Knee Surgery and Related Research最新文献

{"title":"Preserving coronal knee alignment of the knee (CPAK) in unicompartmental knee arthroplasty correlates with superior patient-reported outcomes.","authors":"Sung Eun Kim, Kuk-Ro Yun, Jae Min Lee, Myung Chul Lee, Hyuk-Soo Han","doi":"10.1186/s43019-023-00204-3","DOIUrl":"10.1186/s43019-023-00204-3","url":null,"abstract":"<p><strong>Background: </strong>The optimal alignment target for unicompartmental knee arthroplasty (UKA) remains controversial, and literature suggests that its impact on patient-reported outcome measures (PROMs) varies. The purpose of this study was to identify the relationship between changes in the coronal plane alignment of the knee (CPAK) and PROMs in patients who underwent UKA.</p><p><strong>Methods: </strong>A retrospective analysis of 164 patients who underwent UKA was conducted. The types of CPAK types categorized into unchanged, minor (shift to an adjacent CPAK type, e.g., type I to II or type I to IV), and major changes (transitioning to a nearby diagonal CPAK type or two types across, such as type I to V or type I to III). PROMs were assessed preoperatively and 1 year postoperatively using the Hospital for Special Surgery (HSS) scores, Knee Society (KS) scores, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Forgotten Joint Scores (FJS). Comparison was performed between patients who experienced and who did not experience any changes in the CPAK.</p><p><strong>Results: </strong>Patients with preserved native CPAK alignment demonstrated significantly superior 1 year postoperative outcomes, with higher HSS, KS knee, and WOMAC pain scores (p = 0.042, p = 0.009, and p = 0.048, respectively). Meanwhile, the degree of change in CPAK did not significantly influence the PROMs, and patients who experienced minor and major changes in the CPAK showed comparable outcomes.</p><p><strong>Conclusion: </strong>Preserving the native CPAK in UKA procedures is important for achieving favorable clinical outcomes at 1 year postoperative. The extent of change in the CPAK type exerted a limited impact on PROMs, thus emphasizing the importance of change in alignment itself.</p>","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"36 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10763258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139088894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical accuracy of coronal and sagittal alignment in conventional closed-wedge high tibial osteotomy after computer-assisted surgery experience.","authors":"Sang Jun Song, Dae Kyung Bae, Se Hwan Park, Cheol Hee Park","doi":"10.1186/s43019-023-00205-2","DOIUrl":"10.1186/s43019-023-00205-2","url":null,"abstract":"<p><strong>Background: </strong>Although intraoperative navigation can improve the surgeon's proficiency, no studies have analyzed postoperative outcomes of high tibial osteotomy (HTO) after computer-assisted surgery (CAS) experience. The present study compared the clinical and radiographic results between conventional and CAS closed-wedge (CW) HTOs after CAS experience.</p><p><strong>Methods: </strong>Each of the 50 conventional and CAS CW HTOs performed by single surgeon between 2015 and 2017 were included. The surgeon had experience of 140 cases of CAS CW HTOs before the study period. The groups were not different in terms of demographics. Clinically, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and range of motion (ROM) were investigated. Radiographically, the mechanical axis (MA), change in posterior tibial slope angle (PTS), and parallel angle were evaluated. The proportions of inlier groups for the postoperative MA (within valgus 2° ± 3°), change in the PTS (within ± 3°), and parallel angle (< 3°) were compared.</p><p><strong>Results: </strong>There were no significant differences in postoperative clinical results between the conventional and CAS groups. The MA was appropriately corrected in both groups (2.4° versus 2.9°, p = 0.317). The amount of change in PTS was significantly greater in the conventional group (-2.2° versus -0.8°, p = 0.018). The parallel angle was 5.3° in the conventional groups and 3.1° in the CAS group (p = 0.003). The proportion of inlier group was not significantly different in the postoperative MA (72% versus 78%) and change in the PTS (52% versus 66%). The proportion of inlier for the parallel angle was significantly lower in the conventional group (36% versus 60%, p = 0.027).</p><p><strong>Conclusions: </strong>The surgical proficiency after CAS experience could cover the advantages of an intraoperative navigation in coronal adjustment, not in the sagittal adjustments in CW HTOs. A larger cohort with multiple surgeons in multiple centers would be required to identify the general trend.