在全膝关节整形术后,在麻醉下进行晚期操纵:改善了运动范围和低并发症率
Matthew T Weintraub1, Steven J Kurina1, Joseph T Cline1
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
The journal of knee surgery
|May 24, 2024
概括
在麻醉下晚期操纵 (MUA) 在全膝关节整形术 (TKA) 后显著改善了运动范围. 结果表明,MUA是安全有效的,在TKA后稍晚进行时,重复手术的发生率较低.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
背景情况:
- 在全膝关节整形术 (TKA) 后的硬度会显著损害患者的功能.
- 麻醉下的操纵 (MUA) 是TKA刚性的潜在干预.
- 关于在初级TKA程序后执行良好晚期MUA的结果的数据有限.
研究的目的:
- 评估在麻醉下晚期操纵 (MUA) 的有效性和安全性,用于初级全膝关节整形术 (TKA) 后至少12周发生的硬.
主要方法:
- 在2014年至2021年期间,对152名在TKA后≥12周接受MUA的患者进行了回顾性审查.
- 分析运动范围 (ROM) 的变化,手术内并发症和重复手术的需要.
- 根据从TKA到MUA的时间进行子组分析:12周6个月,612个月和≥12个月.
主要成果:
- 所有组都在整体ROM (分别为20.9°,19.2°和22.0°) 和曲/延伸方面表现出显著的改善.
- 随着从TKA到MUA的时间的增加,重复MUA或开放程序的发生率下降 (8.6%,11.4%,1.2,3组为2.0%).
- 整体手术内骨折风险低,为1.3%.
结论:
- 晚期MUA是一种有效的干预措施,用于改善TKA后硬度的ROM患者.
- 在TKA后晚些时候进行MUA可能与重复干预率较低有关,尽管需要进一步研究.
- 晚期的MUA显示出良好的安全性,且手术后并发症的风险较低.
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