全膝关节置换术快速康复的相关研究进展
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摘要
随着我国人口老龄化的逐年加剧,膝骨关节炎的发病率也逐年增加,全膝关节置换术(total knee arthroplasty,TKA)作为终极治疗手段,手术量也在逐年增长。TKA操作技术已经标准化,但是围手术期疼痛、出血以及功能锻炼等仍是临床医生关注的重点。继而有学者提出加速康复外科(enhancing recovery after surgery,ERAS)。ERAS是指运用各种经循证医学证实的措施对患者进行围手术期管理,减少患者术后的不良反应,提高康复效率。
With the aging of the population in China, the incidence of knee osteoarthritis has increased year by year. Total knee arthroplasty(TKA) is the ultimate treatment, and the amount of surgery is increasing year by year. TKA operating techniques have been standardized, but perioperative pain, bleeding and functional exercise are still the focus of clinicians' attention. Then some scholars proposed enhancing recovery after surgery(ERAS). ERAS refers to the use of various evidence-based medical measures to manage patients during the perioperative period, reduce adverse reactions after surgery and improve recovery efficiency.
With the aging of the population in China, the incidence of knee osteoarthritis has increased year by year. Total knee arthroplasty(TKA) is the ultimate treatment, and the amount of surgery is increasing year by year. TKA operating techniques have been standardized, but perioperative pain, bleeding and functional exercise are still the focus of clinicians' attention. Then some scholars proposed enhancing recovery after surgery(ERAS). ERAS refers to the use of various evidence-based medical measures to manage patients during the perioperative period, reduce adverse reactions after surgery and improve recovery efficiency.
引文
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[2] Sculco PK, Pagnano MW. Perioperative solutions for rapid recovery joint arthroplasty:get ahead and stay ahead[J]. J Arthroplasty, 2015, 30(4):518-520.
[3] D'Apuzzo MR, Novicoff WM, Browne JA. The John Insall Award:Morbid obesity independently impacts complications,mortality, and resource use after TKA[J]. Clin Orthop Relat Res, 2015, 473(1):57-63.
[4] Cancienne JM, Werner BC, Browne JA. Is there an association between hemoglobin A1C and deep postoperative infection after TKA?[J]. Clin Orthop Relat Res, 2017, 475(6):1642-1649.
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[6] Greene KA, Wilde AH, Stulberg BN. Preoperative nutritional status of total joint patients. Relationship to postoperative wound complications[J]. J Arthroplasty, 1991, 6(4):321-325.
[7]沈彬,翁习生,廖刃,等.中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识[J].中华骨与关节外科杂志, 2016, 9(2):91-97.
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[9] Unwin O, Hassaballa M, Murray J, et al. Minimally invasive surgery(MIS)for total knee replacement; medium term results with minimum five year follow-up[J]. Knee, 2017, 24(2):454-459.
[10]Zhang P, Liang Y, He JS, et al. Timing of tourniquet release in total knee arthroplasty:A meta-analysis[J]. Medicine(Baltimore), 2017, 96(17):e6786.
[11]Ozkunt O, Sariyilmaz K, Gemalmaz HC, et al. The effect of tourniquet usage on cement penetration in total knee arthroplasty:A prospective randomized study of 3 methods[J].Medicine(Baltimore), 2018, 97(4):e9668.
[12]Dennis DA, Kittelson AJ, Yang CC, et al. Does tourniquet use in TKA affect recovery of lower extremity strength and function? A randomized trial[J]. Clin Orthop Relat Res,2016, 474(1):69-77.
[13]Zhang QD, Guo WS, Zhang Q, et al. Comparison between closed suction drainage and nondrainage in total knee arthroplasty:a meta-analysis[J]. J Arthroplasty, 2011, 26(8):1265-1272.
[14]Memtsoudis SG, Sun XM, Chiu YL, et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients[J]. Anesthesiology, 2013, 118(5):1046-1058.
[15]刘睿轩,刘宁,姜脉涛,等.收肌管阻滞技术在初次全膝置换术后早期镇痛中的应用研究[J].中华关节外科杂志(电子版), 2018, 12(2):192-196.
[16]Chisholm MF, Cheng J, Fields KG, et al. Perineural dexamethasone with subsartorial saphenous nerve blocks in ACL reconstruction[J]. Knee Surg Sports Traumatol Arthrosc,2017, 25(4):1298-1306.
[17]郭怡,谢澎,徐虹,等.全膝关节置换术患者术后股神经阻滞和收肌管阻滞的比较[J].中国校医, 2018, 32(2):120-122, 124.
