Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"Incapacidad laboral temporal tras cirugía de rizartrosis mediante trapecectomía y artroplastia de suspensión con sutura de alta resistencia","authors":"","doi":"10.1016/j.recot.2024.01.014","DOIUrl":"10.1016/j.recot.2024.01.014","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study is to assess the time to return to work (TRW) in patients undergoing trapezial resection using the Mini TightRope® system at our center and to investigate factors that might delay return to work following this surgery.</p></div><div><h3>Material and methods</h3><p>A retrospective study was conducted on patients who underwent Trapezial resection and suspensionplasty using the Mini TightRope® system between 2015 and 2016, with a minimum one-year follow-up. Telephone interviews were conducted along with a review of medical records and radiology reports, as well as temporary work disability documents, collecting epidemiological and occupational data. Groups were compared based on age, gender, dominant hand, biomechanical occupational requirements of the patients, and whether they had experienced prior temporary work disability.</p></div><div><h3>Results</h3><p>A total of 36 patients (29 women and 7 men) with an average age of 55.7 years were included. The median time to return to work was 126 days. Self-employed workers re-entered the workforce 72 days earlier on average; workers who had experienced prior temporary work disability had a greater total temporary work disability duration and took 91 days longer to return to work compared to those who had not.</p></div><div><h3>Conclusions</h3><p>Patients employed by others and those who had experienced prior temporary work disability before the surgery had longer temporary work disability periods. In our study, no differences were observed based on gender, dominant hand, or biomechanical work demands of the intervened patients.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 431-437"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524000390/pdfft?md5=91bc1d49a2e55cddb2122d5e39d39161&pid=1-s2.0-S1888441524000390-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513793","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":"Factores determinantes de la duración de la estancia hospitalaria en pacientes operados de artroplastia primaria total de rodilla usando un protocolo de recuperación mejorada (ERAS)","authors":"","doi":"10.1016/j.recot.2023.12.004","DOIUrl":"10.1016/j.recot.2023.12.004","url":null,"abstract":"<div><h3>Introduction</h3><p>There is an increase in degenerative arthropathies because of the increase in the longevity of world's population, making primary knee arthroplasties a procedure to recover quality of life without pain. There are factors associated with the length of hospital stay after this procedure.</p></div><div><h3>Objective</h3><p>To determine the risk factors influencing the hospital stay during the postoperative period of patients undergoing primary total knee arthroplasty with an enhanced recovery after surgery protocol (ERAS).</p></div><div><h3>Methods</h3><p>A retrospective study is carried out on patients undergoing primary total knee arthroplasty at an University Hospital in the period 2017-2020 using the ERAS protocol, during which 957 surgeries were performed.</p></div><div><h3>Results</h3><p>Average age of 71.7<!--> <!-->±<!--> <!-->8.2<!--> <!-->years, 62.4% were women and the 77.3% were classified as ASA<!--> <!-->II. The significantly associated factors to an increased length of stay are: age (<em>P</em> <!-->=<!--> <!-->.001), ASA scale (<em>P</em> <!-->=<!--> <!-->.04), day of surgery (<em>P</em> <!-->&lt;<!--> <!-->.001), blood transfusion (<em>P</em> <!-->&lt;<!--> <!-->.001), postoperative hemoglobin level at 48-72<!--> <!-->h (<em>P</em> <!-->&lt;<!--> <!-->.001), the time of first postoperative mobilization to ambulate and climb stairs (<em>P</em> <!-->&lt;<!--> <!-->.001), the need for analgesic rescues (<em>P</em> <!-->=<!--> <!-->.003), and the presence of postoperative nausea and vomiting (<em>P</em> <!-->=<!--> <!-->.008).</p></div><div><h3>Conclusions</h3><p>There are statistically significant and clinically relevant factors associated with hospital stay. Determining these factors constitutes an advantage in hospital management, in the development of strategies to improve and optimize the quality of care and available health resources.