严重膝关节关节炎需要全膝关节置换的患者的完整功能性特征
Vinicius Taboni Lisboa1, Bruno de Paula Leite Arruda2, Rafael de Andrade Tambascia2
1Departamento de Ortopedia, Reumatologia e Traumatologia, Universidade Estadual de Campinas, Campinas 13083-887, Brazil.
Journal of functional morphology and kinesiology
|November 25, 2024
概括
识别完全膝关节置换的正确候选人至关重要. 这项研究发现,四肢体强度和6分钟步行测试有效地识别了需要手术的严重膝关节关节炎患者.
科学领域:
- 整形外科 整形外科 整形外科
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
背景情况:
- 缺少全面膝关节置换 (TKR) 的客观标准,使手术指示复杂化.
- 具有挑战性的手术指示可能会导致患者不满.
- 末期膝关节关节炎需要明确识别适当的治疗方法.
研究的目的:
- 建立客观的功能标准来识别需要TKR的末期膝关节关节炎患者.
- 为了将强度和性能测试数据与患者报告的疼痛,功能和生活质量结果相关联.
- 帮助骨科外科医生在TKR决策过程中.
主要方法:
- 对122名膝关节骨关节炎末期患者的横截面研究,正在等待TKR.
- 通过西安大略省和麦克马斯特大学指数 (WOMAC),视觉模拟量表 (VAS) 和简单表格-36 (SF-36) 收集主观数据.
- 评估客观测量,包括膝盖运动范围,大腿周长,最大自发异面收缩 (四肢力量) 和6分钟步行测试 (6MWT).
主要成果:
- 四肢强度与WOMAC和VAS分数负相关,与SF-36功能能力正相关.
- 较差的6分钟步行测试性能与较差的WOMAC,VAS和SF-36分数相关.
- 为等待TKR的严重膝关节骨关节炎患者建立了一个功能概况.
结论:
- 为严重膝关节关节炎患者建立了一个功能概况,表明TKR.
- 四肢体的强度和6分钟步行测试的表现是关键的功能参数,与骨关节炎的严重程度相关.
- 这些发现可以帮助骨科外科医生做出TKR指示决定.
相关概念视频
01:09Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
01:23Knee Joint
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...