RETURN TO PROFESSIONAL ACTIVITY BY PATIENTS TREATED SURGICALLY DUE TO ADVANCED GONARTHROSIS
RETURN TO PROFESSIONAL ACTIVITY BY PATIENTS TREATED SURGICALLY DUE TO ADVANCED GONARTHROSIS
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DOI：
10.13075/ijomeh.1896.01720
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发表时间：
2021-01-01
影响因子：
2
通讯作者：
Borowski, Andrzej
中科院分区：
文献类型：
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作者：
Drobniewski, Marek;Synder, Marek;Borowski, Andrzej
目的：这项工作的目的是分析因膝关节病而接受全膝关节置换术 (TKA) 手术治疗的工作年龄患者重返职业活动的问题。材料和方法：总共对 88 名工作年龄患者进行了检查，共进行了 91 例因晚期膝关节病而进行的 TKA 手术。患者的平均年龄为女性54.2岁，男性58.1岁。使用改良的膝关节协会评分量表来编制临床试验的结果。 Kellgren-Lawrence 分类用于评估术前 X 线照片。术后X光片评估了股骨和胫骨假体在前后和侧向直立投影中的位置。对所得结果进行统计分析。结果：在术前评估中，所有病例的临床和影像学结果均不佳。在大约3.8年多的观察期内，效果很好的65例（71.4%），良好的20例（22%），满意的6例。没有什么不好的结果。视觉模拟量表的平均进步为 6.5 分。放射学评估没有发现内置假体无菌松动的任何放射学症状，同时得出结论，每次内置假体组件都正确就位。只有 53 名 (583%) 接受检查的患者在手术前从事职业活动。完成治疗后，46名患者（50.5%）重返工作岗位，这对脑力劳动者有利。平均病假时间136.2天，发放康复津贴19例。结论：首先，对于工作年龄的患者，TKA 是手术治疗不同病因的晚期膝关节病的一种有价值的方法。其次，大多数手术前工作的患者恢复了原来的工作岗位，并在同等全职基础上工作。
Objectives: The goal of this work is to analyze the issue of return to professional activity by working-age patients who have been treated surgically with total knee arthroplasty (TKA) due to gonarthrosis. Material and Methods: Overall, 88 working-age patients were examined, with a total of 91 TKA procedures performed due to advanced gonarthrosis. The average age of the patients was 54.2 years for women and 58.1 years for men. A modified Knee Society Score scale was used to compile the results of the clinical trial. The Kellgren-Lawrence classification was used to assess preoperative radiographs. Postoperative radiographs evaluated the position of the endoprosthesis of both the femoral and tibial components in the anterior-posterior and lateral upright projections. The obtained results were subjected to statistical analysis. Results: In the preoperative assessment, both the clinical and radiological results obtained were unfavorable in all cases. Throughout the observation period of approximately over 3.8 years, a very good result was noted in 65 cases (71.4%), a good result in 20 cases (22%), and a satisfactory result in 6 cases. There were no bad results. The average improvement on the Visual Analogue Scale was 6.5 pts. The radiological assessment did not reveal any radiological symptoms of the aseptic loosening of the endoprosthesis, simultaneously concluding that each time the endoprosthesis components were properly seated. Only 53 (583%) of the examined patients were professionally active before the surgery. After completing the treatment, 46 (50.5%) of all patients returned to work, in favor of intellectual workers. The average duration of sick leave was 136.2 days, and rehabilitation allowance was granted in 19 cases. Conclusions: Firstly, in working-age patients, TKA is a valuable method for surgical treatment of advanced gonarthrosis of varying etiology. Secondly, most of the patients who worked before the surgery returned to performing work in the position held and on the same full-time equivalent basis.