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 446-453"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524000018/pdfft?md5=660193f0e94cee2586ac3b47f098a4c1&pid=1-s2.0-S1888441524000018-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139111276","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":"Anterior approach for pediatric supracondylar humerus fractures: A systematic review","authors":"","doi":"10.1016/j.recot.2024.06.002","DOIUrl":"10.1016/j.recot.2024.06.002","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Open reduction is rarely performed in pediatric supracondylar humerus fractures. However, clear evidence is lacking regarding the optimal open approach to achieve satisfactory results. The anterior approach provides direct visualization of the fracture and excellent exposure to neurovascular structures, although its utilization is less common. The objective of this study was to review the indications, outcomes, and complications associated with the anterior approach for open reduction of these fractures.</p></div><div><h3>Methods</h3><p>Our protocol was registered at PROSPERO: CRD42023446923. MEDLINE/PubMed, Embase, Web of Science, Clinicaltrials.gov, and Cochrane Library were searched from database inception to search date (December 2023) and screened in duplicate for relevant studies. Data were collected regarding patient demographics, indications for open reduction, Flynn's functional and cosmetic outcomes, and complications. Study quality was assessed using the Methodological Index for Non-Randomized Studies Criteria.</p></div><div><h3>Results</h3><p>A total of 19 studies involving 483 patients were included. One study was classified as Level 2 evidence, ten as Level 3, and eight as Level 4. The mean MINORS score was 13.05<!--> <!-->±<!--> <!-->3.47. The primary indication for open reduction was failed closed reduction, observed in 46% of patients. 97.7% and 98.6% of patients achieved Flynn's functional and cosmetic satisfactory results, respectively. The postsurgical neurovascular injury rate was 1.4%. One patient required reintervention.</p></div><div><h3>Conclusion</h3><p>The anterior approach is safe and effective for managing pediatric supracondylar humerus fractures requiring open reduction.</p></div><div><h3>Level of evidence</h3><p>Systematic review of Level 2–4 evidence studies.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 513-523"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524000900/pdfft?md5=7f9efbe444709d57d8274f73854a2ae4&pid=1-s2.0-S1888441524000900-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296941","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":"[Translated article] Fractures of the peroneal malleolus: Current concepts","authors":"B. Olías-López ,&nbsp;J. Boluda-Mengod ,&nbsp;D. Rendón-Díaz ,&nbsp;J. Ojeda-Jiménez ,&nbsp;A. Martín-Herrero ,&nbsp;E. Morales-Mata ,&nbsp;M. Herrera-Pérez","doi":"10.1016/j.recot.2024.07.014","DOIUrl":"10.1016/j.recot.2024.07.014","url":null,"abstract":"<div><p>Ankle fractures represent up to 9% of all fractures, with an increased incidence in the elderly population. Among these fractures, isolated fractures of the lateral malleolus are the most common, representing 65–70% of all cases. The therapeutic decision-making primarily relies on the stability of the ankle ring, considering it stable if affected at one point and unstable if two or more points are affected. Surgical treatment focuses on restoring the length of the fibula, joint reconstruction, stabilising the syndesmosis, and providing a stable fixation. It is crucial to rule out associated injuries that may influence therapeutic management. This article reviews the evaluation and management of lateral malleolus fractures, proposes a decision-making algorithm, and examines several fibular fixation options.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T502-T512"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524001309/pdfft?md5=ee79a74a53d07331b78b7587ae9ccc62&pid=1-s2.0-S1888441524001309-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761568","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":"Age influences the efficacy of osteochondral autograft transfer: Promising results for patients under 40","authors":"","doi":"10.1016/j.recot.2024.01.012","DOIUrl":"10.1016/j.recot.2024.01.012","url":null,"abstract":"<div><h3>Background</h3><p>Previous research using osteochondral autograft transfer (OAT) has shown poorer outcomes with increasing patient age. The aim of this article is to evaluate a cohort of patients that received an OAT and to correlate their clinical results with their age at procedure.