T Jianlu, L Feng, C Wentao, H I M Hammouda, M S Ismailova, Z A Shabanova, A Sh Efendieva
{"title":"[不同年龄组的全膝关节置换术]。","authors":"T Jianlu, L Feng, C Wentao, H I M Hammouda, M S Ismailova, Z A Shabanova, A Sh Efendieva","doi":"10.17116/hirurgia202406145","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and quality of life in long-term period (1 year) after total knee replacement in various age groups.</p><p><strong>Material and methods: </strong>We studied 134 patients after unilateral primary total knee replacement. The KOOS and SF-36 questionnaires were used to assess the therapeutic effect (functionality and symptoms) and quality of life in patients with knee osteoarthritis.</p><p><strong>Results: </strong>At baseline, group I (young patients) had low KOOS pain scores (39.42±16.42), function scores (50.18±19.16) and QoL scores (18.2±15.9) compared to other age groups. A year after surgery, group I (<55 years) had significantly lower KOOS scores of pain, function and quality of life compared to group III (>65 years). Multiple regression analysis showed that age was a significant predictor of pain, but not a function after a year.</p><p><strong>Conclusion: </strong>Total knee replacement gives a noticeable improvement in pain, functionality and quality of life in all age groups. However, there are significant age-related differences in preoperative assessment of pain, quality of life and mental health, as well as in final indicators of postoperative pain and quality of life. Indeed, young patients (<50 years) report more intense pain and worse quality of life. These data may be used in clinical practice to improve decision-making and patient expectations before total knee replacement.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Total knee replacement in different age groups].\",\"authors\":\"T Jianlu, L Feng, C Wentao, H I M Hammouda, M S Ismailova, Z A Shabanova, A Sh Efendieva\",\"doi\":\"10.17116/hirurgia202406145\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the efficacy and quality of life in long-term period (1 year) after total knee replacement in various age groups.</p><p><strong>Material and methods: </strong>We studied 134 patients after unilateral primary total knee replacement. The KOOS and SF-36 questionnaires were used to assess the therapeutic effect (functionality and symptoms) and quality of life in patients with knee osteoarthritis.</p><p><strong>Results: </strong>At baseline, group I (young patients) had low KOOS pain scores (39.42±16.42), function scores (50.18±19.16) and QoL scores (18.2±15.9) compared to other age groups. A year after surgery, group I (<55 years) had significantly lower KOOS scores of pain, function and quality of life compared to group III (>65 years). Multiple regression analysis showed that age was a significant predictor of pain, but not a function after a year.</p><p><strong>Conclusion: </strong>Total knee replacement gives a noticeable improvement in pain, functionality and quality of life in all age groups. However, there are significant age-related differences in preoperative assessment of pain, quality of life and mental health, as well as in final indicators of postoperative pain and quality of life. Indeed, young patients (<50 years) report more intense pain and worse quality of life. These data may be used in clinical practice to improve decision-making and patient expectations before total knee replacement.</p>\",\"PeriodicalId\":35986,\"journal\":{\"name\":\"Khirurgiya\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Khirurgiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/hirurgia202406145\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202406145","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
目的:评估不同年龄组接受全膝关节置换术后长期(1 年)的疗效和生活质量:评估不同年龄组全膝关节置换术后长期(1 年)的疗效和生活质量:我们对 134 名单侧初级全膝关节置换术后患者进行了研究。采用 KOOS 和 SF-36 问卷评估膝关节骨性关节炎患者的治疗效果(功能和症状)和生活质量:基线时,I组(年轻患者)的KOOS疼痛评分(39.42±16.42)分、功能评分(50.18±19.16)分和生活质量评分(18.2±15.9)分均低于其他年龄组。术后一年,第一组(65 岁)。多元回归分析表明,年龄是疼痛的重要预测因素,但对一年后的功能没有影响:结论:全膝关节置换术能明显改善所有年龄组的疼痛、功能和生活质量。然而,术前对疼痛、生活质量和心理健康的评估以及术后疼痛和生活质量的最终指标都存在明显的年龄差异。事实上,年轻患者
Objective: To evaluate the efficacy and quality of life in long-term period (1 year) after total knee replacement in various age groups.
Material and methods: We studied 134 patients after unilateral primary total knee replacement. The KOOS and SF-36 questionnaires were used to assess the therapeutic effect (functionality and symptoms) and quality of life in patients with knee osteoarthritis.
Results: At baseline, group I (young patients) had low KOOS pain scores (39.42±16.42), function scores (50.18±19.16) and QoL scores (18.2±15.9) compared to other age groups. A year after surgery, group I (<55 years) had significantly lower KOOS scores of pain, function and quality of life compared to group III (>65 years). Multiple regression analysis showed that age was a significant predictor of pain, but not a function after a year.
Conclusion: Total knee replacement gives a noticeable improvement in pain, functionality and quality of life in all age groups. However, there are significant age-related differences in preoperative assessment of pain, quality of life and mental health, as well as in final indicators of postoperative pain and quality of life. Indeed, young patients (<50 years) report more intense pain and worse quality of life. These data may be used in clinical practice to improve decision-making and patient expectations before total knee replacement.