Balance sheets of knee and functional scores 5 years after total knee arthroplasty for osteoarthritis -: A source for patient information
Balance sheets of knee and functional scores 5 years after total knee arthroplasty for osteoarthritis -: A source for patient information
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DOI：
10.1016/s0883-5403(00)90532-1
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发表时间：
2000-04-01
影响因子：
3.5
通讯作者：
Gohlke, F
中科院分区：
文献类型：
--
作者：
König, A;Walther, M;Gohlke, F
为了改善患者对全膝关节置换术(TKA)治疗骨性关节炎结果的了解，对253例初次TKA进行了前瞻性研究，平均随访时间为5.3年。确定膝关节学会膝关节和功能评分的个体变量的增加或减少，以及这些变量增加的手术膝关节的百分比。疼痛评分的改善是所有变量中增加最多的，对膝关节评分的增加贡献了60%。95%的膝盖疼痛有所改善。约90%的膝关节对齐有改善，占膝关节评分增加的25%。水平行走的改善对功能评分的提高的贡献大于爬楼梯能力的提高。80%的膝关节水平行走有改善，55%的膝关节爬楼梯有改善。疼痛是全膝关节置换术最有价值的指征，其次是畸形和行走能力差。
To improve patient information on the results of total knee arthroplasty (TKA) for osteoarthritis, 253 primary TKAs of a prospective study with a mean follow-up of 5.3 years were analyzed. The increase or decrease of the individual variables of the knee Society knee and function score and the percentage of operated knees in which these variables increased were determined. Improvement in pain rating had the largest increase of all variables, contributing 60% to the knee score increase. Pain improved in 95% of the knees. Alignment improved in about 90% of knees and accounted for 25% of knee score increase. Improvement in level walking contributed more to increase of function score than better stair-climbing abilities. Level walking improved in 80% of knees and stair climbing in 55%. Pain is the most rewarding indication for TKA, followed by deformity and poor walking ability.