全髋关节置换术患者患侧和非患侧能力与术后效果的关系

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-01-01 Epub Date: 2023-09-18 DOI:10.1177/11207000231199169
Kohei Nozaki, Yuta Nanri, Masashi Kawabata, Manaka Shibuya, Manami Nihei, Takehiro Shirota, Hiroyoshi Masuma, Takuya Maeda, Kensuke Fukushima, Katsufumi Uchiyama, Naonobu Takahira, Masashi Takaso
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引用次数: 0

摘要

背景:尽管已有多篇报告研究了接受全髋关节置换术(THA)的患者术前功能与术后结果之间的关系,但目前尚不清楚患侧或非患侧的能力是否会对结果产生特别影响。我们旨在研究患侧和非患侧能力与行走独立性之间的关系:我们前瞻性地招募了 721 名连续接受 THA 的患者。术前测量了股四头肌等长力量(QIS)和单腿站立时间(OLST)。终点是术后 3、5、7、10 和 14 天内的行走独立性。我们使用多变量 Cox 危险模型研究了术前能力与结果之间的关系,并比较了结果的曲线下面积(AUC):在排除符合排除标准的患者后,我们对 540 名患者进行了分析。患侧和非患侧 QIS 预测术后 3 天(P = 0.006 和 0.001)、5 天、7 天、10 天和 14 天(P 均为 0.001)内可独立行走。对于 OLST,只有患侧不能预测术后 3 天内的行走独立性(p = 0.154 和 0.012,分别为 0.154 和 0.012),而两侧均能预测术后 5 天内的行走独立性(p = 0.019 和 p 0.001)。在术后第 3 天(0.66 vs. 0.73;p = 0.021)和第 5 天(0.67 vs. 0.71;p = 0.040),非受累侧独立行走能力的 AUC 明显高于受累侧,第 7 天后无明显差异:两侧能力均与THA术后的行走独立性有关,但未受影响的一侧对早期行走独立性尤为重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of affected and non-affected side ability with postoperative outcomes in patients undergoing total hip arthroplasty.

Background: Although several reports have examined the association between preoperative function and postoperative outcomes in patients undergoing total hip arthroplasty (THA), it is unclear whether the ability of the affected or non-affected side particularly impacts on outcomes. We aimed to investigate the association between affected and non-affected side ability and walking independence.

Methods: We prospectively enrolled 721 consecutive patients who underwent THA. Preoperatively, quadriceps isometric strength (QIS) and one-leg standing time (OLST) were measured. The endpoints were walking independence within 3, 5, 7, 10, and 14 days postoperatively. The associations between preoperative abilities and outcomes were examined using multivariate Cox hazard model, and the area under the curves (AUCs) for outcomes were compared.

Results: We analysed 540 patients after excluding patients who met the exclusion criteria. Both affected and non-affected QIS predicted walking independence within 3 (p= 0.006 and 0.001, respectively), 5, 7, 10, and 14 (both p< 0.001) days postoperatively. For OLST, only the affected side did not predict walking independence within 3 days postoperatively (p= 0.154 and 0.012, respectively), and both sides did at days 5 (p= 0.019 and <0.001, respectively), 7, 10, and 14 (both p< 0.001). The AUCs of the non-affected side ability for walking independence were significantly greater than those of the affected side on postoperative days 3 (0.66 vs. 0.73; p= 0.021) and 5 (0.67 vs. 0.71; p= 0.040), with no significant difference after day 7.

Conclusions: Both sides abilities were associated with walking independence after THA, but non-affected side was found to be particularly crucial for early walking independence.

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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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