PDF(Pubmed)
Abstract：
In knee osteoarthritis surgery, managing postoperative wound healing and minimizing scar formation are pivotal for patient recovery and satisfaction. These aspects are particularly challenging due to the nature of the surgical procedure and patient demographics. Physiotherapy interventions are increasingly recognized for their role in improving these postoperative outcomes. This meta-analysis sought to evaluate the efficacy of physiotherapy in enhancing wound healing, as measured by REEDA scores, and reducing scar formation, as indicated by Manchester Scar Scale (MSS) scores, following knee osteoarthritis surgery. Analysing data from eight studies, we found that physiotherapy significantly improved wound healing, evidenced by lower REEDA scores (SMD = -19.58, 95% CI: [-22.49, -16.66], p < 0.01), and reduced scar formation, reflected in lower MSS scores (SMD = -24.79, 95% CI: [-30.03, -19.55], p < 0.01). These findings highlight the crucial role of physiotherapy in postoperative care for knee osteoarthritis patients, emphasizing its impact on enhancing recovery and improving surgical outcomes.
摘要：
在膝骨关节炎手术中，管理术后伤口愈合和减少瘢痕形成对于患者的康复和满意度至关重要。由于外科手术的性质和患者人口统计学,这些方面尤其具有挑战性。物理治疗干预措施在改善这些术后结局方面的作用日益得到认可。这项荟萃分析旨在评估物理疗法在增强伤口愈合方面的功效，以REEDA评分衡量，减少疤痕的形成，如曼彻斯特疤痕量表(MSS)分数所示，膝关节骨关节炎手术后。分析8项研究的数据,我们发现物理治疗显著改善伤口愈合，REEDA评分较低(SMD=-19.58，95%CI：[-22.49，-16.66]，p<0.01),减少疤痕的形成，反映在较低的MSS分数(SMD=-24.79，95%CI：[-30.03，-19.55]，p<0.01)。这些发现强调了物理治疗在膝关节骨性关节炎患者术后护理中的关键作用，强调其对促进康复和改善手术结果的影响。
