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Rehabilitation Practice and Science

Translated Title

全膝關節置換手術後病患的膝功能評估

Abstract

The Total Knee Replacement (TKR) is getting more important for management of severe knee joint disorder. In order to understand the changes of knee function after TKR and evaluate the benefits for patient, this research was designed to compare them before operation, three months, six months and twelve months after operation who received TKR operation at Orthopedic Department of National Taiwan University Hospital from Jan to Sep 1986.According to the assessment of 11 patients who were traced for six months and five patients who were traced for twelve months, it indicated that TKR was definitely helpful for those patients with severe knee damage, especially in pain relief, which was recognized by all the patients. Generally, recovery of knee function after TKR will reach its stable situation in six months after operation. After six months, the knee function will be still improving, but not much. The range of motion loss of knee joint was 30 degrees averagely in three months after operation and it always affects the knee flexion, squatting and standing during activity of daily living. There was no case reaching the full range of motion of knee, even the progress continued three months after operation. The muscle strength of involved knee flexors and extensors had significant difference compared to sound side before operation and it remained the same at knee extensors three months after operation but some progress could be noticed at knee flexors. Those difference will be decreased six months after operation.

Language

Traditional Chinese

First Page

60

Last Page

66

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