2024 · Clinics in Orthopedic Surgery
膝蓋骨を置換しないmobile-bearing TKAで、既存の膝蓋軟骨病変の程度と位置は結果と関連するか？
すべての追跡時点で、軟骨病変の重症度や位置によるPROMsの有意差は認められませんでした。
対象と方法
絵を読んだ順序です
主な結果
手術に関する読書のポイント
解釈の限界
簡単に説明しましょう
この研究で何が確認されましたか?
すべての追跡時点で、軟骨病変の重症度や位置によるPROMsの有意差は認められませんでした。
治療決定に直接適用できるか?
膝蓋骨を温存したmobile-bearing TKA群の結果です。非置換と置換を無作為化して比較したものではなく、有意差がないことは両治療の同等性を証明するものではありません。
Keywords・キーワード
- Articular cartilage
- Patella
- Total knee arthroplasty
- Arthroplasty, Replacement, Knee
- Osteoarthritis, Knee
- Knee Prosthesis
- Cartilage
- Postoperative Period
Abstract・原文の抄録
Do Weon Lee, Du Hyun Ro, Hyuk-Soo Han, Myung Chul Lee. Patella Cartilage Status Does Not Affect the Clinical Outcomes of Non-resurfaced Patella in Mobile-Bearing Total Knee Arthroplasty. Clinics in orthopedic surgery. 2024;16(2):242-250. doi:10.4055/cios22253.
BACKGROUND
During total knee arthroplasty (TKA), patellar retention is performed when the cartilage is fairly well preserved and the thickness of the patella is relatively thin. However, clinical outcomes of the non-resurfaced patella in TKA according to the cartilage status are lacking in the literature. The purpose of this study was to compare patient-reported outcome measures (PROMs) according to the grade and location of the patellar cartilage lesion in TKA patients.
METHODS
The outcomes of 165 osteoarthritis patients (186 knees) who underwent cemented mobile-bearing TKA without patellar resurfacing were assessed and classified according to the grade and location of the patellar cartilage lesion. PROMs using the Western Ontario and MacMaster Universities Osteoarthritis index, the Knee Society Score (Knee Society Function Score and Knee Society Knee Score), and the Hospital for Special Surgery score were evaluated preoperatively and at postoperative 2, 4, 6, and 8 years. The correlations between PROMs and the grade and location of the cartilage lesion were assessed. Additionally, radiologic outcomes including the patellar tilt angle and patellar height were assessed and their correlation with the grade of cartilage lesion was analyzed. Analysis of variance was used to determine statistical significance.
RESULTS
There was no significant difference between PROMs according to the grades and locations of cartilage lesions at any postoperative follow-up. Radiologic parameters also showed no significant differences according to the grades of patellar cartilage lesions.
CONCLUSIONS
The grade and location of the patellar cartilage lesion had no influence on clinical outcomes in mobile-bearing TKA with patellar retention at short- and long-term follow-up.
Copyright © 2024 by The Korean Orthopaedic Association
オリジナル紙だ
Patella Cartilage Status Does Not Affect the Clinical Outcomes of Non-resurfaced Patella in Mobile-Bearing Total Knee Arthroplasty
Do Weon Lee, Du Hyun Ro, Hyuk-Soo Han, Myung Chul Lee
Clinics in Orthopedic Surgery · 2024