</p><p><strong>Study design: </strong>Level of evidence III.</p>","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"35 1","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10740261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported outcomes measurement information system instruments in knee arthroplasty patients: a systematic review of the literature.","authors":"Natalia Czerwonka, Puneet Gupta, Sohil S Desai, Thomas R Hickernell, Alexander L Neuwirth, David P Trofa","doi":"10.1186/s43019-023-00201-6","DOIUrl":"10.1186/s43019-023-00201-6","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study is to provide a systematic review of the literature pertaining to Patient-Reported Outcome Measurement Information System (PROMIS) validation and utilization as an outcomes metric in total knee arthroplasty (TKA) patients. This is the first systematic review on PROMIS use in total knee arthroplasty patients.</p><p><strong>Methods: </strong>A systematic search of the Pubmed/MEDLINE and Embase databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study characteristics, patient demographics, psychometric properties (Pearson and Spearman correlation) with legacy patient-reported outcome measurement (PROM) instruments, floor and ceiling effects, responsiveness, and minimum clinically important difference (MCID) and PROMIS outcomes were recorded and analyzed.</p><p><strong>Results: </strong>Fifteen studies investigating PROMIS in 11,140 patients were included. The weighted-average Pearson correlation coefficient comparing PROMIS domains with legacy patient-reported outcome measurements in total knee arthroplasty patients was 0.62 [standard error (SE) = 0.06] and the weighted-average Spearman correlation comparing PROMIS domains with legacy patient-reported outcome measurements in total knee arthroplasty patients was 0.59 (SE = 0.06), demonstrating moderate-to-strong correlation and validity. There were no differences in weighted average floor [0.03% (SE = 3.1) versus 0% (SE = 0.1) versus 0.01% (SE = 1.1); p = 0.25] or ceiling effects [0.01% (SE = 0.7) versus 0.02% (SE = 1.4) versus 0.04% (SE = 3.5); p = 0.36] between PROMIS and legacy instruments. The weighted average for percentage of patients achieving MCID was 59.1% for global physical health (GPH), 26.0% for global mental health (GMH), 52.7% for physical function (PF), 67.2% for pain interference (PI), and 37.2% for depression.</p><p><strong>Conclusion: </strong>Notably, PROMIS global physical health, physical function, and pain interference were found to be significantly responsive, with PROMIS pain interference most effectively capturing clinical improvement as evidenced by the achievement of MCID.</p>","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"35 1","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10690965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of anteromedial portal location on femoral tunnel inclination, length, and location in hamstring autograft-based single-bundle anterior cruciate ligament reconstruction: a prospective study.","authors":"Abdulaziz Z Alomar, Baraa Baltow, Ismail AlMogbil","doi":"10.1186/s43019-023-00202-5","DOIUrl":"10.1186/s43019-023-00202-5","url":null,"abstract":"<p><strong>Background: </strong>Portal positioning in arthroscopic anterior cruciate ligament reconstruction is critical in facilitating the drilling of the femoral tunnel. However, the traditional approach has limitations. A modified inferior anteromedial portal was developed. Therefore, this study aims to compare the modified and conventional far anteromedial portals for femoral tunnel drilling, assessing factors such as tunnel length, inclination, iatrogenic chondral injury risk, and blowout.</p><p><strong>Material and methods: </strong>Patients scheduled for hamstring autograft-based anatomical single-bundle arthroscopic anterior cruciate ligament reconstruction were divided into two groups: modified and far anteromedial groups. Primary outcomes include differences in femoral tunnel length intraoperatively, tunnel inclination on anteroposterior radiographs, and exit location on lateral radiographs. Secondary outcomes encompass tunnel-related complications and reconstruction failures. To identify potential risk factors for shorter tunnel lengths and posterior exits, regression analysis was conducted.</p><p><strong>Results: </strong>Tunnel parameters of 234 patients were analyzed. In the modified portal group, femoral tunnel length and inclination were significantly higher, with tunnels exhibiting a more anterior exit position (p < 0.05). A higher body mass index exerted a negative influence on tunnel length and inclination. However, obese patients in the modified portal group had longer tunnels, increased inclination, and a lower risk of posterior exit. Only a few tunnel-related complications were observed in the far anteromedial group.