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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Why Patients Do Not Participate in Sports Activities After Total Knee Arthroplasty
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Why Patients Do Not Participate in Sports Activities After Total Knee Arthroplasty

机译：为什么全膝关节置换术后患者不参加体育活动

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Background It is important to identify the reasons or factors preventing patients from participating in sports activities after total knee arthroplasty (TKA) to improve patient satisfaction and general health that can be gained from regular sports activities. Purpose To determine the reasons for lack of participation in regular sports activities after TKA as perceived by patients and to identify specific factors involved. Study Design Case series; Level of evidence, 4. Methods A total of 369 patients with a follow-up longer than 1 year after TKA were included in this retrospective study. A postal survey regarding sports activities was conducted using a questionnaire gathering information such as sociodemographic data, activity levels, and sports activities after TKA. The reasons perceived by patients for not participating in sports activities were determined. Patients unable to participate in sports activities were compared with patients able to do so in terms of sociodemographic data and pre- and postoperative outcomes. Results Of the 369 patients, 88 (24%) replied that they could not participate in a sports activity. Among the perceived reasons, reasons not related to the replaced knee were more frequent than those related to the replaced knee (76% vs 24%). Symptoms related to the spine or other joints composed 25% of the total perceived reasons. The presence of medical comorbidities accounted for 16%, while symptoms in the nonreplaced knee represented 8% of the reasons. In terms of patient factors, multivariate logistic regression revealed that male sex, a floor-based (ie, non-Western) lifestyle with greater demands on knee flexion, and worse postoperative University of California at Los Angeles activity scale were associated with nonregular sports activity levels. Conclusion The perceived reasons and patient factors hindering regular sports activities after TKA were not restricted to problems with the replaced knee. Nonetheless, orthopaedic surgeons may have a substantial role in encouraging patients to participate in sports by resolving joint-related problems. Furthermore, this study supports the notion that a multidisciplinary approach is needed to improve sports participation after surgery.
机译：背景技术重要的是要确定导致患者无法进行全膝关节置换术（TKA）后参加体育活动的原因或因素，以提高可以从常规体育活动中获得的患者满意度和总体健康状况。目的确定患者认为TKA后缺乏参加常规体育活动的原因，并确定涉及的具体因素。研究设计案例系列;证据等级，4。方法这项回顾性研究纳入了总共369例TKA术后超过1年的患者。使用调查表收集了有关体育活动的邮政调查，这些信息包括社会人口统计学数据，活动水平和TKA之后的体育活动。确定患者不参加体育活动的原因。将无法参加体育活动的患者与能够参加体育活动的患者进行社会人口统计学数据以及手术前后的结果进行比较。结果在369例患者中，有88例（24％）回答不能参加体育活动。在可察觉的原因中，与膝关节置换无关的原因比与膝关节置换相关的原因更为频繁（76％vs 24％）。与脊柱或其他关节有关的症状占总感知原因的25％。医疗合并症的发生率占16％，而膝关节未置换的症状占原因的8％。就患者因素而言，多因素logistic回归显示，男性，非正式的生活方式，对膝盖屈曲的要求更高，以地板为基础的（即非西方）生活方式以及加利福尼亚大学洛杉矶分校的术后活动量表较差，均与不规律的体育活动有关。水平。结论TKA术后妨碍常规运动的知觉原因和患者因素不仅限于膝关节置换问题。尽管如此，整形外科医生可能会通过解决关节相关问题在鼓励患者参加运动中发挥重要作用。此外，这项研究支持以下观点：需要采用多学科方法来改善手术后的运动参与度。

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