膝关节骨性关节炎患者全膝关节置换术中髌下与髌旁内侧入路的功能结果:前瞻性队列研究

IF 1.3 Q2 MEDICINE, GENERAL & INTERNAL
Adnan Ahmed Aladraii, Lama Zaki Allehaibi, Amjad Abdulrahman Fattani, Taif Abdullah Alkhudairy, Albatoul Mohammed Al-Margan, Sami Abdo Radman Al-Dubai, Abdulrahman Abdulraof Mohammed, Doaa K Mohorjy, Abdulhakeem Saeed Alqarni
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引用次数: 0

摘要

背景:腹股沟下入路和髌骨内侧旁入路是全膝关节置换术(TKR)的两种主要入路。对于这两种方法在功能效果方面的优劣,全球尚未达成共识:本研究旨在通过术后 3 个月、6 个月和 12 个月随访时的患者报告评分,评估通过腹股沟下入路和内侧髌旁入路进行全膝关节置换术的功能预后:这项前瞻性队列随访研究纳入了2019年1月至2022年12月期间在沙特阿拉伯王国麦加市阿卜杜拉国王医疗城接受选择性初级TKR手术的膝关节骨性关节炎患者,患者可选择通过腹股沟下途径或内侧髌旁途径进行手术。两组患者在术后3个月、6个月和12个月的随访中比较了自我报告的牛津膝关节评分(OKS)和西安大略与麦克马斯特大学骨关节炎指数(WOMAC):共纳入98名患者,其中37人通过腹股沟下入路接受了膝关节置换术,61人通过髌骨内侧旁入路接受了膝关节置换术。随着时间的推移,WOMAC和OKS评分均有明显变化(P<0.001)。在3个月和6个月的随访中,采用腹股沟下入路的患者的WOMAC和OKS平均值明显高于采用髌骨内侧旁入路的患者(P<0.05),但在12个月的随访中则没有明显变化:结论:对于胫骨后凸关节置换术而言,内侧髌骨旁入路法在 3 个月和 6 个月随访期间的功能疗效优于腹股沟下入路法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Outcome of Subvastus versus Medial Parapatellar Approaches for Total Knee Replacement in Patients with Knee Osteoarthritis: A Prospective Cohort Study.

Background: Subvastus approach and medial parapatellar approach are two major approaches for total knee replacement (TKR). There is no global consensus on the superiority of either approach in terms of functional outcomes.

Objective: The present study aimed to evaluate the functional outcome of TKR through subvastus approach and medial parapatellar approach by using patient-reported scores at 3-, 6-, and 12-month post-operative follow-ups.

Methods: This prospective cohort follow-up study included patients with knee osteoarthritis who underwent elective primary TKR either through the subvastus or medial parapatellar approaches at King Abdullah Medical City, Makkah city, Kingdom of Saudi Arabia, from January 2019 to December 2022. Scores from the self-reported Oxford Knee Score (OKS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were compared in the two groups of patients at 3-, 6-, and 12-month post-operative follow-ups.

Results: A total of 98 patients were included, of which 37 underwent TKR through the subvastus approach and 61 through the medial parapatellar approach. There was an overall significant change over time in both WOMAC and OKS scores (P < 0.001). Patients who underwent the subvastus approach had significantly higher mean of WOMAC and OKS than patients with the medial parapatellar approach at the 3- and 6-month follow-ups (P < 0.05), but not at the 12-month follow-up.

Conclusions: For TKR, the medial parapatellar approach results in better functional outcomes at the 3- and 6- month follow-up periods compared with the subvastus approach.

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来源期刊
Saudi Journal of Medicine & Medical Sciences
Saudi Journal of Medicine & Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
52
审稿时长
15 weeks
期刊介绍: Saudi Journal of Medicine & Medical Sciences (SJMMS) is the official scientific journal of Imam Abdulrahman Bin Faisal University. It is an international peer-reviewed, general medical journal. The scope of the Journal is to publish research that will be of interest to health specialties both in academic and clinical practice. The Journal aims at disseminating high-powered research results with the objective of turning research into knowledge. It seeks to promote scholarly publishing in medicine and medical sciences. The Journal is published in print and online. The target readers of the Journal include all medical and health professionals in the health cluster such as in medicine, dentistry, nursing, applied medical sciences, clinical pharmacology, public health, etc.
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