Eight of ten patients return to daily activities, work, and sports after total knee arthroplasty
作者机构：Department of ResearchKliniek ViaSanaMill 5451 AANetherlands Department of Orthopedic SurgeryKliniek ViaSanaMill 5451 AANetherlands
出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)
年 卷 期：2024年第15卷第7期
页 面：608-617页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Knee Arthroplasty Replacement Return to work Return to daily activities Return to sports
摘 要：BACKGROUND Besides return to work(RTW)and return to sports(RTS),patients also prefer to return to daily activities(RTA)such as walking,sleeping,grocery shopping,and domestic work following total knee arthroplasty(TKA).However,evidence on the timelines and probability of patients’RTA is *** To assess the percentage of patients able to RTA,RTW,and RTS after TKA,as well as the timeframe and influencing factors of this *** A retrospective cohort study with prospectively collected data was conducted at a medium-sized Dutch orthopedic *** of RTA,RTW,and RTS were performed at 3 mo and/or 6 mo following *** factors en-compassed patient characteristics,surgical characteristics,and preoperative patient-reported *** TKA patients[n=2063;66 years old(interquartile range[IQR]:7 years);47%male;28 kg/m2(IQR:4 kg/m2)]showed RTA ranging from 28%for kneeling to 94%for grocery shopping,with 20 d(IQR:27 d)spent for putting on shoes to 74 d(IQR:57 d)for *** rates varied from 62%for medium-impact work to 87%for low-impact work,taking 33 d(IQR:29 d)to 78 d(IQR:55 d).RTS ranged from 48%for medium-impact sports to 90%for low-impact sports,occurring within 43 d(IQR:24 d)to 90 d(IQR:60 d).One or more of the investigated factors influenced the return to each of the 14 activities examined,with R²values ranging from 0.013 to *** Approximately 80%of patients can RTA,RTW,and RTS within 6 mo after *** is not consistently in-fluenced by predictive *** help set realistic pre-and postoperative expectations.
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