切换至 "中华医学电子期刊资源库"

中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (03) : 390 -397. doi: 10.3877/cma.j.issn.1674-134X.2024.03.013

综述

膝骨关节炎三种术式患者满意度的术前影响因素
杨士慷1, 曹光磊2,()   
  1. 1. 100069 北京,首都医科大学;100053 北京,首都医科大学宣武医院骨科
    2. 100053 北京,首都医科大学宣武医院骨科
  • 收稿日期:2023-12-04 出版日期:2024-06-01
  • 通信作者: 曹光磊

Influencing factors of patient satisfaction in three types of surgery for knee osteoarthritis

Shikang Yang1, Guanglei Cao2,()   

  1. 1. Capital Medical University, Beijing 100069, China;Department of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China
    2. Department of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China
  • Received:2023-12-04 Published:2024-06-01
  • Corresponding author: Guanglei Cao
引用本文:

杨士慷, 曹光磊. 膝骨关节炎三种术式患者满意度的术前影响因素[J]. 中华关节外科杂志(电子版), 2024, 18(03): 390-397.

Shikang Yang, Guanglei Cao. Influencing factors of patient satisfaction in three types of surgery for knee osteoarthritis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(03): 390-397.

膝骨关节炎是老年人常见的骨科退行性疾病,患者常伴有明显疼痛及活动受限,严重影响日常生活质量。随着技术的进步及阶梯化治疗理念的深入,目前针对膝骨关节炎的手术方式不再仅限于全膝置换,而是包括截骨矫形、单髁置换以及全膝置换等。手术的主要目的是来减轻疼痛和改善膝关节功能。在评价不同手术方式的疗效时,患者满意度是患者报告结果测量中重要的一个参考指标,被认为是评价手术是否成功的核心标准之一。患者的术前因素往往影响其术后的满意度,但目前还没有针对三种手术方式在术后满意度方面进行系统的综述,因此本文将有关三种手术方式满意度及术前影响因素的研究进行综述整理及分析,期望能够更好地梳理不同手术方式的术前影响因素,为提高患者的术后满意度提供新的思路与证据支持。

Knee osteoarthritis is a common orthopedic degenerative disease in the elderly. Patients are often accompanied by obvious pain and limited activity, which seriously affects the quality of daily life. With the advancement of technology and the deepening of the concept of stepped treatment, the current surgical methods for knee osteoarthritis are no longer limited to total knee replacement, but include osteotomy orthopedics, unicompartmental knee arthroplasty and total knee arthroplasty. The main purpose of surgery is to relieve pain and improve knee function. Duringevaluating the efficacy of different surgical methods, patient satisfaction is an important reference index in the patient reported outcome measures, and is considered as one of the core criteria for evaluating the success of surgery. Preoperative factors of patients often affect their postoperative satisfaction, but there has been no systematic review on the postoperative satisfaction of the three surgical methods. Therefore, this article summarized and analyzed the studies on the satisfaction of the three surgical methods and their preoperative influencing factors, hoping to better sort out the preoperative influencing factors of different surgical methods. It may provide new ideas and evidence support for improving patients' postoperative satisfaction.

