患者报告的结果和对全关节整形术的偏好-交叉队列研究
Paweł Skowronek1,2, Paweł Jankowski1, Katarzyna Czarzasta3
1Department of Mini-Invasive Orthopedics and Rehabilitation, Medical University of Warsaw, Żwirki i Wigury 61 Str., 02-091 Warsaw, Poland.
Journal of clinical medicine
|February 13, 2026
概括
关节整形术 (THA) 的直接前侧方法 (DAA) 导致更快的恢复,患者更喜欢后侧 (PLA) 和侧侧 (LA) 方法,显示出更短的住院时间和更早的动员.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑造研究 关节塑造研究
- 外科手术的方法
背景情况:
- 关于患者报告的直接前置方法 (DAA) 与其他全关节整形手术 (THA) 方法的结果存在相互矛盾的证据.
- 患者满意度和功能恢复是评估外科手术技术的关键指标.
研究的目的:
- 为了比较患者报告的结果和DAA和后侧 (PLA) 或侧侧 (LA) 方法之间的偏好,在交叉THA队列中.
- 评估外科手术对早期康复参数和长期功能评分的影响.
主要方法:
- 对69名接受分阶段双边THA治疗的患者进行了回顾性交叉研究.
- 对抗侧的DAA与PLA (n=29) 或LA (n=40) 的比较.
- 评估结果,包括停留时间,动员,拐杖使用,功能评分 (mHHS,HOOS-PS,NRPS) 和患者在12个月后期的偏好.
主要成果:
- 与PLA和LA相比,DAA的停留时间显著缩短,动员更早,使用拐杖减少 (p < 0.001).
- 在12个月后,DAA产生了更高的修改后哈里斯部分数 (p < 0.05) 和更低的疼痛分数 (p < 0.05).
- 大多数患者更喜欢DAA,而不是PLA (60.7%) 和LA (72.5%).
结论:
- 与PLA和LA相比,DAA在关节整形术中提供了显著更快的早期恢复.
- 患者的偏好强烈支持DAA,强调其在早期术后恢复方面的优势.
- 这些发现强调了DAA在THA患者的共享决策中的重要性.
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