膝骨关节炎患者全膝关节置换术后膝关节功能恢复不良影响因素分析  

Analysis of related factors affecting functional recovery of knee joint after total knee arthroplasty in patients with knee osteoarthritis

作　　者：姜荣锋[1] 闫继强 高明林[1] JIANG Rongfeng;YAN Jiqiang;GAO Minglin(Department of orthopedics,Anshan hospital,the First Affiliated Hospital of China Medical University,Anshan,Liaoning,114001,China)

机构地区：[1]中国医科大学附属第一医院鞍山医院骨一科,辽宁鞍山114001

出　　处：《当代医学》2022年第30期158-161,共4页Contemporary Medicine

摘　　要：目的分析膝骨关节炎患者全膝关节置换术后膝关节功能恢复不良的影响因素。方法回顾性分析2016年1月至2020年12月本院收治的经膝关节置换术治疗的140例膝骨关节炎患者的临床资料,根据患者膝关节恢复情况分为恢复良好患者(n=110)和恢复不良患者(n=30),统计患者膝关节功能恢复情况及临床资料[性别、年龄、体重指数(BMI)、软组织平衡术采用情况、术后胫骨平台后倾角、术前美国特种外科医院(HSS)膝关节评分、住院时间、术后并发症发生情况、术后视觉模拟评分法(VAS)评分],分析膝骨关节炎患者经全膝关节置换术后影响膝关节功能恢复不良的影响因素。结果经膝关节置换术治疗的膝骨关节炎患者膝关节功能恢复不良发生率为21.43%。恢复良好患者与恢复不良患者性别、BMI、住院时间比较差异无统计学意义;恢复良好患者年龄、术后VAS评分、术后并发症发生率均低于恢复不良患者;且恢复良好患者术后胫骨平台后倾角大于恢复不良患者,术前HSS膝关节评分、软组织平衡术使用率均高于恢复不良患者,差异有统计学意义(P<0.05)。单因素及多因素Logistic回归分析结果显示,高龄、术后胫骨平台后倾角大、术后VAS评分高、术前HSS膝关节评分低、术后发生并发症均为膝骨关节炎患者全膝关节置换术后膝关节功能恢复不良的独立危险因素(P<0.05),采用软组织平衡术为膝骨关节炎患者全膝关节置换术后膝关节功能恢复不良的保护因素(P<0.05)。结论膝关节置换术治疗的膝骨关节炎患者膝关节功能恢复不良发生率较高,高龄、术后胫骨平台后倾角大、术后VAS评分高、术前HSS膝关节评分低、术后发生并发症均可对经膝关节置换术治疗的膝骨关节炎患者膝关节功能产生负向影响,采用软组织平衡术可对经膝关节置换术治疗的膝骨关节炎患者膝关节功能产生正向影响。Objective To analyze the influencing factors of poor recovery of knee function after total knee arthroplasty in patients with knee osteoarthritis.Methods The clinical data of 140 patients with knee osteoarthritis treated by knee arthroplasty admitted to our hospital from January 2016 to December 2020 were retrospectively analyzed,and divided into patients with good recovery(n=110)and patients with poor recovery(n=30)according to their knee recovery,and the recovery of knee function and clinical data of patients were statistically counted[sex,age,body mass index(BMI),use of soft tissue balance,postoperative tibial platform camber,The preoperative American Hospital for Special Surgery(HSS)knee score,length of hospital stay,postoperative complications,postoperative visual analogue score(VAS)score],to analyze the influencing factors affecting poor recovery of knee function after total knee arthroplasty in patients with knee osteoarthritis.Results The incidence of poor recovery of knee function in patients with knee osteoarthritis treated by knee arthroplasty was 21.43%.There were no significant differences in gender,BMI,and length of hospital stay between patients who recovered well and those who recovered poorly.The age,postoperative VAS score,and postoperative complication rate of patients with good recovery were lower than those of patients with poor recovery.The posterior tilt angle of the tibial plateau after surgery was greater than that of patients with poor recovery,and the preoperative HSS knee score and the utilization rate of soft tissue balance were higher than those of patients with poor recovery,and the difference was statistically significant(P<0.05).The results of univariate and multivariate logistic regression analysis showed that advanced age,large posterior camber angle of tibial plateau,high postoperative VAS score,low preoperative HSS knee score,and postoperative complications were independent risk factors for poor recovery of knee function after total knee arthroplasty in patients with knee oste

关 键 词：膝骨关节炎 全膝关节置换术 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]