台灣捷邁醫療器材股份有限公司

內容

By S&H 405
雖然全人工膝關節置換術存活率相當高,多數研究也顯示10年存活率高達95%1,近年研究卻顯示病患滿意度逐漸下降。高達20%患者在術後一年評估表示不滿意2,最近一份研究也顯示10-34%患者在置換後的3個月至5年中有顯著疼痛感3。雖然已有許多研究指出患者相關因素(如年齡、術前OKS和EQ5D、合併症、健康及心理因素)是影響手術結果最大關鍵,手術相關因素(植入物品牌、醫院類型及植入物擺放位置)其實也扮演著重要的角色4

據研究顯示造成全人工膝關節置換術重建有7%原因是植入物排列不良所導致5,進而導致植入物存活率降低6和不良的病患術後結果報告4




Reference:
1. Gromov et al. What is the optimal alignment of the tibial and femoral components in knee arthroplasty?  Acta Orthop. 2014 Sep; 85(5): 480–487.
2. Klit et al. Total knee arthroplasty in younger patients evaluated by alternative outcome measures . J Arthroplasty. 2014;29(5):912–7.
3. Beswick et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients . BMJ Open. 2012;2(1):e000435.
4. Longstaff et al. Good alignment after total knee arthroplasty leads to faster rehabilitation and better function . J Arthroplasty. 2009;24(4):570–8. 
5. Schroer et al.Why are total knees failing today? Etiology of total knee revision in 2010 . J Arthroplasty. 2013;28(8):116–9.
6. Ritter et al. The effect of alignment and BMI on failure of total knee replacement . J Bone Joint Surg (Am) 2011;93(17):1588–9 

 

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