| Methods between January2008to January2013to our hospital patients with total knee arthroplasty study of116cases carried memories.34male patients, female patients of82cases. The mean age was65.24years old. All patients had severe osteoarthritis. Basic statistical data of all patients, including:age, weight, height, level of education. Disease patients and also for statistical information, including pre-surgery knee function score, operative time, hospital stay, postoperative complications. All patients were treated with the same surgical total knee replacement surgery, and appropriate preoperative, intraoperative and postoperative treatment. After all surgical patients in accordance with HSS Rating Scale (Hospital of Special Surgery, HSS) conducted a questionnaire total score consists mainly of Pain HSS score30points,22points and joint function, range of motion18points,10points muscle flexion10points deformity and joint stability10points. And to obtain data for statistical analysis. Compared to patients with different options, different genders, different ages, different weight, different operative time, different knee range of motion, flexion gap tension of different approaches, different methods of rehabilitation of patients after total knee arthroplasty performed functional recovery HSS knee score case statistics.Decided to accept the result of the timing of surgery in patients with postoperative recovery HSS knee function compared to an average score results significantly different (p<0.05). HSS highest average score for the50-59group, HSS lowest average score is less than39packets. Compared with the group of patients less than39,50-59grouping40-49HSS group average score results significantly different (p<0.05)40-5950-59grouping grouping patients compared with the average score results HSS significant difference (p<0.05). Preoperative knee degrees90degrees90degrees or less group and the group average score HSS significant difference compared with the results (p<0.05). Significant differences in age compared to surgery HSS average score results (p<0.05). HSS is the highest average score61-70age group, HSS lowest average score for the81-90age group.61-70and71-80age group of patients,81-90-year-old age group, the average score results compared to the HSS group significant difference (p<0.05)71-80years of age group81-90years group of patients with an average score results compared to HSS the difference was significant (p<0.05). Compared to the results of surgery HSS average weight phases significant differences (p<0.05). Standard weight and overweight patients with postoperative knee function recovery in obese patients compared to the situation HSS score results significantly different (p<0.05) overweight and obese patients with postoperative recovery HSS knee function score results compared to the situation significantly different (p<0.05). Male patients and female patients with total knee replacement surgery knee function recovery HSS average result was not significant (p>0.05). HSS highest average score for the10-20age group, HSS lowest average score for the61-70age group.10-20age group compared with other age groups of patients HSS average score results significantly different (p<0.05),21-30age group and the41-50age group,51patients-60age group and the61-70age group HSS average score significantly different results compared (p<0.05),41-50age group significant difference compared with patients51-60age group and the61-70age group HSS average score results (p<0.05),51-60age group patients with HSS61-70age group compared to the average score results significantly different (p <0.05). Standard weight and overweight patients with postoperative knee function recovery in obese patients compared to the situation HSS score results significantly different (p<0.05). Overweight and obese patients with functional recovery after knee HSS score results compared to the situation significantly different (p<0.05). Different surgeons Year knee function recovery in patients with total knee replacement surgery done, HSS score and surgical time comparison results significantly different (p <0.05). Operative time was48-58min group of patients with a59-68min group and69-78min after knee functional recovery of patients compared to the situation HSS score results significantly different (p<0.05).59-68min69-78min patients with postoperative knee function recovery in patients compared to the situation HSS score results significantly different (p<0.05). Whether to adopt the treatment of postoperative pain, painless treatment group patients with postoperative knee function in patients with postoperative analgesia group average recovery HSS case the difference was (p<0.05). Intraoperative pure flexion gap tension, increase femoral osteotomy rear handle HSS Average rating with smaller femoral replacement prosthesis treatment HSS average score results showed no significant difference (p>0.05). Whether postoperative use of CPM, using conventional HSS Training+active exercise group average score is high, with regular training+CPM machine HSS continuous passive functional exercise group showed no significant average score compared (p>0.05).Conclusion primary hospital line TKA, knee function recovery first decide on the timing of patient selection for surgery. In the case of poor HSS score, the higher the score after preoperative knee score higher. Other factors in the same situation, degree of preoperative knee surgery knee smaller than that of the knee before the event to get a better score. Tip surgeon can intervene and guide the patient in a better timing TKA surgery, so that patients get better postoperative knee function and satisfaction. When patients decide surgery, knee function score depends mainly on the surgeon’s skill level. Prompted the need to give the surgeon a rigorous training assessment, improve skills, enabling patients to get better HSS score. CPM training is the primary means of early rehabilitation of the knee, but recovered postoperative joint function not only in increased range of motion, and also in pain relief, muscle strength and increase the stability of the knee, only a combination of active training in order to obtain more good results. |