</p></div><div><h3>Methods</h3><p>Patients that underwent an OAT to treat an osteochondral (OC) lesion with a minimum 24-month follow-up were included. Patients were categorized into two groups based on their age at procedure (&lt;40 years and ≥40 years). Postoperatively, each patient completed the Knee injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), and Lysholm scales.</p></div><div><h3>Results</h3><p>51 patients were included (35<!--> <!-->&lt;<!--> <!-->40 years, 16<!--> <!-->≥<!--> <!-->40 years). Mean follow-up was 4.2 years (2–7). For patients<!--> <!-->&lt;<!--> <!-->40 years, IKDC averaged 80.8 (SD 15.9) versus 71.2 (SD 19.4) in ≥40 years (<em>p</em> <!-->=<!--> <!-->0.03). For patients &lt;40 years, Lysholm averaged 85.9 (SD 10.8) versus 77.0 (SD 21.6) in ≥40 years (<em>p</em> <!-->=<!--> <!-->0.02). For patients<!--> <!-->&lt;<!--> <!-->40 years, KOOS averaged 78.3 (SD 11.8) versus 68.9 (SD 18.5) in ≥40 years (<em>p</em> <!-->=<!--> <!-->0.01). There was a 100% sensibility in identifying all the patients with a poor IKDC and Lysholm from 34 years old (AUC 0.76 and 0.8).</p></div><div><h3>Conclusions</h3><p>OAT has better outcomes in patients younger than 40 years compared to patients older than 40 years. Based on the prognostic capacity of age, the ideal candidate for an OAT is a patient younger than 34 years old.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 490-496"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524000389/pdfft?md5=72d088545a96914fb4f7cd980dbb124a&pid=1-s2.0-S1888441524000389-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513788","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":"[Translated article] Determining factors on length of stay in primary total knee arthroplasty patients using enhanced recovery protocol after surgery (ERAS) pathway","authors":"","doi":"10.1016/j.recot.2023.12.005","DOIUrl":"10.1016/j.recot.2023.12.005","url":null,"abstract":"<div><h3>Introduction</h3><p>There is an increase in degenerative arthropathies because of the increase in the longevity of world's population, making primary knee arthroplasties a procedure to recover quality of life without pain. There are factors associated with the length of hospital stay after this procedure.</p></div><div><h3>Objective</h3><p>To determine the risk factors influencing the hospital stay during the postoperative period of patients undergoing primary total knee arthroplasty with an enhanced recovery after surgery protocol (ERAS).</p></div><div><h3>Methods</h3><p>A retrospective study is carried out on patients undergoing primary total knee arthroplasty at an University Hospital in the period 2017–2020 using the ERAS protocol, during which 957 surgeries were performed.</p></div><div><h3>Results</h3><p>Average age of 71.7<!--> <!-->±<!--> <!-->8.2<!--> <!-->years, 62.4% were women and the 77.3% were classified as ASA II. The significantly associated factors to an increased length of stay are: age (<em>p</em> <!-->=<!--> <!-->.001), ASA scale (<em>p</em> <!-->=<!--> <!-->.04), day of surgery (<em>p</em> <!-->&lt;<!--> <!-->.001), blood transfusion (<em>p</em> <!-->&lt;<!--> <!-->.001), postoperative haemoglobin level at 48–72<!--> <!-->h (<em>p</em> <!-->&lt;<!--> <!-->.001), the time of first postoperative mobilisation to ambulate and climb stairs (<em>p</em> <!-->&lt;<!--> <!-->.001), the need for analgesic rescues (<em>p</em> <!-->=<!--> <!-->.003), and the presence of postoperative nausea and vomiting (<em>p</em> <!-->=<!--> <!-->.008).</p></div><div><h3>Conclusions</h3><p>There are statistically significant and clinically relevant factors associated with hospital stay. Determining these factors constitutes an advantage in hospital management, in the development of strategies to improve and optimise the quality of care and available health resources.