[1]
Sitzia JWood N. Patient satisfaction: a review of issues and concepts[J]. Soc Sci Med1997,45(12): 1829-1843.
[2]
Liddle ADJudge APandit H,et al. Determinants of revision and functional outcome following unicompartmental knee replacement[J]. Osteoarthritis Cartilage2014,22(9): 1241-1250.
[3]
Kleeblad LJStrickland SMNwachukwu BU,et al. Satisfaction with return to sports after unicompartmental knee arthroplasty and what type of sports are patients doing[J]. Knee2020,27(2): 509-517.
[4]
Liow MHLGoh GSPang HN,et al. Should patients aged 75 years or older undergo medial unicompartmental knee arthroplasty?A propensity score-matched study[J]. Arch Orthop Trauma Surg2020,140(7): 949-956.
[5]
Ode QGaillard RBatailler C,et al. Fewer complications after UKA than TKA in patients over 85 years of age: a case-control study[J]. Orthop Traumatol Surg Res2018,104(7): 955-959.
[6]
Scott CEOliver WMMacDonald D,et al. Predicting dissatisfaction following total knee arthroplasty in patients under 55 years of age[J]. Bone Joint J2016,98-B(12): 1625-1634.
[7]
Ayers DCYousef MZheng H,et al. The prevalence and predictors of patient dissatisfaction 5-years following primary total knee arthroplasty[J]. J Arthroplasty2022,37(6S): S121-S128.
[8]
Sohn SKoh IJKim MS,et al. What factors predict patient dissatisfaction after contemporary medial opening-wedge high tibial osteotomy?[J]. J Arthroplasty2020,35(2): 318-324.
[9]
Kim MSKoh IJKim CK,et al. Patient expectations and satisfaction after medial opening wedge high tibial osteotomy[J]. J Arthroplasty2020,35(12): 3467-3473.
[10]
Han SBLee JHKim SG,et al. Patient-reported outcomes correlate with functional scores after opening-wedge high tibial osteotomy: a clinical study[J]. Int Orthop2018,42(5): 1067-1074.
[11]
Bourne RBChesworth BMDavis AM,et al. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?[J]. Clin Orthop Relat Res2010,468(1): 57-63.
[12]
Kozinn SCScott R. Unicondylar knee arthroplasty[J]. J Bone Jt Surg1989,71(1): 145-150.
[13]
Stern SHBecker MWInsall JN. Unicondylar knee arthroplasty. An evaluation of selection criteria[J]. Clin Orthop Relat Res1993(286): 143-148.
[14]
Beard DJPandit HGill HS,et al. The influence of the presence and severity of pre-existing patellofemoral degenerative changes on the outcome of the Oxford medial unicompartmental knee replacement[J]. J Bone Joint Surg Br2007,89(12): 1597-1601.
[15]
Beard DJPandit HOstlere S,et al. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome[J]. J Bone Joint Surg Br2007,89(12): 1602-1607.
[16]
Burger JADooley MSKleeblad LJ,et al. What is the impact of patellofemoral joint degeneration and malalignment on patient-reported outcomes after lateral unicompartmental knee arthroplasty?[J]. Bone Joint J2020,102-B(6): 727-735.
[17]
Deckard ERJansen KZiemba-Davis M,et al. Does patellofemoral disease affect outcomes in contemporary medial fixed-bearing unicompartmental knee arthroplasty?[J]. J Arthroplasty2020,35(8): 2009-2015.
[18]
Konan SHaddad FS. Does location of patellofemoral chondral lesion influence outcome after Oxford medial compartmental knee arthroplasty?[J]. Bone Joint J2016,98-B(10 Supple B): 11-15.
[19]
