在全膝关节整形术后,在麻醉下进行操纵对谁有好处?
Matthew L Brown1, Kenneth M Vaz2, Julie C McCauley3
1Department of Orthopaedic Surgery, Cooper University Healthcare, Camden, New Jersey.
Journal of surgical orthopaedic advances
|May 30, 2024
概括
在麻醉下的操纵 (MUA) 在膝关节全关节整形术 (TKA) 后为关节纤维化提供了显著的膝关节运动范围 (ROM) 收益. 在TKA后早期运动有限的患者中,MUA比常规护理更能改善曲.
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
背景情况:
- 关节纤维化,以膝盖运动范围 (ROM) 的减少为特征,经常使膝盖全关节整形术 (TKA) 复杂化.
- 麻醉下的操纵 (MUA) 是TKA后关节纤维化的一种常见干预措施,但与常规护理相比,其有效性缺乏可靠的证据.
研究的目的:
- 评估MUA与常规护理在初级TKA后治疗关节纤维化症的比较有效性.
- 为了确定MUA是否在恢复膝盖的过程中提供了显著的优势.
主要方法:
- 对TKA患者 (2010-2014年) 的回顾性研究,早期随访曲≤100度.
- 患者被分为MUA或常规护理组.
- 膝盖屈曲在TKA前,TKA后早期和1年后进行测量,以计算ROM变化.
主要成果:
- 在MUA (106.3±12.8度) 和常规护理 (106.1±11.7度) 组之间,平均1年膝盖屈曲没有显著差异.
- 与常规护理组 (8%,p < 0.0001) 相比,在MUA组中,显著更高比例的患者实现了超过20度的曲增长 (56%).
结论:
- 与常规护理相比,在TKA后关节纤维化患者中,MUA与显著ROM改善的可能性更大.
- 对于在TKA后早期出现膝关节ROM降低的患者来说,MUA可能是一个有益的治疗选择.
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