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T446-T453"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188844152400119X/pdfft?md5=da6d5597e83f4284f58e4462b5f4f8c8&pid=1-s2.0-S188844152400119X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545335","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":"[Artículo traducido] Abordaje anterior para fracturas supracondíleas de húmero pediátrica: revisión sistemática","authors":"","doi":"10.1016/j.recot.2024.07.009","DOIUrl":"10.1016/j.recot.2024.07.009","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Open reduction is rarely performed in pediatric supracondylar humerus fractures. However, clear evidence is lacking regarding the optimal open approach to achieve satisfactory results. The anterior approach provides direct visualization of the fracture and excellent exposure to neurovascular structures, although its utilization is less common. The objective of this study was to review the indications, outcomes, and complications associated with the anterior approach for open reduction of these fractures.</p></div><div><h3>Methods</h3><p>Our protocol was registered at PROSPERO: CRD42023446923. MEDLINE/PubMed, Embase, Web of Science, Clinicaltrials.gov, and Cochrane Library were searched from database inception to search date (December 2023) and screened in duplicate for relevant studies. Data were collected regarding patient demographics, indications for open reduction, Flynn's functional and cosmetic outcomes, and complications. Study quality was assessed using the Methodological Index for Non-Randomized Studies Criteria.</p></div><div><h3>Results</h3><p>A total of 19 studies involving 483 patients were included. One study was classified as Level 2 evidence, ten as Level 3, and eight as Level 4. The mean MINORS score was 13.05<!--> <!-->±<!--> <!-->3.47. The primary indication for open reduction was failed closed reduction, observed in 46% of patients. 97.7% and 98.6% of patients achieved Flynn's functional and cosmetic satisfactory results, respectively. The postsurgical neurovascular injury rate was 1.4%. One patient required reintervention.</p></div><div><h3>Conclusion</h3><p>The anterior approach is safe and effective for managing pediatric supracondylar humerus fractures requiring open reduction.</p></div><div><h3>Level of evidence</h3><p>Systematic review of Level 2-4 evidence studies.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T513-T523"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524001243/pdfft?md5=7773d1a106a872b55f43f5e9de7176a3&pid=1-s2.0-S1888441524001243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591632","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":"Complications of intraosseous administration of vancomycin in total hip arthroplasty.","authors":"W F Martínez, L Camacho Terceros, F Garbini, E J Bochatey, F A Lopreite","doi":"10.1016/j.recot.2024.08.002","DOIUrl":"10.1016/j.recot.2024.08.002","url":null,"abstract":"<p><strong>Introduction: </strong>The incidence of periprosthetic joint infection (PJI) in hip surgeries has significantly decreased thanks to intravenous (IV) antibiotic prophylaxis. However, in patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) or those at risk of colonization, it is necessary to include vancomycin in the prophylaxis. Intraosseous administration of vancomycin could enhance its effectiveness in total hip arthroplasty (THA).</p><p><strong>Materials and methods: </strong>A retrospective study was conducted between March and December 2023 involving 53 patients scheduled for primary THA with colonization risk factors. The median age of the patients was 67 years (range 61 to 75), and all received treatment with intraosseous vancomycin (500mg). Detailed records and documentation of complications during hospitalization and the first three months post-surgery were maintained. As a secondary outcome measure, the incidence of PJI was explored.</p><p><strong>Results: </strong>We administered 500mg of intraosseous vancomycin, injected into the greater trochanter, along with standard IV prophylaxis. The incidence of complications was 1.64%. The PJI rate at 90 days was 0%.</p><p><strong>Conclusions: </strong>Intraosseous administration of low-dose vancomycin in THA for patients at risk of MRSA colonization, combined with standard IV prophylaxis, was shown to be safe and did not present significant adverse effects. Furthermore, this strategy eliminates the logistical challenges associated with timely vancomycin administration.</p><p><strong>Level of evidence iv: </strong>Case Series.