Deschamps GLapeyre B. Rupture of the anterior cruciate ligament: a frequently unrecognized cause of failure of unicompartmental knee prostheses. Apropos of a series of 79 Lotus prostheses with a follow-up of more than 5 years[J]. Rev Chir Orthop Reparatrice Appar Mot1987,73(7): 544-551.
[20]
Goodfellow JWKershaw CJBenson MK,et al. The Oxford Knee for unicompartmental osteoarthritis. The first 103 cases[J]. J Bone Joint Surg Br1988,70(5): 692-701.
[21]
Engh GAAmmeen DJ. Unicondylar arthroplasty in knees with deficient anterior cruciate ligaments[J]. Clin Orthop Relat Res2014,472(1): 73-77.
[22]
Boissonneault APandit HPegg E,et al. No difference in survivorship after unicompartmental knee arthroplasty with or without an intact anterior cruciate ligament[J]. Knee Surg Sports Traumatol Arthrosc2013,21(11): 2480-2486.
[23]
Suter LRoth AAngst M,et al. Is ACL deficiency always a contraindication for medial UKA?Kinematic and kinetic analysis of implanted and contralateral knees[J]. Gait Posture2019,68: 244-251.
[24]
Goh GSZeng GJChen JY,et al. Preoperative flexion contracture does not compromise the outcomes and survivorship of medial fixed bearing unicompartmental knee arthroplasty[J]. J Arthroplasty2021,36(10): 3406-3412.
[25]
Koh IJKim MSSohn S,et al. Predictive factors for satisfaction after contemporary unicompartmental knee arthroplasty and high tibial osteotomy in isolated medial femorotibial osteoarthritis[J]. Orthop Traumatol Surg Res2019,105(1): 77-83.
[26]
Jacobs CAChristensen CPKarthikeyan T. Subchondral bone marrow edema had greater effect on postoperative pain after medial unicompartmental knee arthroplasty than total knee arthroplasty[J]. J Arthroplasty2016,31(2): 491-494.
[27]
Goh GSBin Abd Razak HRTay DK,et al. Unicompartmental knee arthroplasty achieves greater flexion with No difference in functional outcome,quality of life,and satisfaction vs total knee arthroplasty in patients younger than 55 years. A propensity score-matched cohort analysis[J]. J Arthroplasty2018,33(2): 355-361.
[28]
Streit MRStreit JWalker T,et al. Minimally invasive Oxford medial unicompartmental knee arthroplasty in young patients[J]. Knee Surg Sports Traumatol Arthrosc2017,25(3): 660-668.
[29]
Williams DPPrice AJBeard DJ,et al. The effects of age on patient-reported outcome measures in total knee replacements[J]. Bone Joint J2013,95-B(1): 38-44.
[30]
Heck DAMarmor LGibson A,et al. Unicompartmental knee arthroplasty. A multicenter investigation with long-term follow-up evaluation[J]. Clin Orthop Relat Res1993(286): 154-159.
[31]
Berend KRLombardi AV JrMallory TH,et al. Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity[J]. Clin Orthop Relat Res2005,440: 60-66.
[32]
Lee MHuang YChong HC,et al. Predicting satisfaction for unicompartmental knee arthroplasty patients in an Asian population[J]. J Arthroplasty2016,31(8): 1706-1710.
[33]
Zengerink IDuivenvoorden TNiesten D,et al. Obesity does not influence the outcome after unicompartmental knee arthroplasty[J]. Acta Orthop Belg2015,81(4): 776-783.
[34]
Xu SLim WJChen JY,et al. The influence of obesity on clinical outcomes of fixed-bearing unicompartmental knee arthroplasty: a ten-year follow-up study[J]. Bone Joint J2019,101-B(2): 213-220.
