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Clinical Outcomes and Prehabilitation Strategies of Patients Treated with cement-screw technique for Tibial Defects in Total Knee Arthroplasty

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Journal of Biosciences and Medicines 2023年第12期11卷 27-39页

作者： Weikun Zheng Junfen Tang Xinliang Wang Wende Xiao Department of Orthopedics Nansha Hospital Guangzhou First People’s Hospital Guangzhou China The First Clinical College of Medicine Jinan University Jinan China School of Medicine South China University of Technology Guangzhou China Department of Neurology Nansha Hospital Guangzhou First People’s Hospital Guangzhou China Department of Orthopedics Guangzhou First People’s Hospital Guangzhou China

Objective: To investigate the clinical efficacy of the cement-screw technique in repairing tibial plateau bone defects in total knee arthroplasty (TKA) recipients and summarize the preoperative prehabilitation strategies for such surgeries. Methods: A total of 33 TKA recipients (45 knees) in our department underwent repair of unilateral or bilateral tibial defects using the cement-screw technique. The subjects were divided into two groups based on the differences in preoperative interventions. The control group received routine preoperative health education according to the consensus, while the observation group received instructive and standardized prehabilitation exercises for four weeks in addition to the routine education. Scale scores, intraoperative parameters, and postoperative recovery indicators were recorded at different time pointsand subjected to statistical analysis for intra-group and inter-group differences. All subjects underwent long-term follow-up for at least 24 months. Results: Within each group at different time points, there were statistically significant differences in VAS, ROM, and HSS scores (p Conclusions: cement-screw technique for repairing tibial plateau bone defects in TKA recipients can significantly relieve pain, and improve joint function. Prehabilitation can improve preoperative rehabilitation reserves in these patients, accelerate postoperative recovery, and contribute to better short-term clinical outcomes.

关键词： cement-screw technique Total Knee Arthroplasty Tibial Bone Defect Prehabilitation

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