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首页> 外文期刊>Orthopedics >The Use of Intraoperative Sensors Significantly Increases the Patient-Reported Rate of Improvement in Primary Total Knee Arthroplasty
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The Use of Intraoperative Sensors Significantly Increases the Patient-Reported Rate of Improvement in Primary Total Knee Arthroplasty

机译:使用术中传感器的使用显着提高了患者报告的患者报告的主要总膝关节形成术率

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摘要

Albeit multifactorial, patient satisfaction is predominantly driven by postoperative pain and function. Unfortunately, approximately 20% of total knee arthroplasty (TKA) recipients are dissatisfied with the outcome of their surgery. Objective balancing of the soft tissue envelope may contribute to significant decrease in pain and increase in function when compared with traditional subjective methods. In an effort to confirm this, a cohort of manual TKA patient outcomes was compared with sensor-assisted TKA outcomes. One hundred fourteen patients (57 manual, 57 sensor assisted) received primary TKA. Both cohorts were matched for confounding variables. The dependent variables in this study were 6-month patient-reported outcome measures, including Knee Society Score and Oxford Knee Score. The range of motion and incidence of arthrofibrosis were also captured for both cohorts. The rate of improvement of all patient-reported outcome scores and subscores and range of motion was significantly higher in the sensor-assisted cohort. The rate of arthrofibrosis was lower in the sensor-assisted cohort but not statistically significant. The authors rejected the null hypothesis and concluded that the rate of improvement in objective, patient-reported outcome measures was higher in the sensor-assisted cohort than the manual cohort from preoperatively to 6 months postoperatively.
机译:尽管多因素,患者满意度主要由术后疼痛和功能驱动。遗憾的是,大约20%的膝关节形成术(TKA)受者对其手术的结果不满意。与传统的主观方法相比,软组织包络的客观平衡可能导致疼痛的显着降低和功能增加。为了确认这一点,将手动TKA患者结果的群组与传感器辅助的TKA结果进行了比较。一百十四名患者(57例手动,57个传感器辅助)接受了初级TKA。两个群组都匹配混淆变量。本研究中的依赖变量是6个月的患者报告的结果措施,包括膝关节社会得分和牛津膝关节分数。两种队列也捕获了促触发的运动和发病率。传感器辅助队列的所有患者报告的结果分数和次要次数和运动范围和运动范围明显高。传感器辅助队列的节肢动物率较低,但在统计学上没有统计学意义。作者拒绝了零假设,得出结论,在术后6个月的手术队队的手动队列中,传感器辅助队列的客观率,患者报告的结果措施的改善速度较高。

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