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- 您请求的操作仅限于组中的用户:==术后物理治疗==在全膝关节置换术后的短期随访中,物理治疗干预是改善患者身体功能、活动范围和疼痛的有效工具。根据Fatoye及其同事的研究Fatoye F, Yeowell G, Wright JM, Gebrye T. [https://link.springer.com/article/10.1007/s00402-021-03784-5全膝关节置换术后物理治疗干预的临床和成本效益:系统回顾和荟萃分析。[j]中华外科杂志,2011,31(4):391 - 391。全膝关节置换术后物理治疗干预的长期效益和成本效益需要进一步研究。 ==== " " '主观评估'' ====评估应包括但不限于:*手术和术后并发症(如有)*膝关节和其他肌肉骨骼疾病史(如有)*既往病史和相关[[多病|合并症]]*社会因素和家庭环境* tka术后家庭锻炼进展*疼痛和其他症状/不适(如麻木、肿胀)*对手术和康复的期望*具体功能目标====“‘客观评估’====评估应包括但不限于:*手术观察[[伤口评估|伤口]]或疤痕*检查有无感染迹象:**发红、分泌物(脓液/气味)、皮肤粘连、异常发热、肿胀、红肿扩大至手术切口边缘、发热或发冷**怀疑感染需转诊**膝关节肿胀(围度测量)*生命体征及相关实验室检查结果(根据相关/急性情况)*检查[[深静脉血栓形成|深静脉血栓形成]](DVT):** [https://physio-pedia.com/Homan's_Sign_Test?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal霍曼氏体征试验]**胸痛、呼吸短促、小腿发红或变色、小腿深热、疼痛或压痛的体征和症状**怀疑深静脉血栓需要紧急转诊*触诊:**发热和肿胀增加**肌肉活动(如[[股四头肌|股四头肌]];[[股内侧肌斜肌|股内侧肌斜肌]])和高张力(如髋关节内收肌)*下肢活动范围:**仰卧位或半仰卧位时主动和被动膝关节活动范围(详见下面的治疗里程碑)*下肢肌肉激活和力量*步态:**[[计时起来和走测试(TUG)|计时起来和走测试(TUG)]]或[[10米步行测试|10米步行测试]]可以使用(取决于个人的能力和耐受力)**评估膝关节屈曲保护,避免手术腿负重,疼痛模式等====“结果测量”==== * [//m.houseofhawgs.com/Knee_Injury_and_Osteoarthritis_Outcome_Score膝关节残疾和骨关节炎结局评分](oos)<参考> gauther - kwan O, Dobransky J, Dervin G. [https://stg2.jjmii.com.br/sites/default/files/2019-11/090736-180425%20CAN%20Dervin%20et%20al%202018.pdf Quality of Recovery, Postdischarge Hospital Utilization, and 2-Year Functional Outcomes After an Outpatient Total Knee Arthroplasty Program.] The Journal of Arthroplasty. 2018;33(7):2159-2164.e1.Artz N, Elvers K, Lowe C, Sackley C, Jepson P, Beswick A. [https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-015-0469-6 Effectiveness of physiotherapy exercise following total knee replacement: systematic review and meta-analysis.] BMC Musculoskeletal Disorders. 2015;16(1). * [[Oxford Knee Score]]Jiang Y, Sanchez-Santos M, Judge A, Murray D, Arden N. [https://www.sciencedirect.com/science/article/pii/S0883540316302741 Predictors of Patient-Reported Pain and Functional Outcomes Over 10 Years After Primary Total Knee Arthroplasty: A Prospective Cohort Study.] The Journal of Arthroplasty. 2017;32(1):92-100.e2. * Patient satisfactionBourne R. [https://link.springer.com/article/10.1007/s11999-008-0468-0#Abs1 Measuring Tools for Functional Outcomes in Total Knee Arthroplasty.] Clinical Orthopaedics and Related Research. 2008;466(11):2634-2638. * Walking tests: [[Timed Up and Go Test (TUG)|Timed up and go test (TUG)]], [https://physio-pedia.com/Six_Minute_Walk_Test_/_6_Minute_Walk_Test?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal Six minute walking test] * [[Visual Analogue Scale|Visual Analogue Scale (VAS)]] * Knee range of motion * [[WOMAC Osteoarthritis Index|Western Ontario and McMaster Universities Osteoarthritis Index score]] (WOMAC)