Does Greater Knee Flexion Increase Patient Function and Satisfaction After Total Knee Arthroplasty?

被引：155

作者：

Devers, Brandon N. ^{[1
]}

Conditt, Michael A. ^{[2
]}

Jamieson, Miranda L. ^{[2
]}

Driscoll, Matthew D. ^{[1
]}

Noble, Philip C. ^{[3
]}

Parsley, Brian S. ^{[1
]}

机构：

[1] Baylor Coll Med, Houston, TX 77030 USA

[2] Inst Orthoped Res & Educ, Houston, TX USA

[3] Baylor Coll Med, Barnhart Dept Orthoped Surg, Houston, TX 77030 USA

来源：

JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 02期

关键词：

total knee arthroplasty; patient-derived outcomes; patient satisfaction; high flexion; function; MOTION; PROSTHESIS; ARTHRITIS; RANGE; HIP; REPLACEMENT;

D O I：

10.1016/j.arth.2010.02.008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to determine whether high flexion leads to improved benefits in patient satisfaction, perception, and function after total knee arthroplasty (TKA). Data were collected on 122 primary TKAs. Patients completed a Total Knee Function Questionnaire. Knees were classified as low (<= 110 degrees), mid (111 degrees -130 degrees), or high flexion (> 130 degrees). Correlation between knee flexion and satisfaction was not statistically significant. Increased knee flexion had a significant positive association with achievement of expectations, restoration of a "normal" knee, and functional improvement. In conclusion, although the degree of postoperative knee flexion did not affect patient satisfaction, it did influence fulfillment of expectations, functional ability, and knee perception. This suggests that increased knee flexion, particularly more than 130 degrees, may lead to improved outcomes after TKA.

引用

页码：178 / 186

页数：9

共 34 条

[1]

Aglietti P, 1988, J Arthroplasty, V3, P17, DOI 10.1016/S0883-5403(88)80049-4

[2]

Alicea J, 2001, Surgery of the Knee, V2, P1507

[3]

BELLAMY N, 1988, J RHEUMATOL, V15, P1833

[4] Questionnaire on the perceptions of patients about total knee replacement [J].