[18]侯宁,孙长鲛,齐峥嵘,等.股神经阻滞和收肌管阻滞在全膝关节置换中疗效对比的Meta分析[J].中国骨与关节杂志, 2019, 8(4):282-294.
[19]Carson JL, Stanworth SJ, Roubinian N, et al. Transfusion thresholds and other strategies for Guiding allogeneic red blood cell transfusion[J]. Cochrane Database Syst Rev, 2016,10:CD002042.
[20]Panni AS, Vasso M, Cerciello S. Modular augmentation in revision total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(12):2837-2843.
[21]Irwin A, Khan SK, Jameson SS, et al. Oral versus intravenous tranexamic acid in enhanced-recovery primary total hip and knee replacement:results of 3000 procedures[J]. Bone Joint J, 2013, 95-B(11):1556-1561.
[22]Iwai T, Tsuji S, Tomita T, et al. Repeat-dose intravenous tranexamic acid further decreases blood loss in total knee arthroplasty[J]. Int Orthop, 2013, 37(3):441-445.
[23]Fillingham YA, Kayupov E, Plummer DR, et al. The james A. rand young investigator's award:A randomized controlled trial of oral and intravenous tranexamic acid in total knee arthroplasty:the same efficacy at lower cost?[J]. The Journal of Arthroplasty, 2016, 31(9):26-30.
[24]Cao GR, Huang Q, Huang ZY, et al. The efficacy and safety of multiple-dose oral tranexamic acid on blood loss following total hip arthroplasty:a randomized controlled trial[J]. Int Orthop, 2019, 43(2):299-305.
[25]Xie J, Hu Q, Ma J, et al. Multiple boluses of intravenous tranexamic acid to reduce hidden blood loss and the inflammatory response following enhanced-recovery primary total hip arthroplasty:a randomised clinical trial[J]. Bone Joint J,2017, 99-B(11):1442-1449.
[26]Gillette BP, DeSimone LJ, Trousdale RT, et al. Low risk of thromboembolic complications with tranexamic acid after primary total hip and knee arthroplasty[J]. Clin Orthop Relat Res, 2013, 471(1):150-154.
[27]Wang L, Lee M, Zhang Z, et al. Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomised controlled trials[J]. BMJ Open, 2016, 6(2):e009857.
[28]Gibson AJ, Shields N. Effects of aquatic therapy and landbased therapy versus land-based therapy alone on range of motion, edema, and function after hip or knee replacement:A systematic review and meta-analysis[J]. Physiother Can,2015, 67(2):133-141.
[29]Harper CM, Dong Y, Thornhill TS, et al. Can therapy dogs improve pain and satisfaction after total joint arthroplasty? A randomized controlled trial[J]. Clin Orthop Relat Res, 2015,473(1):372-379.
[30]Keswani A, Tasi MC, Fields A, et al. Discharge destination after total joint arthroplasty:an analysis of postdischarge outcomes, placement risk factors, and recent trends[J]. J Arthroplasty, 2016, 31(6):1155-1162.
[2] Sculco PK, Pagnano MW. Perioperative solutions for rapid recovery joint arthroplasty:get ahead and stay ahead[J]. J Arthroplasty, 2015, 30(4):518-520.
[3] D'Apuzzo MR, Novicoff WM, Browne JA. The John Insall Award:Morbid obesity independently impacts complications,mortality, and resource use after TKA[J]. Clin Orthop Relat Res, 2015, 473(1):57-63.
[4] Cancienne JM, Werner BC, Browne JA. Is there an association between hemoglobin A1C and deep postoperative infection after TKA?[J]. Clin Orthop Relat Res, 2017, 475(6):1642-1649.
[5] Akhavan S, Nguyen LC, Chan V, et al. Impact of smoking cessation counseling prior to total joint arthroplasty[J]. Orthopedics, 2017, 40(2):e323-e328.
[6] Greene KA, Wilde AH, Stulberg BN. Preoperative nutritional status of total joint patients. Relationship to postoperative wound complications[J]. J Arthroplasty, 1991, 6(4):321-325.
[7]沈彬,翁习生,廖刃,等.中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识[J].中华骨与关节外科杂志, 2016, 9(2):91-97.
[8] Culliton SE, Bryant DM, Overend TJ, et al. The relationship between expectations and satisfaction in patients undergoing primary total knee arthroplasty[J]. J Arthroplasty, 2012, 27(3):490-492.
[9] Unwin O, Hassaballa M, Murray J, et al. Minimally invasive surgery(MIS)for total knee replacement; medium term results with minimum five year follow-up[J]. Knee, 2017, 24(2):454-459.
