膝关节整形术后的康复:一个或两个膝盖是否重要?
Clevio Desouza1, Vijay Shetty1,2
1SAANVI Orthopaedics, Mumbai, India.
Journal of clinical orthopaedics and trauma
|June 16, 2025
概括
同时双边全膝关节整形术 (TKA) 在印度人口中提供与单边TKA相比的长期功能结果. 在类似的并发症率下,恢复是高效的,这使得它成为精心挑选的患者的可行选择.
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
- 康复医学 康复医学 康复医学
背景情况:
- 膝关节整形术 (TKA) 是治疗末期膝关节关节炎 (OA) 的常见手术.
- 在单边和同时双边TKA之间做出选择需要考虑功能结果,并发症和恢复.
- 印度人口具有独特的人口和临床因素影响TKA结果.
研究的目的:
- 为了比较单边和同时双边TKA之间的功能恢复.
- 评估TKA方法中的并发症率和患者满意度.
- 在印度队列中评估同时双边TKA的长期疗效.
主要方法:
- 一个前性的,单一的外科医生,比较的队列研究.
- 包括216名接受单边TKA (112) 或同时双边TKA (104) 的患者.
- 评估牛津膝关节评分 (OKS),运动范围 (ROM),疼痛,并发症,住院和患者满意度,平均随访时间为6.15年.
主要成果:
- 单边和双边的TKA组都显示了OKS和ROM的显著改善.
- 长期的功能结果 (5年后的OKS) 和ROM改善在两组之间是可比的.
- 双边TKA组经历了更长的住院时间和更高的早期疼痛,但整体并发症率和患者满意度相似.
结论:
- 同时双边的TKA实现的功能结果与单边的TKA相提并论.
- 该程序表明有效的恢复和类似的长期并发症概况.
- 仔细的患者选择对于优化同时双边TKA的结果至关重要.
关键词:
关节质整术是指关节质整术.关节的关节 关节的关节共同的不稳定性膝盖 膝盖 膝盖 膝盖 在膝关节假肢是一种假肢.骨关节炎是一种骨关节炎.疼痛测量方法 疼痛测量方法运动范围的范围.替代品 替代品 是一个替代品.调查和问卷调查和问卷调查.治疗结果的结果.更多相关视频
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