关键词: Alignment balance fall Risk gonarthrosis total knee arthroplasty Alignment balance fall Risk gonarthrosis total knee arthroplasty Alignment balance fall Risk gonarthrosis total knee arthroplasty

Mesh : Aged Arthroplasty, Replacement, Knee / adverse effects Case-Control Studies Humans Middle Aged Osteoarthritis, Knee / surgery Quality of Life Retrospective Studies

来  源:   DOI:10.4103/njcp.njcp_1856_21

Abstract:
UNASSIGNED: Falls are a severe cause of morbidity and mortality in elderly patients, and gonarthrosis causes a tendency to fall. Total knee arthroplasty (TKA) is a widely used successful surgical procedure for end-stage gonarthrosis.
UNASSIGNED: To investigate whether there is a difference in the frequency of falls, balance and fall risk, and clinical and radiological results in patients with end-stage gonarthrosis with and without TKA.
UNASSIGNED: This was a single-center, retrospective, case-control study with age- and gender-matched groups. A total of 100 patients over 60 years of age, with end-stage gonarthrosis and who met the inclusion criteria were included in the study. Fall risk was analyzed using the Berg Balance Scale (BBS), TUG tests, and the ITAKI Fall Risk Test. Knee varus angles were measured using standing long-leg radiographs, and radiological gonarthrosis grading was performed. Pain levels and quality of life were assessed using the VAS and WOMAC. Each patient\'s knee extensor muscle strength and range of motion were measured.
UNASSIGNED: WOMAC, ITAKI, TUG test, and VAS scores were significantly higher in the control group than in the TKA group. BBS scores were significantly lower in the control group. Although the number of falls was high in the control group, there was no statistically significant difference between the two groups.
UNASSIGNED: The results of this study showed that total knee arthroplasty provided statistically significant improvement in the clinical, radiological, and fall risk results of the patients. Although there was a decrease in the frequency of falls compared to the control group, it was statistically insignificant. In addition, in our study, it was evaluated that the most important risk factor for falling was advanced age.
摘要:
未经证实:跌倒是老年患者发病和死亡的严重原因,和关节炎会导致跌倒的趋势。全膝关节置换术(TKA)是一种广泛使用的成功的终末期膝关节病手术方法。
UNASSIGNED:要调查跌倒频率是否存在差异,平衡和跌倒风险,以及有和没有TKA的终末期关节炎患者的临床和放射学结果。
未经评估:这是一个单中心,回顾性,年龄和性别匹配组的病例对照研究。共有100名60岁以上的患者,符合纳入标准的终末期关节炎患者被纳入研究.使用Berg平衡量表(BBS)分析跌倒风险,TUG测试,和ITAKI跌倒风险测试。使用站立的长腿X光片测量膝内翻角度,并进行了放射性膝关节病分级。使用VAS和WOMAC评估疼痛水平和生活质量。测量每位患者的膝关节伸肌肌力和活动范围。
未经批准:WOMAC,ITAKI,TUG试验,对照组VAS评分明显高于TKA组。对照组BBS评分明显降低。虽然对照组的跌倒次数较多,两组间差异无统计学意义。
UNASSIGNED:这项研究的结果表明,全膝关节置换术在临床上提供了统计学上的显着改善,放射学,和患者的跌倒风险结果。尽管与对照组相比,跌倒频率有所下降,这在统计上是微不足道的。此外,在我们的研究中,据评估,跌倒最重要的危险因素是高龄.
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