Does arthroplasty type influence knee joint proprioception? A longitudinal prospective study comparing total and unicompartmental arthroplasty

被引:148
作者
Isaac, S. M.
Barker, K. L.
Danial, I. N.
Beard, D. J.
Dodd, C. A.
Murray, D. W.
机构
[1] Leicester Gen Hosp, Leicester LE5 4PW, Leics, England
[2] Nuffield Orthopaed Ctr, Oxford Orthopaed Engn Ctr, Nuffield Dept Orthopaed Surg, Oxford OX3 7LD, England
[3] Leicester Gen Hosp, Leicester LE5 4PW, Leics, England
[4] 77 Slade, Oxford OX3 7HN, England
关键词
proprioception; total and unicompartmental knee arthroplasty;
D O I
10.1016/j.knee.2007.01.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Proprioception was assessed after knee replacement to compare total (TKA) to unicompartmental (UKA) knee arthroplasty. Thirty-four patients were recruited; seventeen patients underwent TKA and seventeen patients underwent UKA. The patient's age was similar in both groups. Two measures of proprioception, joint position sense (JPS) and postural sway (PS) were measured. Function was assessed using the Oxford Knee Score (OKS). Measurements were taken pre-operatively and 6 months post-operatively on both the operated and contralateral leg. Pre-operatively, no differences in JPS or PS were found between groups or between limbs in either group. Post-operatively, both groups had significant improvement of JPS in the operated limb only (20% increase). The improvement in JPS was similar in both groups. PS also improved significantly in both groups although the improvement of PS in the UKA group was twice that for the TKA group. The OKS improved by a similar amount in both groups. Both UKA and TKA result in a significant improvement in proprioception. Dynamic aspects of proprioception improve more after UKA than TKA, which may explain, in part, why UKA patients have superior functional outcome to that of TKA patients. (c) 2007 Elsevier B.V All rights reserved.
引用
收藏
页码:212 / 217
页数:6
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