[35]
Antoniadis ADimitriou DCanciani JP,et al. A novel preoperative scoring system for the indication of unicompartmental knee arthroplasty,as predictor of clinical outcome and satisfaction[J]. Arch Orthop Trauma Surg2019,139(1): 113-120.
[36]
White SHLudkowski PFGoodfellow JW. Anteromedial osteoarthritis of the knee[J]. J Bone Joint Surg Br1991,73(4): 582-586.
[37]
Witjes SHoorntje AKoenraadt KLM,et al. Higher function scores and satisfaction in patients with anteromedial osteoarthritis compared with other wear patterns of the knee: 2 years after both total and unicondylar knee arthroplasties[J]. J Knee Surg2020,33(7): 629-635.
[38]
Liebensteiner MWurm AGamper D,et al. Patient satisfaction after total knee arthroplasty is better in patients with pre-operative complete joint space collapse[J]. Int Orthop2019,43(8): 1841-1847.
[39]
Khatib YXia ALiu R,et al. Less improvement in knee function and higher rates of dissatisfaction in the short-term following total knee arthroplasty in people with mild radiographic arthritis[J]. Arch Orthop Trauma Surg2023,143(5): 2721-2731.
[40]
Jacobs CAChristensen CPKarthikeyan T. An intact anterior cruciate ligament at the time of posterior cruciate ligament-retaining total knee arthroplasty was associated with reduced patient satisfaction and inferior pain and stair function[J]. J Arthroplasty2016,31(8): 1732-1735.
[41]
Judge AArden NKPrice A,et al. Assessing patients for joint replacement: can pre-operative Oxford hip and knee scores be used to predict patient satisfaction following joint replacement surgery and to guide patient selection?[J]. J Bone Joint Surg Br2011,93(12): 1660-1664.
[42]
刘朴,张民,王浩浩. 牛津膝关节评分与膝关节单髁置换术术后满意度的相关研究[J]. 中国骨伤2020,33(3):247-251.
[43]
W-Dahl ARobertsson OLidgren L. Surgery for knee osteoarthritis in younger patients[J]. Acta Orthop2010,81(2): 161-164.
[44]
Lizaur-Utrilla AMartinez-Mendez DMiralles-Muñoz FA,et al. Risk-benefit on quality of life after total knee arthroplasty in octogenarians[J]. J Arthroplasty2017,32(8): 2417-2420.
[45]
Robertson FMClement ND. Preoperative Anemiais associated with worse joint-specific postoperative outcomes,but is not associated with health-related quality of life or patient satisfaction after total knee arthroplasty[J]. J Arthroplasty2023,38(1): 51-59.
[46]
Teo BJXChong HCYeo W,et al. The impact of diabetes on patient outcomes after total knee arthroplasty in an Asian population[J]. J Arthroplasty2018,33(10): 3186-3189.
[47]
Gonzalez-Navarro BGonzalez-Parreño SPerez-Aznar A,et al. Negative association of subclinical hypothyroidism on improvement in patient-reported outcomes after total knee arthroplasty[J]. J Arthroplasty2022,37(5): 864-868.
[48]
Koh IJKang BMKim MS,et al. How does preoperative central sensitization affect quality of life following total knee arthroplasty?[J]. J Arthroplasty2020,35(8): 2044-2049.
[49]
Lošťák JGallo JZapletalová J. Patient satisfaction after total knee arthroplasty. analysis of pre-operative and peri-operative parameters influencing results in 826 patients[J]. Acta Chir Orthop Traumatol Cech2016,83(2): 94-101.
