CAJ | 학술논문

目的：调查后稳定型人工全膝关节初次置换术后患者的总体满意度。方法选择行后稳定型人工全膝关节初次置换术患者1465例，术后1年给纳入研究的患者邮寄一份由笔者设计并验证的膝关节置换术满意度量表，其中包含对手术的总体满意度和对具体功能或症状缓解程度的15个分项满意度。收集患者作答后的量表并统计分析。结果1173例患者（1588例膝关节置换）寄回了量表，总体满意度为87．3％，最不满意的6个分项为盘腿坐（不满意率55．2％）、下蹲（52．1％）、快走或慢跑（45．2％）、膝关节活动时有响声（34．6％）、膝关节感觉不自然（31．4％）和爬楼（28．7％）。结论后稳定型人工全膝关节初次置换术满意度较高，术后1年WOMAC疼痛分值对满意度有显著影响。
목적：조사후은정형인공전슬관절초차치환술후환자적총체만의도。방법선택행후은정형인공전슬관절초차치환술환자1465례，술후1년급납입연구적환자유기일빈유필자설계병험증적슬관절치환술만의도량표，기중포함대수술적총체만의도화대구체공능혹증상완해정도적15개분항만의도。수집환자작답후적량표병통계분석。결과1173례환자（1588례슬관절치환）기회료량표，총체만의도위87．3％，최불만의적6개분항위반퇴좌（불만의솔55．2％）、하준（52．1％）、쾌주혹만포（45．2％）、슬관절활동시유향성（34．6％）、슬관절감각불자연（31．4％）화파루（28．7％）。결론후은정형인공전슬관절초차치환술만의도교고，술후1년WOMAC동통분치대만의도유현저영향。
Objective To identify the overall satisfaction rate in patients after posterior stabilized TKA and the satisfaction rate of particular functional deficits or residual symptoms .Methods 1465 patients who received primary posterior stabilized TKA in this hospital were investigated .A Total Knee Satisfaction Questionnaire consisting of the overall satisfaction with surgery and the satisfaction rate of each of 15 specific functions and residual symptoms was developed , validated and mailed to these patients at least 1 year after knee replacement .Results The questionnaire was returned from 1173 patients ( 1588 posterior-stabilized TKAs ) .The overall satis-faction rate was 87.3%.The top 6 unsatisfactory items were sitting with legs crossed ( dissatisfaction rate of 55.2%), squatting (52.1%), walking fast or jogging (45.2%), knee noise (34.6%), abnormal feeling in knee (31.4%), and mounting stairs (28.7%) .Conclusions Approximately 1 in 8 patients are dissatisfied with overall outcome of their primary posterior stabilized TKAs.A low 1-year WOMAC pain score significantly influences patient dissatisfaction .