多数患者在全关节整形术 (TJA) 后恢复骑自行车,修订TJA患者的患病率较低. 恢复骑自行车不会增加修订风险,有助于患者咨询.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
- 运动医学 运动医学
背景情况:
- 总关节整形术 (TJA) 越来越多地在年轻的患者中进行,他们的活动期望更高.
- 对TJA后恢复骑自行车的准确咨询对于管理患者的期望至关重要.
研究的目的:
- 为了确定TJA后回归自行车运动的速度.
- 评估影响回归自行车运动的因素,包括手术类型.
- 评估TJA后恢复骑自行车的安全性.
主要方法:
- 对TJA患者进行了在线调查,至少进行了3个月的随访.
- 患者根据手术类型进行分类:单次全关节整形手术 (THA),单次全膝关节整形手术 (TKA),多次TJA和修订TJA.
- 根据手术类型和患者病史,分析了恢复自行车运动的速度和时间.
主要成果:
- 几乎所有接受调查的患者 (94%) 在手术前骑自行车的,回到了骑自行车.
- 大多数患者在3-6个月内恢复到以前的循环水平.
- 修订TJA患者的回归循环率 (37.3%) 与单个TKA (60.3%),单个THA (61.9%) 和多个TJA (60.3%) 相比明显较低.
- 没有恢复骑自行车的患者的修订率 (14.4%) 比恢复骑自行车的患者 (9.2%) 高.
结论:
- 高比例的TJA患者成功恢复骑自行车,通常在3-6个月内.
- 修订TJA与较低的回归循环率有关.
- 在TJA后恢复骑自行车是安全的,并且不会增加修复手术的风险.
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