ABSTRACT
Objective To evaluate the relationship between pre-anesthesia/post-anesthesia range of motion (ROM) and knee flexion function after total knee arthroplasty (TKA).Methods 108 patients with osteoarthritis of knee joint replacement performed by the same surgeon of primary TKA screening from 2016 January to 2017 January in our hospital were enrolled in the study.Correlation analysis were conducted between pre-anesthesia/post-anesthesia ROM and knee flexion function of 1,6,12 months after total knee arthroplasty.Results The Correlation coefficient of the Pre-anesthesia ROM and postoperative ROM are 0.392,0.665,0.708 at 1,6 and 12 months,while the Correlation coefficient of the Pre-anesthesia ROM and Post-anesthesia ROM of postoperative are 0.495,0.759,0.793 (P ＜ 0.001),indicating that the correlation difference between pre-anesthesia/post-anesthesia ROM and knee flexion function of 1,6,12 months after total knee arthroplasty is statistically significant (P ＜ 0.05).Conclusions Post-anesthesia range of motion is a better determinant of postoperative range of motion in patients.This should be taken into consideration by surgeons during preoperative planning and in managing patients'expectations.
ABSTRACT
Objective To compare surgical and interventional treatment in congenital ventricular septal defect in membrane position.Methods Among ventricular septal defect (VSD)in 384 cases in children,202 cases had surgical repair thoracotomy (tho-racotomy group),and 182 cases had interventional treatment (intervention group).The comparison items included operative time, success rate,intraoperative and postoperative blood transfusion,complication rate,postoperative recovery for several days after ICU monitoring time,CPB time,pericardial drainage time,duration of mechanical ventilation.Results Children in the intervention group did not need blood transfusions,ICU care,pericardial drainage,mechanical ventilation.In the thoracotomy group,the blood transfu-sion was (372.45±200.88)mL,postoperative ICU monitoring time was (3.21 ±2.1 7)days,CPB time was (71.09 ±34.92)mi-nutes,pericardial drainage time was (3.52 ± 1.22)days,mechanical ventilation time was (67.09 ±43.83)minutes.The operative time and postoperative recovery time in the intervention group was significantly shorter than thoracotomy group (P <0.05 ).The incidence of postoperative complications in the intervention group was significantly lower than thoracotomy group (P <0.05).Con-clusion Under the circumstances of the same indication,the interventional treatment is more beneficial to physical and mental health of children.