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修订 关节纤维化全膝关节关节整形术
Rolanda Willacy1, Giles R Scuderi2
1Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York, United States.
The journal of knee surgery
|January 29, 2026
概括
膝关节整形术 (TKA) 后的关节纤维化是一个越来越令人担忧的问题,影响患者满意度和医疗保健成本. 通过物理治疗进行早期干预是管理这种常见并发症的关键.
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
- 康复医学 康复医学 康复医学
背景情况:
- 关节纤维化是初级全膝关节整形术 (TKA) 后的常见并发症,导致患者显著不满.
- 预计美国TKA的发病率上升将增加关节纤维化病的患病率,估计在1.3%至5.3%之间.
- 这种情况给医疗保健系统带来了巨大的负担,在TKA后的90天再入院中占27.5%
研究的目的:
- 要总结目前对TKA后关节纤维化病的理解.
- 突出定义和诊断关节纤维化所面临的挑战.
- 概述TKA关节纤维化病的管理策略.
主要方法:
- 关于关节纤维化患病率,定义和管理的文献综述.
- 分析与TKA关节纤维化相关的医疗保健系统负担.
- 讨论非手术和手术治疗方式.
主要成果:
- 由于不同的诊断标准,关节纤维化患病率估计有所不同.
- 关节纤维化导致疼痛,异常行走,疲劳和功能限制.
- 物理治疗和麻醉下的操纵 (MUA) 是主要的非手术治疗方法.
结论:
- 关节纤维化管理需要明确的定义和一致的诊断值.
- 非手术治疗,特别是物理治疗,是管理的主要支柱.
- 修复关节整形只适用于耐火病例,强调及时和适当的非手术护理的重要性.
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