</p><p><strong>Conclusion: </strong>The modified portal allowed better control of tunnel length and inclination, ensuring a nonposterior femoral tunnel exit, making it beneficial for obese patients.</p>","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"35 1","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reference value of knee position sense in weight-bearing and non-weight-bearing conditions.","authors":"Yubin Lee, Chaegil Lim","doi":"10.1186/s43019-023-00199-x","DOIUrl":"10.1186/s43019-023-00199-x","url":null,"abstract":"<p><strong>Background: </strong>Our study aimed to identify age-related changes in knee proprioception to provide reference values for weight-bearing (WB) and non-weight-bearing (NWB) conditions and to identify factors (age, WB condition, dominance, and sex) that can affect knee proprioception.</p><p><strong>Methods: </strong>A total of 84 healthy adult men and women were recruited. Active knee joint position sense (JPS) was measured using a digital inclinometer for knee proprioception. The participants performed the required movements actively, with verbal feedback from the examiner, slowly moving to the target angles (30° and 50°) and maintaining them for 5 s before returning to the starting position. Afterward, without assistance from the examiner, the participants actively moved back to the same angle, and the examiner confirmed the angles. This procedure was repeated twice for each target angle, and the average values were used as the data. The participants were barefoot, wearing shorts, and closed their eyes while the measurements were obtained. The measurements were first obtained on the dominant side under the NWB conditions. When a change in posture was needed during the measurement, the participants sat in a resting position for 2 min.</p><p><strong>Results: </strong>Except for age, all other factors (WB condition, dominance, sex) were not statistically significant. Age showed a significant difference in knee JPS, except for the non-dominant side at 30° and the dominant side at 50° in the NWB condition.</p><p><strong>Conclusion: </strong>This study indicates that the WB condition, dominant side, and sex need not be considered when measuring and assessing knee JPS. Age shows a negative correlation with knee joint position sense, and the reference values presented in this study can be used as objective target values during the rehabilitation process.</p>","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"35 1","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiologic simulation of leg length change after double level osteotomy in preoperative surgical planning.","authors":"Shuntaro Nejima, Ken Kumagai, Shunsuke Yamada, Masaichi Sotozawa, Yutaka Inaba","doi":"10.1186/s43019-023-00198-y","DOIUrl":"10.1186/s43019-023-00198-y","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the expected postoperative total leg length change using preoperative radiographs during surgical planning of four different methods of double level osteotomy (DLO).</p><p><strong>Methods: </strong>This study included 34 patients (44 knees) who underwent DLO for varus knee osteoarthritis. Surgical planning was performed so that the postoperative weight bearing line ratio was 62.5%. In DLO, lateral closed or medial open wedge distal femoral osteotomy (LCWDFO, MOWDFO) was performed so that the postoperative mechanical lateral distal femoral angle was 85°, and residual deformity was corrected with medial open or lateral closed wedge high tibial osteotomy (MOWHTO, LCWHTO). Pre- and surgical planning X-rays in the one-leg standing position were compared to assess the change in leg length, and the factors affecting it, in the various surgical groups. The proportion of cases in which Δ total leg length was greater than 6 mm (symptomatic change) was investigated.</p><p><strong>Results: </strong>The mean postoperative total leg length increased significantly with LCWDFO + MOWHTO, MOWDFO + MOWHTO, and MOWDFO + LCWHTO, while it decreased with LCWDFO + LCWHTO. The proportion of cases with a postoperative total leg length change > 6 mm was 72.7%, 2.3%, 100%, and 6.8% in LCWDFO + MOWHTO, LCWDFO + LCWHTO, MOWDFO + MOWHTO, and MOWDFO + LCWHTO, respectively. In addition, the preoperative hip-knee-ankle angle correlated negatively with the postoperative total leg length change in LCWDFO + MOWHTO, MOWDFO + MOWHTO, and MOWDFO + LCWHTO, but not in LCWDFO + LCWHTO.