[50]
Munn JSCulliton SEBryant DM,et al. Can met expectations moderate the relationship between pain/function and satisfaction in total knee arthroplasty?[J]. J Arthroplasty2021,36(6): 1942-1946.
[51]
Fontana MAMedina CKKohilakis EC,et al. Patient and surgeon risk-taking regarding total joint arthroplasty[J]. J Arthroplasty2022,37(4): 624-629.e18.
[52]
DeFrance MJScuderi GR. Are 20% of patients actually dissatisfied following total knee arthroplasty?A systematic review of the literature[J]. J Arthroplasty2023,38(3): 594-599.
[53]
Yapp LZClement NDMacDonald DJ,et al. Changes in expectation fulfillment following total knee arthroplasty: a 10-year follow-up study[J]. J Arthroplasty2020,35(7): 1826-1832.
[54]
Tolk JJWaarsing JEHJanssen RPA,et al. Development of preoperative prediction models for pain and functional outcome after total knee arthroplasty using the Dutch arthroplasty register data[J]. J Arthroplasty2020,35(3): 690-698.e2.
[55]
Mahdi AHälleberg-Nyman MWretenberg P. Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients[J]. Arch Orthop Trauma Surg2020,140(11): 1809-1818.
[56]
Goh GSZeng GJChen JY,et al. Ten-year results of unicompartmental knee arthroplasty in patients with psychological distress[J]. J Arthroplasty2020,35(10): 2830-2836.e1.
[57]
Carmody DKeighley GSalmon L,et al. Foot pain is common,but frequently improves 1 year after total knee arthroplasty[J]. J Arthroplasty2022,37(6): 1069-1073.
[58]
Halawi MJAllen DABaron S,et al. Tobacco smoking independently predicts lower patient-reported outcomes: new insights on a forgotten epidemic[J]. J Arthroplasty2019,34(7S): S144-S147.
[1] 王冰, 孙海宁, 于秀淳, 周珂, 翟凯, 苗族康. 膝骨关节炎的活动衬垫型单髁置换疗效与假体生存率[J]. 中华关节外科杂志(电子版), 2024, 18(03): 337-345.
[2] 张江礼, 刘金辉, 潘西庆, 刘光源, 范虓. 全膝关节置换应用智能辅助手术导航系统治疗膝骨关节炎[J]. 中华关节外科杂志(电子版), 2024, 18(03): 346-351.
[3] 中华医学会骨科学分会关节外科学组, 解放军总医院第四医学中心骨科医学部, 国家骨科与运动康复临床医学研究中心. 中国膝骨关节炎非手术治疗专家共识(2023年版)[J]. 中华关节外科杂志(电子版), 2024, 18(02): 151-159.
[4] 刘浩, 郑清源, 程龙, 辛鹏, 吴博, 任鹏, 张国强. 全膝关节置换术中选择窄版股骨假体的影响因素[J]. 中华关节外科杂志(电子版), 2024, 18(02): 193-200.
[5] 郝鑫, 贾健, 任雨昊, 成凯, 王小虎. 膝关节骨关节炎的运动学疗法[J]. 中华关节外科杂志(电子版), 2024, 18(02): 264-270.
[6] 卢芳连, 汤莉, 何河北, 李建云, 欧栓机, 陈燕, 陈娇妹. 责任护士主导的疼痛管理在膝关节置换术后的应用[J]. 中华关节外科杂志(电子版), 2024, 18(02): 285-289.
[7] 姚放鸣, 焦莹莹, 何敏聪, 曾子俊, 何晓铭, 刘良燕, 何伟, 魏秋实, 刘文刚. 膝骨关节炎患者的肌少症发病率及发病特点分析[J]. 中华关节外科杂志(电子版), 2024, 18(01): 30-38.
[8] 赵锦伟, 李晓军, 刘桂宇, 荣晓玲, 黄明利, 宋文静, 高广凌, 鞠昌军. 固定平台假体膝关节单髁置换术中止血带应用策略研究[J]. 中华关节外科杂志(电子版), 2024, 18(01): 39-47.
[9] 唐艳, 赵小虎, 栗玉姣, 顾向梅. 针刀治疗老年膝骨关节炎的肌骨超声特征与疗效相关性[J]. 中华关节外科杂志(电子版), 2024, 18(01): 48-53.
[10] 邓华梅, 袁札根, 曾德荣, 潘珊珊, 张葆青, 欧爱华, 曹学伟. 全膝关节置换术中气压止血带应用效果与影响因素分析[J]. 中华关节外科杂志(电子版), 2023, 17(06): 788-794.
[11] 张思平, 刘伟, 马鹏程. 全膝关节置换术后下肢轻度内翻对线对疗效的影响[J]. 中华关节外科杂志(电子版), 2023, 17(06): 808-817.
[12] 罗旺林, 杨传军, 许国星, 俞建国, 孙伟东, 颜文娟, 冯志. 开放性楔形胫骨高位截骨术不同植入材料的Meta分析[J]. 中华关节外科杂志(电子版), 2023, 17(06): 818-826.
[13] 闫文, 谢兴文, 顾玉彪, 雷宁波, 马成, 于文霞, 高亚雄, 张磊. 微小RNA与全膝关节置换术后深静脉血栓的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 842-846.
[14] 李益军, 梁兴森, 方细霞, 肖文良, 李湘, 高彦平, 李嘉, 李玲. 温针灸治疗早中期寒湿痹阻型膝骨关节炎的疗效观察[J]. 中华针灸电子杂志, 2024, 13(01): 7-12.
[15] 薛伟, 康少英, 郭洪生, 高庆亮, 张英民, 高彦平. 电针联合富血小板血浆治疗膝骨关节炎的疗效观察[J]. 中华针灸电子杂志, 2024, 13(01): 13-17.
阅读次数
全文


摘要