[10]Zhang P, Liang Y, He JS, et al. Timing of tourniquet release in total knee arthroplasty:A meta-analysis[J]. Medicine(Baltimore), 2017, 96(17):e6786.
[11]Ozkunt O, Sariyilmaz K, Gemalmaz HC, et al. The effect of tourniquet usage on cement penetration in total knee arthroplasty:A prospective randomized study of 3 methods[J].Medicine(Baltimore), 2018, 97(4):e9668.
[12]Dennis DA, Kittelson AJ, Yang CC, et al. Does tourniquet use in TKA affect recovery of lower extremity strength and function? A randomized trial[J]. Clin Orthop Relat Res,2016, 474(1):69-77.
[13]Zhang QD, Guo WS, Zhang Q, et al. Comparison between closed suction drainage and nondrainage in total knee arthroplasty:a meta-analysis[J]. J Arthroplasty, 2011, 26(8):1265-1272.
[14]Memtsoudis SG, Sun XM, Chiu YL, et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients[J]. Anesthesiology, 2013, 118(5):1046-1058.
[15]刘睿轩,刘宁,姜脉涛,等.收肌管阻滞技术在初次全膝置换术后早期镇痛中的应用研究[J].中华关节外科杂志(电子版), 2018, 12(2):192-196.
[16]Chisholm MF, Cheng J, Fields KG, et al. Perineural dexamethasone with subsartorial saphenous nerve blocks in ACL reconstruction[J]. Knee Surg Sports Traumatol Arthrosc,2017, 25(4):1298-1306.
[17]郭怡,谢澎,徐虹,等.全膝关节置换术患者术后股神经阻滞和收肌管阻滞的比较[J].中国校医, 2018, 32(2):120-122, 124.
[18]侯宁,孙长鲛,齐峥嵘,等.股神经阻滞和收肌管阻滞在全膝关节置换中疗效对比的Meta分析[J].中国骨与关节杂志, 2019, 8(4):282-294.
[19]Carson JL, Stanworth SJ, Roubinian N, et al. Transfusion thresholds and other strategies for Guiding allogeneic red blood cell transfusion[J]. Cochrane Database Syst Rev, 2016,10:CD002042.
[20]Panni AS, Vasso M, Cerciello S. Modular augmentation in revision total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(12):2837-2843.
[21]Irwin A, Khan SK, Jameson SS, et al. Oral versus intravenous tranexamic acid in enhanced-recovery primary total hip and knee replacement:results of 3000 procedures[J]. Bone Joint J, 2013, 95-B(11):1556-1561.
[22]Iwai T, Tsuji S, Tomita T, et al. Repeat-dose intravenous tranexamic acid further decreases blood loss in total knee arthroplasty[J]. Int Orthop, 2013, 37(3):441-445.
[23]Fillingham YA, Kayupov E, Plummer DR, et al. The james A. rand young investigator's award:A randomized controlled trial of oral and intravenous tranexamic acid in total knee arthroplasty:the same efficacy at lower cost?[J]. The Journal of Arthroplasty, 2016, 31(9):26-30.
[24]Cao GR, Huang Q, Huang ZY, et al. The efficacy and safety of multiple-dose oral tranexamic acid on blood loss following total hip arthroplasty:a randomized controlled trial[J]. Int Orthop, 2019, 43(2):299-305.
[25]Xie J, Hu Q, Ma J, et al. Multiple boluses of intravenous tranexamic acid to reduce hidden blood loss and the inflammatory response following enhanced-recovery primary total hip arthroplasty:a randomised clinical trial[J]. Bone Joint J,2017, 99-B(11):1442-1449.
[26]Gillette BP, DeSimone LJ, Trousdale RT, et al. Low risk of thromboembolic complications with tranexamic acid after primary total hip and knee arthroplasty[J]. Clin Orthop Relat Res, 2013, 471(1):150-154.
[27]Wang L, Lee M, Zhang Z, et al. Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomised controlled trials[J]. BMJ Open, 2016, 6(2):e009857.
[28]Gibson AJ, Shields N. Effects of aquatic therapy and landbased therapy versus land-based therapy alone on range of motion, edema, and function after hip or knee replacement:A systematic review and meta-analysis[J]. Physiother Can,2015, 67(2):133-141.
[29]Harper CM, Dong Y, Thornhill TS, et al. Can therapy dogs improve pain and satisfaction after total joint arthroplasty? A randomized controlled trial[J]. Clin Orthop Relat Res, 2015,473(1):372-379.
[30]Keswani A, Tasi MC, Fields A, et al. Discharge destination after total joint arthroplasty:an analysis of postdischarge outcomes, placement risk factors, and recent trends[J]. J Arthroplasty, 2016, 31(6):1155-1162.