接受全膝关节置换术的八十多岁患者能恢复体力活动吗？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-07-01 DOI:10.1016/j.recot.2025.04.003

J. Teves, F. Holc, A. García-Mansilla, S. Vildoza, R. Brandariz, L. Carbó, J. Costantini

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引用次数: 0

摘要

背景与目的研究表明，全膝关节置换术可改善患者的功能和身体活动；然而，年龄的影响尚不清楚。目的是评估膝关节社会评分（KSS）和Tegner评分测量的术前和术后身体活动。材料与方法回顾性队列分析2016年1月至2019年12月在我院行全膝关节置换术（TKR）的患者。收集人口统计变量（年龄、性别和体重指数）、日常生活活动、年龄调整的Charlson合并症指数、美国麻醉医师学会评分、膝关节社会评分（KSS）临床（KSSc）和功能（KSSf）亚量表、Tegner功能量表、2011年版KSS中的活动变量以及使用视觉模拟量表进行疼痛评估。分析了两个年龄组之间这些变量的差异：A组（65 - 79岁）和B组（80岁或以上）。结果共纳入450例患者，其中A组245例，B组167例。A组Tegner改善为1.19 (95% CI: 1.06-1.31)，而B组平均为0.61 (95% CI: 0.43-0.80) (p <；措施)。年龄比;80是Tegner改善程度较低的独立危险因素。在KSSc方面，A组提高了43分（95% CI: 40.82 ~ 46.14）， B组提高了53分（95% CI: 49.74 ~ 57.80）。调整混杂因素后，80名患者的KSSc改善程度显著提高（12.8分）。对于KSSf， A组提高33.91点（95% CI: 31.07-36.75）， B组提高15.57点（95% CI: 11.78-19.35）。调整混杂因素后，80岁患者的改善程度低于80岁患者（19分）。结论TKR患者的身体和功能活动参数均有改善。虽然这些改善在整个人群中都可以看到，但在80岁以下的患者中最为显著。

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[Translated article] Do octogenarian patients undergoing total knee replacement return to physical activity?

Background and objectives

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.

Materials and methods

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 analogue scale were collected. Differences in these variables were analysed between two age groups: group A (between 65 and 79 years old) and group B (80 years or older).

Results

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).

Conclusions

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.

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

期刊介绍： Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.