中国康复理论与实践2025，Vol.31Issue(4)：490-496,7.DOI:10.3969/j.issn.1006-9771.2025.04.015
关节外科医生对全膝关节置换术围手术期伸膝迟滞的认知和管理策略:一项质性研究
Joint surgeons'perceptions and management strategies of knee extension lag in the perioperative period of total knee arthroplasty:a qualitative study
仲憬 1于博洋 1杨延砚 1周谋望1
作者信息
- 1. 北京大学第三医院康复医学科,北京市 100191
- 折叠
摘要
Abstract
Objective To explore the perceptions,diagnostic criteria and clinical management strategies of joint surgeons regarding perioperative knee extension lag in patients with total knee arthroplasty.
Methods From June to July,2024,17 joint surgeons from Peking University the First Hospital and Peking University the Third Hospital were selected as research subjects using purposive and convenience sampling.Semi-structured in-terviews were conducted.The interview data were analyzed and themes were summarized using NVivo 12.0 soft-ware.
Results A total of four themes and ten sub-themes emerged from the study.Theme 1 was the basics related to knee exten-sion lag,including definition,diagnosis and incidence.Theme 2 was the attitudes of joint surgeons towards knee extension lag,including clinical value and importance.Theme 3 was the impact of knee extension lag on postop-erative functional outcomes,including the impact of preoperative knee extension lag and postoperative knee ex-tension lag on functional recovery.Theme 4 was management strategies for knee extension lag,including preop-erative rehabilitation,surgical strategies and postoperative management.
Conclusion The standardized diagnosis and treatment of knee extension lag are still required further research.It is rec-ommended that relevant content be added and emphasized in the training of joint surgeons and the early rehabili-tation intervention of rehabilitation practitioners to improve the diagnosis and treatment of knee extension lag and to make it a useful addition to the perioperative management of total knee arthroplasty.关键词
关节外科/全膝关节置换术/伸膝迟滞/质性研究Key words
joint surgery/total knee arthroplasty/knee extension lag/qualitative study分类
医药卫生引用本文复制引用
仲憬,于博洋,杨延砚,周谋望..关节外科医生对全膝关节置换术围手术期伸膝迟滞的认知和管理策略:一项质性研究[J].中国康复理论与实践,2025,31(4):490-496,7.
