The Long‐term Efficacy of Total Knee Arthroplasty on End‐stage Kashin–Beck Disease of the Knee in Highland Tibetan Areas Patients: A Retrospective Study with 10‐Year Follow‐up

医学 回顾性队列研究 骨关节炎 可视模拟标度 生活质量(医疗保健) 沃马克 放射性武器 物理疗法 外科 队列 关节置换术 内科学 替代医学 护理部 病理
作者
Haocheng Sun,Yahao Lai,Zichuan Ding,Yongrui Cai,Zeyu Luo,Zongke Zhou
出处
期刊:Orthopaedic Surgery [Wiley]
卷期号:16 (6): 1300-1307
标识
DOI:10.1111/os.14068
摘要

Objective Despite the established success of total knee arthroplasty (TKA) with end‐stage osteoarthritis, there is a notable scarcity of research on its long‐term outcomes in individuals suffering from end‐stage Kashin–Beck disease (KBD). This retrospective study aimed to assess the long‐term outcomes and effectiveness of clinical function, quality of life, and complications of TKA and end‐stage KBD patients in Tibetan highland areas. Methods The retrospective cohort included 43 KBD patients, comprising a total of 59 knees, who had undergone TKA at West China Hospital, Sichuan University between 2008 and 2021. Patients were subsequently followed up for a minimum of 3 years, and received rigorous radiological and clinical assessments at 3, 6, and 12 months post surgery, followed by annual examinations thereafter. The evaluation included various efficacy indices, including visual analogue scale (VAS) scores, hospital for special surgery (HSS) scores, functional score for adult Tibetans with Kashin–Beck disease (FSAT‐KBD), and radiographic findings. Comparison of indicators within the same group was conducted using one‐way repeated‐measures analysis of variance or paired sample t ‐tests, whereas between‐group differences were compared using an independent t ‐test. Results Throughout the average follow‐up duration of 10.8 years, patients experienced a substantial reduction in knee pain and noteworthy functional improvement. The VAS scores decreased significantly from 77.47 ± 4.12 mm before surgery to 10.91 ± 1.97 mm after surgery, indicating considerable alleviation of knee pain. The HSS scores improved markedly, increasing from 44.26 ± 4.95 preoperatively to 91.26 ± 4.37, indicating enhanced joint function. Similarly, the FSAT‐KBD exhibited positive progression, increasing from 25.90 ± 3.12 to 36.95 ± 3.54. Importantly, at the last follow‐up, none of the patients presented with periprosthetic infection, prosthesis loosening, or periprosthetic fracture. Conclusion At long‐term follow‐up, compared with patients in the preoperative period, patients in Tibetan highland areas with KBD of the knee who underwent TKA benefited from a significant reduction in pain, improvement in joint function, and satisfactory improvement in quality of life.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
锋回露转123完成签到,获得积分10
刚刚
刚刚
兔兔完成签到,获得积分10
刚刚
HY完成签到,获得积分10
1秒前
十五亿完成签到,获得积分10
1秒前
俏皮乐天发布了新的文献求助10
1秒前
keyanwang完成签到 ,获得积分10
2秒前
Scueen完成签到,获得积分10
2秒前
2秒前
secret完成签到,获得积分20
2秒前
LP发布了新的文献求助10
3秒前
wy.he应助呆呆采纳,获得10
3秒前
亚克西发布了新的文献求助10
3秒前
兔兔发布了新的文献求助10
3秒前
重要忆丹完成签到,获得积分20
4秒前
ding应助卞绍奇采纳,获得10
5秒前
陈预立完成签到,获得积分10
5秒前
你仍是我完成签到,获得积分20
6秒前
6秒前
xiaoxia发布了新的文献求助10
6秒前
十五亿发布了新的文献求助10
6秒前
7秒前
7秒前
YOLO发布了新的文献求助10
7秒前
李爱国应助向日葵采纳,获得10
7秒前
7秒前
浔城游侠完成签到,获得积分10
7秒前
大模型应助wxcx采纳,获得10
7秒前
山药蛋发布了新的文献求助10
8秒前
8秒前
8秒前
yyds完成签到,获得积分10
9秒前
9秒前
怕黑网络关注了科研通微信公众号
10秒前
小二郎应助迷你的豪英采纳,获得10
10秒前
secret发布了新的文献求助10
10秒前
WzH发布了新的文献求助10
10秒前
刘济源发布了新的文献求助20
10秒前
耍酷依玉完成签到,获得积分20
11秒前
冲冲冲完成签到 ,获得积分10
11秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 1000
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3245070
求助须知:如何正确求助?哪些是违规求助? 2888780
关于积分的说明 8255477
捐赠科研通 2557124
什么是DOI,文献DOI怎么找? 1385882
科研通“疑难数据库(出版商)”最低求助积分说明 650248
邀请新用户注册赠送积分活动 626457