全膝关节置换术后基于膝关节评分量表的远程随访研究  

Effects of remote follow-up after total knee arthroplasty based on knee rating scale

作　　者：胡瀚文 赵润凯 陶冶[1] 倪明[1] 张国强[1] Hu Hanwen;Zhao Runkai;Tao Ye;Ni Ming;Zhang Guoqiang(Medical School of Chinese PLA,Department of Orhopaedics,the First Medical Center,Chinese PLA General Hospial,Bejing 100853,China)

机构地区：[1]中国人民解放军医学院,中国人民解放军总医院第一医学中心骨科,北京100853

出　　处：《中华骨科杂志》2023年第18期1201-1207,共7页Chinese Journal of Orthopaedics

基　　金：北京市自然科学基金(22L20633)。

摘　　要：目的分析全膝关节置换术后基于膝关节评分量表的远程随访的可行性和效果。方法回顾性分析2021年7月至2022年9月于中国人民解放军总医院第一医学中心骨科接受全膝关节置换的71例膝关节骨关节炎患者,共12例完成随访,男6例、女6例,年龄(72.83±4.22)岁(范围68~78岁),远程随访组采用线上方式进行随访。按照1∶2的比例选择同期接受门诊随访的24例患者作为对照(门诊随访组),男12例、女12例,年龄(72.16±4.50)岁(范围65~80岁)。采用西安大略和麦克马斯特大学(Western Ontario and McMaster University,WOMAC)骨关节炎指数、牛津大学膝关节评分(Oxford Knee Score,OKS)及2011版膝关节协会评分(Knee Society Score,KSS)评估术后疗效。结果远程随访组随访完成率为17%(12/71)。两组手术前后WOMAC评分的差异均有统计学意义(F=106.18,P<0.001;F=34.33,P<0.001);远程随访组末次随访时的WOMAC评分为(11.21±5.64)分,小于术前的(43.83±8.52)分和术后2~4周的(33.96±9.19)分,差异有统计学意义(P<0.001,P<0.001);门诊访组末次随访时的WOMAC评分为(13.33±5.36)分,小于术前的(42.00±7.21)分和术后2~4周的(32.83±11.00)分,差异有统计学意义(P<0.001,P<0.001)。两组患者手术前后OKS的差异均有统计学意义(F=168.65,P<0.001;F=66.18,P<0.001)。远程随访组末次随访时的OKS为(15.13±4.92)分,小于术前的(44.50±5.84)分和术后2~4周的(36.83±6.31)分,差异有统计学意义(P<0.001,P<0.001);门诊访组末次随访时的OKS为(16.58±3.63)分,小于术前的(41.42±5.05)分和术后2~4周的(33.33±6.60)分,差异有统计学意义(P<0.001,P<0.001)。两组患者手术前后2011版KSS的差异均有统计学意义(F=164.21,P<0.001;F=51.78,P<0.001));远程随访组末次随访时为(83.67±6.27)分,大于术前的(41.33±10.33)分和术后2~4周的(50.42±11.07)分,差异有统计学意义(P<0.001,P<0.001);门诊随访组末次随访时为(83.17±6.28)分,大于术前的(40.08±8.91)分和术后2~4�Objective To evaluate the feasibility and efficacy of remote follow-up based on knee scoring system after total knee arthroplasty(TKA).Methods A total of 71 patients with knee osteoarthritis who underwent TKA from July 2021 to September 2022 at Department of Orthopaedic Surgery,First Medical Center,Chinese PLA General Hospital were retrospectively analyzed.There were 12 patients included in the study,including 6 males and 6 females,aged 72.83±4.22 years(range,68-78 years),who were fllowed up using an online approach(remote follow-up group).According to the sample size of 1:2,patients who received outpatient follow-up during the same period were selected as controls(outpatient follow-up group),including 12 males and 12 females,aged 72.16±4.50 years(range,65-80 years).Western Ontario and McMaster University Osteoarthritis Index(WOMAC),Oxford Knee Score(OKS),and 2011 New Knee Society Score(KSS)were used to assess outcomes after TKA.Results The follow-up completion rate in the remote follow-up group was 17%(12/71).There were statistically significant differ ences in WOMAC scores between the two groups before and after operation(F=106.18,P<0.001;F=34.33,P<0.001).The WOMAC score of remote follow-up group at the last follow-up was 11.21±5.64,which was lower than 43.83±8.52 before operation and 33.96±9.19 at 2-4 weeks after operation,and the difference was statistically significant(P<0.001,P<0.001).The WOMAC scores of the outpatient follow-up group at the last follow-up was 13.33±5.36,which was lower than 42.00±7.21 before operation and 32.83±11.00 at 2-4 weeks after operation,and the difference was statistically significant(P<0.001,P<0.001).There were statistically significant differences in OKS between the two groups before and after operation(F=168.65,P<0.001;F=66.18,P<0.001).The 0KS of remote follow-up group at the last follow-up was 15.13±4.92,which was lower than 44.50±5.84 before operation and 36.83±6.31 at 2-4 weeks after operation,and the difference was statistically significant(P<0.001,P<0.001).The 0

关 键 词：关节成形术 置换 膝 治疗结果 随访研究 远程 

分 类 号：R473.6[医药卫生—护理学]