CAJ | 학술논문

目的：研究老年性骨质疏松症患者全膝关节置换术（ total knee arthroplasty， TKA ）后膝关节周径、VAS指数（ visual analogue score， VAS）、等长抵抗运动肌力，膝关节主动活动度（ active rang og motion）及腰椎骨密度（ bone mineral density， BMD）之间的关系。方法选取确诊并纳入全膝关节表面置换术的骨质疏松症患者48例。依据患者临床表现及手术指征实施手术治疗，行手术前将依据膝关节功能评估康复系统给予术前系统评估，术后定期给予评估及物理治疗。结果 TKA术后不同康复阶段统计描述可见治疗组膝关节周径、VAS指数、等长抵抗运动肌力及腰椎骨密度改善程度明显优于对照组（ P＜0.05）。线性回归分析发现各项评估指标有一定的相关性（ P＜0.05）。结论全膝关节置换术后患者腰椎骨密度的控制可以从一定程度上保证康复的疗效。
목적：연구노년성골질소송증환자전슬관절치환술（ total knee arthroplasty， TKA ）후슬관절주경、VAS지수（ visual analogue score， VAS）、등장저항운동기력，슬관절주동활동도（ active rang og motion）급요추골밀도（ bone mineral density， BMD）지간적관계。방법선취학진병납입전슬관절표면치환술적골질소송증환자48례。의거환자림상표현급수술지정실시수술치료，행수술전장의거슬관절공능평고강복계통급여술전계통평고，술후정기급여평고급물리치료。결과 TKA술후불동강복계단통계묘술가견치료조슬관절주경、VAS지수、등장저항운동기력급요추골밀도개선정도명현우우대조조（ P＜0.05）。선성회귀분석발현각항평고지표유일정적상관성（ P＜0.05）。결론전슬관절치환술후환자요추골밀도적공제가이종일정정도상보증강복적료효。
Objective To study the relationship among VAS index, isometric strength, active rang og motion, and the bone mineral density ( BMD) of the lumbar vertebrae in the senile osteoporosis patients with total knee arthroplasty ( TKA) .Methods Forty-eight osteoporotic patients after TKA were selected.According to the clinical manifestation and surgical indication, surgery was performed.The knee joint function was evaluated based on the rehabilitation system before the surgery.The evaluation and physical therapy were continued after the surgery.Results The improvement of the circumference of the knee joint, VAS index, isometric strength, and the BMD of the lumbar vertebrae in the treatment group was much better than that in the control group during different recovery stages after TKA (P<0.05).Linear regression analysis found that the evaluation indexes had certain correlation. Conclusion Control of the BMD of the lumbar vertebrae may contribute to rehabilitation for patients after TKA.