关节整形术后膝盖疼痛的改善:关于频率,严重程度和影响因素的前性研究
Yugo Morita1, Yuriko Uchida1, Toshiyuki Kawai1
1Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
The bone & joint journal
|January 31, 2026
概括
在全关节整形手术 (THA) 之前,膝盖疼痛很常见,但在手术后明显改善. 诸如部疼痛的严重程度和膝关节关节炎等因素会影响THA后持续的膝关节疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 在关节整形手术 (THA) 之前,患有部病理的患者经常报告同时出现膝盖疼痛.
- 了解膝盖疼痛与THA相关的动态对于患者管理至关重要.
研究的目的:
- 评估THA前后膝盖疼痛的频率和严重程度.
- 为了确定影响膝盖疼痛的因素,在THA之前和之后.
主要方法:
- 在147名患者的前性研究中,149名患者接受了关节骨关节炎 (OA) 的初级THA治疗.
- 膝盖和部疼痛使用视觉模拟尺度 (VAS) 在手术前和手术后的3,6和12个月评估.
- 分析包括膝关节疼痛严重程度和患病率的变化,以及影响因素.
主要成果:
- 膝关节疼痛严重程度 (VAS) 从手术前的2.2显著降低到THA后12个月的0.7
- 膝关节疼痛的患病率从手术前的52.3%降至THA后12个月的27.5%
- 手术前的部疼痛和骨盆倾斜影响了手术前的膝关节疼痛;膝关节OA和手术后的部对齐影响了持续的膝关节疼痛.
结论:
- 在THA后,膝关节疼痛的严重程度和患病率均有显著改善.
- 手术前部疼痛的严重程度是同时出现膝盖疼痛的关键因素.
- 放射性膝关节OA,手术后的阴茎对齐和严重的手术前膝关节疼痛预测了THA后持续的膝关节疼痛.
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