</p><p><strong>Conclusions: </strong>MOWDFO + MOWHTO had the largest postoperative leg length change and MOWDFO + LCWHTO had the smallest. Symptomatic leg length change (> 6 mm) should be considered in MOWDFO + MOWHTO and LCWDFO + MOWHTO.</p>","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"35 1","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Sleeve Fracture at the Superior Pole of the Patella Secondary to Disuse Osteopenia","authors":"Y. Kwak, W. Son, Kee Byung Lee, Jehyun Yoo","doi":"10.5792/JKKS.2011.23.2.128","DOIUrl":"https://doi.org/10.5792/JKKS.2011.23.2.128","url":null,"abstract":"Sleeve fracture at the inferior pole of the patella in children is relatively common, yet it is rare for the superior pole to be affected. So, only a few such cases have currently been reported. We experienced a 15 years-old patient with a sleeve fracture at the superior pole of the patella secondary to disuse osteopenia after cast immobilization due to knee trauma. We report on this case and we review the relevant literature.","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"23 1","pages":"128-132"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71042669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Localized Tenosynovial Giant Cell Tumor in the Infrapatellar Fat Pad of the Knee","authors":"Dong-Hui Kim, J. You, K. Lee, W. Na, Mi Ja Lee","doi":"10.5792/JKKS.2011.23.2.118","DOIUrl":"https://doi.org/10.5792/JKKS.2011.23.2.118","url":null,"abstract":"Localized giant cell tumor of the tendon sheath (GCTTS) usually occurs in extensor an tendon sheath of the fingers and toes. It has rarely been observed in the fat pad of the knee joint. We treated a case of a 2.5×3×4 cm mass arising from the infrapatellar fat pad, which presented with extension limitation and knee pain due to lateral femorotibial joint impingement. The tumor was successfully treated using arthroscopic excision with a motorized shaver. Histologic findings were diagnosed as localized GCTTS. Herein we report this case with a literature review.","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"23 1","pages":"118-122"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71042649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation after Anterior Cruciate Ligament Reconstruction","authors":"이한준, 박치우","doi":"10.5792/JKKS.2011.23.2.69","DOIUrl":"https://doi.org/10.5792/JKKS.2011.23.2.69","url":null,"abstract":"전방십자인대 재건술 후 재활의 목적은 관절기능의 회복과 강직 등의 합병증을 예방하고 슬개대퇴 관절의 문제를 최소화해서 안정화된 슬관절을 얻는 것이다. 이를 위해 다양한 가속화 재활프그램이 소개되어 있으며 수술 전후로 시행한다. 수술 전 재활은 환자가 육체적 또는 정신적으로 수술에 대비할 수 있도록 하는 단계로 가장 중요시되는 것은 환자에 대한 교육이다. 인대재건술의 방법과 수술 후 재활 과정에 대해 충분히 설명해야 하며 환자의 수술 후 기대치 정도를 정확히 파악해야 한다. 관절통증과 부종을 조절해서 만족할 만한 관절운동 범위를 확보해야 하며 대퇴사두고근의 위축을 예방하는 것이 주된 목표이다. 수술 후 재활의 기본적인 공통개념은 슬관절의 조기 신전과 조기 체중 부하 그리고 대퇴사두고근 근력의 조기 회복이다. 슬관절의 완전한 수동적 신전은 슬관절 후방 관절막의 구축과 대퇴절흔의 반흔형성을 막기 위해 수술 후 1주 이내에 도달하도록 해야 하며 2주까지도 완전 신전이 안되면 불량한 결과를 초래하게 된다. 부분 체중 부하는 수술 후 통증이 허락하는 즉시 시작해야 하며 4주 이후에는 전 체중 부하를 허용한다. 수술 후 대퇴사두고근 근력의 회복은 환자가 일상 생활로의 복귀에 있어 중요하며 등장성 수축을 포함하는 대퇴사두고근 강화 운동을 수술 다음날부터 바로 시작하도록 해야 한다. Electrical muscle stimulation과 biofeedback을 이용하면 효과적으로 부종과 통증을 완화시켜 대퇴 사두고근 근력 회복에 많은 도움이 되는 것으로 알려져 있다. 수술 후 2주 정도가 되면 closed kinetic chain 운동을 시작할 수 있으며 그 후에 open kinetic chain 운동을 추가하면 대퇴사두고근 근력 회복을 보다 효율적으로 할 수 있다. 최근에는 근력 강화와 더불어 슬관절의 동적 안정성을 향상시키기 위해 고유감각 훈련의 중요성이 강조되고 있다. 현재 시행되고 있는 전방십자인대 재건술 후의 재활은 매우 다양하며 특히 수술 방법, 이식건의종류, 동반손상의 유무에 따라 달라질 수 있으므로 정형화된 순서보다는 환자 개개인의 상황에 맞게 시행되어야 한다.","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"23 1","pages":"69-78"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71043418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between the Likert Scale and the Numeric Rating Scale for Evaluating Knee Pain","authors":"C. Choi, Suk-Hwan Kim, Young Seok Lee, Chang-Nam Kang","doi":"10.5792/JKKS.2011.23.1.14","DOIUrl":"https://doi.org/10.5792/JKKS.2011.23.1.14","url":null,"abstract":"목적: 슬관절 동통을 평가하는데 흔히 사용되는 미국슬관절학회 슬관절 점수에 포함된 Likert 척도의 한글 번역판을 숫자 등급 척도(numeric rating scale, NRS)를 사용하여 검정하고자 하였다. 대상 및 방법: 2008년 6월부터 2009년 6월까지 본원에서 슬관절 전치환술을 시술받기 위해 입원한 환자 98명(제1군), 슬관절 전치환술 후 1년 이상(범위: 1-5년) 추시한 환자 141명(제2군), 슬관절염에 대하여 보존적 치료중인 환자 111명(제3군)의 슬관절 동통의 정도를 Likert 척도에 의한 동통의 정도와 NRS에 의한 동통 정도를 동시에 평가하여 두 척도 간의 상관관계를 Pearson 법을 이용하여 평가하였다. 결과: 총 350명의 환자의 Likert 척도에 의한 동통의 정도와 NRS의 상관관계는 -0.91이었다. 두 척도간의 상관관계는 제1군 -0.75, 제2군 -0.78, 제3군 -0.68의 상관관계를 보였다. 결론: Likert 척도는 NRS와 강한 상관 관계를 보여 슬관절 동통의 정도를 측정함에 있어 유용한 도구로 사용될 수 있을 것으로 생각된다.","PeriodicalId":36317,"journal":{"name":"Knee Surgery and Related Research","volume":"23 1","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71042581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}