CPAK I型和II型患者之间受影响四肢的功能差异 接受单边全膝关节关节整形手术的患者
Ju Won Bae1, Seung Ik Cho1, Dhong Won Lee1
1Department of Orthopaedic Surgery, Konkuk University Medical Center, Seoul 05030, Republic of Korea.
Medicina (Kaunas, Lithuania)
|February 27, 2026
概括
与I型相比,II型膝关节冠状平面对齐 (CPAK) 患者在膝关节置换手术后表现出更好的功能性能和动态平衡. 这表明CPAK类型影响了全膝关节整形术后的结局.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 康复 康复 康复 康复
背景情况:
- 膝盖冠状平面对齐 (CPAK) 分类对膝盖形态进行了分类.
- 了解CPAK类型可能会影响单边全膝关节整形术 (TKA) 后的结果.
研究的目的:
- 为了比较CPAK I型和II型患者之间的功能性表现,步态和动态平衡,这些患者接受单边TKA.
- 根据膝盖对齐表型识别恢复中的潜在差异.
主要方法:
- 162名接受单边TKA的患者被分为CPAK I型 (42) 和II型 (33).
- 评估了手术前的分数 (韩国膝盖分数,WOMAC),功能测试 (TUG,4米步行),肌肉力量 (异动力,部绑架器) 和动态平衡 (POSTUROMED).
主要成果:
- 在CPAK类型之间,临床得分,肌肉强度或大腿周长没有显著差异.
- 在CPAK II型患者中,TUG和4米步行测试时间显著加快.
- 在CPAK II型患者中,动态平衡结果显著改善.
结论:
- CPAK II型表型与单边TKA后的优异步行表现和动态平衡有关.
- 尽管手术前临床分数和肌肉强度相似,但CPAK类型之间的功能结果不同.
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