创伤后关节炎在 50 岁前接受全膝关节置换术的患者中更为常见。

Lcdr Aaron A Olsen, Lt Jonathan K Kallevang, Cdr George C Balazs, Lcdr Ashton H Goldman
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引用次数: 0

摘要

50 岁以下患者进行初级全膝关节置换术 (TKA) 的情况越来越普遍。本研究的目的是确定 50 岁以前接受 TKA 的诊断和诱发因素。研究人员在军事数据库中查询了 50 岁前接受 TKA 手术的患者。该队列与年龄较大的患者进行了匹配。共对 1,504 名患者的人口统计学、既往膝关节手术和 TKA 适应症进行了人工记录审查。原发性骨关节炎是两个队列中最常见的适应症。与 50 岁及以上的患者(7%;P < 0.001)相比,50 岁前接受 TKA 的患者(28%)更常见于创伤后骨关节炎。50 岁前接受 TKA 的患者更有可能既往有前交叉韧带损伤或既往接受过任何同侧膝关节手术(P < 0.001)。这些数据表明,既往膝关节损伤与接受 TKA 时的年龄有关。(外科骨科进展杂志》33(2):072-076,2024 年)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posttraumatic Arthritis Is More Common in Patients Undergoing Total Knee Arthroplasty Before Age 50.

Primary total knee arthroplasty (TKA) in patients under 50 is becoming more common. The goal of this study was to identify the diagnoses and predisposing factors for TKA prior to age 50. The Military Data Repository was queried for patients undergoing TKA prior to age 50. The cohort was matched to older patients. A total of 1,504 patients underwent manual record review for demographics, prior knee surgery, and indication for TKA. Primary osteoarthritis was the most common indication in both cohorts. Posttraumatic osteoarthritis was more common in patients who underwent TKA before age 50 (28%) compared with patients 50 and older (7%; p < 0.001). Patients who underwent TKA before age 50 were more likely to have previous anterior cruciate ligament injury, or any previous ipsilateral knee surgery (p < 0.001). These data suggest an association between prior knee injury and age at time of TKA. (Journal of Surgical Orthopaedic Advances 33(2):072-076, 2024).

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