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Results of muscle strength and range of motion after total open knee synovectomy.
International Orthopaedics ( IF 2.7 ) Pub Date : 2020-02-11 , DOI: 10.1007/s00264-020-04495-z
Ana Clara Franklin Silva 1 , Lídia Maria Prada 1 , Nelson Fabrício Gava 1 , Edgard Eduard Engel 1, 2
Affiliation  

AIM OF THE STUDY Scar tissue formation after synovectomy limits range of motion and causes muscle atrophy. The functional results for patients who underwent total open knee synovectomy often included questionnaires, and assessment of muscle strength was lacking in the literature. Therefore, we aimed to identify the strength and range of motion outcomes for patients who underwent total open synovectomy and to compare the results with the contralateral limb and healthy individuals. METHOD Knee range of motion and muscle strength were assessed in fourteen patients that underwent total (anterior and posterior) open knee synovectomy and were compared with the contralateral limb and with 14 healthy individuals matched by sex, age, height, and weight. RESULTS The range of motion of flexion decreased 8.4% compared with the contralateral limb (95% CI - 18.9 to - 4.7, p = 0.002) and 9.9% compared with the control group (95% CI 3.9-14.9, p < 0.01). Knee extension strength decreased by 35% compared with the contralateral limb (95% CI 11.1-77.2, p = 0.01) and 37% compared with the control group (95% CI - 112.4-12.1, p = 0.01). CONCLUSION Despite the aggressiveness of the surgical procedure, the patients achieved satisfactory functional results.

中文翻译:

全膝关节滑膜切除术后的肌肉力量和运动范围的结果。

研究目的滑膜切除术后瘢痕组织形成限制了运动范围并引起肌肉萎缩。接受全开膝滑膜切除术的患者的功能结果通常包括问卷,并且文献中缺乏对肌肉力量的评估。因此,我们旨在确定接受全开滑膜切除术的患者的力量和运动结局范围,并将结果与​​对侧肢体和健康个体进行比较。方法对14例行全膝(前,后)开放式膝关节滑膜切除术的患者的膝关节活动度和肌肉力量进行评估,并与对侧肢体以及14例按性别,年龄,身高和体重相匹配的健康个体进行比较。结果屈曲运动范围减少了8。与对侧肢体相比(95%CI-18.9至-4.7,p = 0.002)为4%,与对照组(95%CI 3.9-14.9,p <0.01)相比为9.9%。与对侧肢体(95%CI 11.1-77.2,p = 0.01)相比,伸膝力量降低了35%,而与对照组(95%CI-112.4-12.1,p = 0.01)相比,膝关节伸直力量降低了37%。结论尽管外科手术积极,但患者仍取得了令人满意的功能结果。
更新日期:2020-02-11
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