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914247","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":"Successful prophylactic measures for the eradication of Staphylococcus aureus infections in elective hip primary and revision arthroplasty.","authors":"J C Perdomo-Lizarraga, A Combalia, J A Fernández-Valencia, A Alías, J Aponcio, L Morata, A Soriano, E Muñoz-Mahamud","doi":"10.1016/j.recot.2024.08.001","DOIUrl":"10.1016/j.recot.2024.08.001","url":null,"abstract":"<p><strong>Introduction: </strong>Staphylococcus aureus stands as the predominant etiological agent in postoperative acute prosthetic joint infections (PJI), contributing to 35-50% of reported cases. This study aimed to evaluate the efficacy of dual prophylaxis incorporating cefuroxime and teicoplanin, in combination with nasal decolonization utilizing 70% alcohol, and oral and body lavage with chlorhexidine.</p><p><strong>Material and methods: </strong>We conducted a retrospective review of electronic health records regarding primary and revision arthroplasties conducted at our institution from 2020 to 2021. Relevant variables linked to prosthetic joint infections (PJI) were documented until the latest follow-up.</p><p><strong>Results: </strong>A total of 539 operations (447 primary arthroplasties and 92 revision arthroplasties) were performed on 519 patients. There were 11 cases of postoperative acute PJI, resulting in infection rates of 1.6% for primary arthroplasties and 4.3% for revision surgeries. Infections were more prevalent in male patients, individuals with an ASA classification>II, and those undergoing longer operations (>90min). S. aureus was not isolated in any of the cases.</p><p><strong>Conclusion: </strong>The prophylactic measures implemented in our institution have exhibited a high efficacy in preventing postoperative acute PJI caused by S. aureus.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914248","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":"Do octogenarian patients undergoing total knee replacement return to physical activity?","authors":"J Teves, F Holc, A García-Mansilla, S Vildoza, R Brandariz, L Carbó, J Costantini","doi":"10.1016/j.recot.2024.07.018","DOIUrl":"10.1016/j.recot.2024.07.018","url":null,"abstract":"<p><strong>Background and objectives: </strong>It has been shown that total knee replacement improves functional capacity and physical activity; however, the influence of age remains unclear. The objective is evaluate the pre and postoperative physical activity measured with the Knee Society Score (KSS) score and the Tegner score.</p><p><strong>Materials and methods: </strong>A retrospective cohort analysis was conducted on patients who underwent total knee replacement (TKR) between January 2016 and December 2019 at our institution. Demographic variables (age, sex, and body mass index), activities of daily living, age-adjusted Charlson Comorbidity Index, American Society of Anesthesiologists score, the Knee Society Score (KSS) in its clinical (KSSc) and functional (KSSf) subscales, the Tegner functional scale, activity variables from the 2011 KSS version, and pain assessment using the visual analog scale were collected. Differences in these variables were analyzed between two age groups: group A (between 65 and 79 years old) and group B (80 years or older).</p><p><strong>Results: </strong>A total of 450 patients were evaluated (group A=245, group B=167). Group A showed a Tegner improvement of 1.19 (95% CI: 1.06-1.31), whereas group B averaged 0.61 (95% CI: 0.43-0.80) (P<.001). Age >80 was an independent risk factor for less Tegner improvement. In KSSc, group A improved by 43 points (95% CI: 40.82-46.14), while group B showed a greater increase of 53 points (95% CI: 49.74-57.80). Adjusted for confounders, those>80 showed significantly higher KSSc improvement (12.8 points). For KSSf, group A improved by 33.91 points (95% CI: 31.07-36.75), and group B by 15.57 points (95% CI: 11.78-19.35). Adjusted for confounders, patients >80 had less improvement than those <80 (19 points).</p><p><strong>Conclusions: </strong>Patients who underwent TKR experienced improvements in physical and functional activity parameters. While these improvements were seen in the entire population, they were most notable in patients younger than 80 years.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879626","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}