全膝关节置换术:需要更好地选择患者。

IF 3.3 2区 医学 Q1 ORTHOPEDICS Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-11-18 DOI:10.1002/ksa.12514
T Tampere, N Arnout, J Victor
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引用次数: 0

摘要

全膝关节置换术(TKA)是一种广泛实施的外科干预手术,旨在缓解严重膝关节退变(最常见的原因是骨关节炎)患者的疼痛并恢复其功能。该手术是用假体植入取代受损的膝关节,从而显著改善患者的活动能力和生活质量。虽然 TKA 对很多人都有益,但受益最大的是那些对保守治疗无效的晚期膝关节炎患者,他们通常年龄在 60 岁及以上,有与活动相关的疼痛和功能限制。要使这种变革性手术的益处最大化,识别出最有可能获得积极疗效的患者至关重要。这篇社论的目的是对当今关节置换手术的常见做法提出批评意见。
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Total knee arthroplasty: The need for better patient selection.

Total knee arthroplasty (TKA) is a widely performed surgical intervention designed to relieve pain and restore function in patients with severe knee joint degeneration, most commonly due to osteoarthritis. This procedure involves replacing the damaged knee joint with a prosthetic implant, providing significant improvements in mobility and quality of life. While TKA is beneficial for many, the individuals who stand to gain the most are those with advanced knee arthritis unresponsive to conservative treatments, typically aged 60 and above, experiencing activity-related pain and functional limitations. Identifying patients with the highest potential for positive outcomes is critical to maximizing the benefits of this transformative surgery. Goal of this editorial is to give a critical view on today's common practice of arthroplasty surgery.

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来源期刊
CiteScore
8.10
自引率
18.40%
发文量
418
审稿时长
2 months
期刊介绍: Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).
期刊最新文献
Higher isokinetic quadriceps peak force is associated with a patient-acceptable symptom-state 1 and 3 years after ACL reconstruction. Adapting the Dejour classification of trochlear dysplasia from qualitative radiograph- and CT-based assessments to quantitative MRI-based measurements. Letter to the Editor concerning 'The Calf Raise App shows good concurrent validity compared with a linear encoder in measuring total concentric work': Let's not compare apples to oranges. Total knee arthroplasty: The need for better patient selection. Patient-reported outcome measures, the holy grail of outcome assessment: Are they powerful enough to show a difference in knee arthroplasty alignment? A call for more comprehensive and objective data collection.
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