谈起致残性疾病,人们往往第一反应会是心肌梗死、脑卒中等心脑血管疾病,其实不然,骨关节炎(OA)更是全球公认的最常见致残性疾病之一。它是全球60岁以上人群最常见的肌肉骨骼疾病,也被冠以“不死的癌症”。相比而言,西方人髋骨关节炎发病率高,东方人膝骨关节炎发病率高。 在关节外科门诊,膝骨关节炎(knee osteoarthritis,KOA)是医生遇到最多且较为棘手的问题,更是困扰着越来越多的中老年人:他们有的年纪轻轻,膝关节却退变的像七八十的老人;有的已严重影响日常生活,要靠定期打封闭缓解;有的被折磨了数十年,双膝严重变形,只剩关节置换手术这最后一根救命稻草…… 01 膝关节为什么会发炎? 该病进展缓慢,随时间推移逐渐出现膝关节疼痛、肿胀、僵硬、畸形等,导致患者无法灵活活动,严重者可能完全无法行动。 02 膝关节到底怕什么? 03 如何判断得了膝骨关节炎? 04 得了膝骨关节炎怎么办? 膝骨关节炎阶梯治疗分为相应的4级阶梯[6] 据悉,市场最新推出的TriFit Web骨关节炎支具,运用了DJO领先的三项技术,包括弹性硅胶设计、包裹式支撑、三维骨关节面支持,焕新使用者的日常生活和运动状态,是疼痛和膝关节损伤的终结者。 让我们抓住每一次可能改变结局的机会吧! 参考文献:(可上下滑动查看) [1]中华医学会骨科学分会关节外科学组. 骨关节炎诊疗指南(2018年版)[J]. 中华骨科杂志. 2018,38(12):705-715. DOI:10.3760/cma.j.issn.0253-2352.2018.12.001 [2] Guccione AA, Felson DT, Anderson JJ,et al. The effects of specific medicalconditions on the functionallimitations of elders in the Framingham study.Am J Public Health. 1994, 84:351-358. [3] Cross M, Smith E, Hoy D, et al. Theglobal burden of hip and knee osteoarthritis: estimates from the global burdenof disease 2010 study. Ann Rheum Dis. 2014, 73(7): 1323-1330. [4]Tang X, Wan SF, Zhan SY, et al. Theprevalence of symptomatic knee osteoarthritis in China results from the Chinahealth and retirement longitudinal study[J]. Arthritis Rheumatol, 2016, 68930:648-653. [5]Huibin Long, Xinying Zeng, Qiang Liu, etal. Burden of osteoarthritis in China, 1990-2017: findings from the GlobalBurden of Disease Study 2017. Lancet Rheum, 2020, 2(3), e164-e172. [6]中华医学会骨科分会关节外科学组, 吴阶平医学基金会骨科学专家委员会. 膝骨关节炎阶梯治疗专家共识(2018年版). 中华关节外科杂志(电子版), 2019, 13(1) : 124-130.DOI: 10.3877/cma.j.issn.1674-134X.2019.01.024 [7]Thorstensson CA, Garelick G, Rystedt H, et al. Bettermanagement of patients with osteoarthritis: development and nationwideimplementation of an evidence-based supported osteoarthritis self-ManagementProgramme[J/OL]. Musculoskeletal Care, 2015, 13(2): 67-75. Doi:10.1002/msc.1085. [8]Brand E, Nyland J, Henzman C, et al. Arthritis self-efficacyscale scores in knee osteoarthritis: a systematic review and meta-analysiscomparing arthritis self-management education with or without exercise[J/OL]. JOrthop Sprots Phys Ther, 2013, 43(12): 895-910. Doi: 10.2519/jospt. 2.13.4471. [9] KM Jordan, N K Arden, M Doherty, et al. EULAR Recommendations2003: an evidence based approach to the management of knee osteoarthritis:Report of a Task Force of the Standing Committee for International ClinicalStudies Including Therapeutic Trials (ESCISIT) [J]. Annals of the RheumaticDiseases, 2003, 62:1145-1155. [10] Conaghan P. G, Dickson J, Grant R. L, et al. Careand management of osteoarthritis in adults: summary of NICE guidance. BMJ 2008,336:502-503. [11] T.E. McAlidon,R.R. Bannuru, M.C. Sullivan, et al. OARSI guidelines for the non-surgicalmanagement of knee osteoarthritis. Osteoarthritis and Cartilage. 2014, 22(3):363-388. [12] Emmanuel C,Christelle N, Aurore C, et al . A decision-making tool prescribe knee orthosesin daily practice for patient with osteoarthritis. Ann Phys Rehabil Med[J].2018, 61: 92-98. [13] Brouwer GM, van Tol AW, Jones A, et al. Associationbetween valgus and varus alignmengt and the development and progression of radiographic osteoarthritis ofthe knee[J]. Arthritis Rheum, 2007, 56(4): 1204-1211. [14] Nadaud Matthew C, Komistek Richard D, Mahfouz Mohamed, etal. In vivo three-dimensional determination of the effectiveness of the osteoarthriticknee brace: a multiple brace analysis[J]. J Bone Joint Surg Am, 2005, 87:114-119. [15] Nagai K,Yang S, Fu FH, et al. Unloader knee brace increases medial compartment jointspace during gait in knee osteoarthritis patients[J]. Knee Surg Sports TraumatolArthrosc. 2019, 27(7):2354-2360. [16] 冯法博, 程立明, 郭万首. 膝关节支具及足底楔形垫治疗膝关节骨性关节炎进展[J]. 中国康复医学杂志, 2012, 27(11):1080-1084. |
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