单侧人工全膝关节置换术后患者的功能性活动能力及影响因素分析

杨伶俐; 廖淑梅; 任辉

doi:10.16016/j.1000-5404.202009188

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单侧人工全膝关节置换术后患者的功能性活动能力及影响因素分析

临床医学 | 更新时间：2026-01-09

- 单侧人工全膝关节置换术后患者的功能性活动能力及影响因素分析
- Functional mobility in patients after unilateral total knee replacement and its influencing factors
- 第三军医大学学报 2021年43卷第6期页码：560-566
- 作者机构：
- 作者简介：
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- DOI：10.16016/j.1000-5404.202009188
  中图分类号：
- 收稿：2020-09-23，
  
  纸质出版：2021-03-30
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杨伶俐, 廖淑梅, 任辉. 单侧人工全膝关节置换术后患者的功能性活动能力及影响因素分析[J]. 第三军医大学学报, 2021,43(6):560-566.

Lingli YANG, Shumei LIAO, hui REN. Functional mobility in patients after unilateral total knee replacement and its influencing factors[J]. Journal of Third Military Medical University, 2021, 43(6): 560-566.
杨伶俐, 廖淑梅, 任辉. 单侧人工全膝关节置换术后患者的功能性活动能力及影响因素分析[J]. 第三军医大学学报, 2021,43(6):560-566. DOI： 10.16016/j.1000-5404.202009188.

Lingli YANG, Shumei LIAO, hui REN. Functional mobility in patients after unilateral total knee replacement and its influencing factors[J]. Journal of Third Military Medical University, 2021, 43(6): 560-566. DOI： 10.16016/j.1000-5404.202009188.

摘要

Abstract

Objective

To investigate the functional mobility of the knee joint after unilateral total knee replacement (TKA)

and explore the factors affecting the difference of mobility.

Methods

A retrospective analysis was performed on 110 patients who received unilateral TKA for the first time from January to December 2019 in the orthopedics department of a Grade A hospital in Chongqing by telephone follow-up. Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index was adopted to evaluate the knee joint function. And the general information of patients and their knee functional activities were subsequently analyzed.

Results

Standing and walking were the easiest and most satisfying activities for the patients after TKA

but 83% of them still had problems in going up and down stairs or slopes

and 41.8% were expected to be able to squat or use a squat toilet. Among them

88.2% continued to exercise after discharge to train muscle strength and joint mobility

and only 13.4% had added special training for knee joint function. There were no differences between the patients taking exerci

se at home and at special rehabilitation centers. The results of rank sum test showed that age

pain

postoperative months

post-discharge exercise

functional training

and home environment had significantly different effects on WOMAC function score (

0.05). And stepwise multiple linear regression model indicated that pain (B=13.924

=0.000) was positively correlated with WOMAC functional score

while persistent exercise (B=-19.889

=0.002) and functional training (B=-14.671

=0.011) after discharge were negatively correlated with the score

in an order of strong influencing significance of post-discharge exercise

functional training

and pain. For the patients having post-discharge exercise

functional training was negatively correlated with the WOMAC function score (B=-10.694

=0.044)

whose effect was only second to pain.

Conclusion

TKA surgery can improve the knee function of patients with knee osteoarthritis

however

pain is still the main factor affecting postoperative functional mobility. Keeping exercise after discharge combined with functional training in addition is helpful to further improve the knee functional joint mobility.

关键词

Keywords

references

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