臨床整形外科49巻6号

2014年06月発行

誌上シンポジウム MIS人工膝関節置換術の現状と展望

MIS人工膝関節置換術の患者立脚型評価による成績

著者： 杉本和隆¹ 古谷英孝¹ 美崎定也¹ 北村憲司¹ 北見聡史¹ 西野正洋¹ 佐和田桂一¹ 三井博正¹ 坂本雅光¹ 西法正¹

所属機関： ¹苑田会人工関節センター病院

ページ範囲：P.513 - P.518

　最小侵襲人工膝関節置換術(MIS-TKA)は，医師立脚型の術後評価では従来の手術方法との有意差はない．MIS-TKAが術後の身体活動においてどのような影響をもたらすのか，患者立脚型の評価方法：①JHAAS(Japanese High-Activity Arthroplasty Score)，②JFJS(Japanese Fogotten Joint Score)を用いて評価した．その結果，有用性とMIS-TKAが従来のTKAよりも患者満足度を向上させ良好な成績を収めたことが示された．

参考文献

1) Beaton DE, Bombardier C, Guillemin F, et al:Guidelines for the process of cross-cultural adaputation of self-report measure. Spine 25:3186-3196, 2000

2) Behrend H, Giesinger K, Giesinger JM, et al:The "forgotten joint" as the ultimate goal in joint arthroplasty:validation of a new patient-reported outcome measure. J Arthroplasty 27:430-436, 2012

3) Bellamy N, Buchanan WW, Goldsmith CH:Validation study of WOMAC:a health status instrument for measuring clinically important patient relevant outcomes to antirheumatoid drug therapy in patient with osteoarthritis of knee. J Rhematol 15:1833-1840, 1988

4) Dahm DL, Barnes SA, Harrington JR, et al:Patient-reported activity level after total knee arthroplasty. J Arthroplasty 23:401-407, 2008

5) Ethgen O, Bruyère O, Richy F, et al:Health-related quality of life in total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am 86:964-974, 2004

6) Genet F, Schnitzler A, Lapeyre E, et al:Change of impairment, disability and patient satisfaction after total knee arthroplasty in secondary care practice. Ann Readapt Med Phys 51:671-676, 676-682, 2008

7) Giesinger K, Hamilton DF, Jost B, et al:Comparative responsiveness of outcome measures for total knee arthroscopy. Osteoarthritis Cartilage 22(2):184-189, 2014

8) Giesinger JM, Kuster MS, Behrend H:Assosiation of psychological status and patient-reported physical outcome measures in joint arthroplasty:a lack of divergent validity. Health Qual Life Outcomes 11:64, 2013, April 19

9) Jones DL, Bhanegaonkar AJ, Billings AA, et al:Differences between actual and expected leisure activities after total knee arthroplasty for osteoarthritis. J Arthroplasty 27:1289-1296, 2012

10) Lin TC, Wang HK, Chen JW, et al:Minimally invasive knee arthroplasty with the subvastus approach allows rapid rehablitation:a prospective, biomechanical and observational study.J Phys Ther Sci 25, 557-562, 2013

11) McClelland J, Zeni J, Maley RM, et al:Functional and biomechanical outcomes after using biofeedback for retraining symmetrical movement patterns after total knee arthroplasty:a case report. J Orthop Sports Phys Ther 42:135-144, 2012

12) Mizner RL, Petterson SC, Snyder-Mackler L, et al:Quadriceps strength and time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther 35:424-436, 2005

13) Mont MA, Marker DR, Seyler TM, et al:High-impact sports after total knee arthroplasty. J Arthroplasty 23 (Suppl. 1):80-84, 2008

14) Piva SR, Teixeira PEP, Almeida GJ, et al:Contribution of hip abductor strength to physical function in patients with total knee arthroplasty. Phys Ther 91:225-233, 2011

15) Russell TG, Buttrum P, Wootton R, et al:Internet-based outpatient relehabilitation for patients following total knee arthroplasty:a randomized controlled trial. J Bone Joint Surg Am 93:113-120, 2011

16) Stevens-Lapsley JE, Schenkman ML, Dayton MR:Comparison of self-reported knee injury and osteoarthritis outcome score to performance measures in patients after total knee arthroplasty. PM R 3:541-549, 2011

17) Talbot S, Hooper G, Stokes A, et al:Use of new high-activity arthroplasty score to assess functional of young patients with total hip or knee arthroplasty. J Arthroplasty 25:268-273, 2010

18) Valtonen A, Pöyhönen T, Sipilä A, et al:Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement. Arch Phys Med Rehabil 91:833-839, 2010

19) Villadsen A, Overgaard S, Holsqaard-Larsen A, et al:Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty:a randomized controlled trial. Ann Rheum Dis 2013 May 9

20) Zeni JA Jr, Snyder-Mackler L:Early postoperative measures predict 1- and 2- year outcomes after unilateral total knee arthroplasty:importance of contralateral limb strength. Phys Ther 90:43-54, 2010