지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 825 - 830 (6page)
- DOI
- 10.31616/asj.2020.0279
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초록· 키워드
오류제보하기
Study Design: This is a prospective cohort study involving patients who were followed for 2 years after total knee replacement (TKR) to determine changes in lumbar spine and knee symptoms.
Purpose: The objectives of this study were to determine the percentage of patients undergoing bilateral TKR who present with coex isting lumbar spine problems and determine if TKR relieves lumbar spine symptoms.
Overview of Literature: No studies quantify the percentage of TKR patients who experience relief of lumbar spine symptoms after TKR surgery.
Methods: The study included 200 patients (164 females, 36 males) undergoing primary TKR. Follow-up was performed at 4 weeks, 3, 6, 12, and 24 months. Lumbar spine and knee symptom improvements were assessed using the Oswestry Disability Index (ODI) and Oxford Knee Score, respectively.
Results: All 200 patients undergoing bilateral TKR presented with radiographic lumbar spine degenerative pathology; 60% (n=120) of the patients presented with moderate to severe clinical symptoms of lumbar spondylosis, including 54% (n=108) with degenerative lumbar spondylosis and lumbar canal stenosis and 6% (n=12) with degenerative spondylolisthesis. Of the 120 patients who presented with lumbar spine problems, 90% (n=108) reported improvement in their symptoms; the ODI score improved from 42.5%±4.1% pre operative score to 15.6%±2.3% postoperative score (p-value<0.001). Of the 12 patients with no improvement, 10 patients underwent percutaneous procedures for their lumbar spine pathology with good results, one patient underwent surgery, and one declined any intervention.
Conclusions: A significant number of patients (60%) undergoing bilateral TKR also present with symptomatic lumbar spine prob lems. Patients with mild to moderate lumbar spine degenerative symptoms and no associated severe radiating pain on activity are more likely to experience relief of their symptoms post-TKR.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Fitzgerald JD / 2004 / Patient quality of life during the 12 months following joint replacement surgery / Arthritis Rheum 51:100~109
Meding JB / 2012 / Pain relief and functional improvement remain 20years after knee arthroplasty / Clin Orthop Relat Res 470:144~149
Vina ER / 2016 / Improvement following total knee replacement surgery : exploring preoperative symptoms and change in preoperative symptoms / Semin Arthritis Rheum 45:547~555
Zhang W / 2008 / OARSI recommendations for the management of hip and knee osteoarthritis, part II : OARSI evidence-based, expert consensus guidelines / Osteoarthritis Cartilage 16:137~162
Skou ST / 2015 / A randomized, controlled trial of total knee replacement / N Engl J Med 373:1597~1606
Meding JB / 2012 / Pain relief and functional improvement remain 20years after knee arthroplasty / Clin Orthop Relat Res 470:144~149
Vina ER / 2016 / Improvement following total knee replacement surgery : exploring preoperative symptoms and change in preoperative symptoms / Semin Arthritis Rheum 45:547~555
Zhang W / 2008 / OARSI recommendations for the management of hip and knee osteoarthritis, part II : OARSI evidence-based, expert consensus guidelines / Osteoarthritis Cartilage 16:137~162
Skou ST / 2015 / A randomized, controlled trial of total knee replacement / N Engl J Med 373:1597~1606
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