术后运动学运动模式中哪些与全膝关节置换术后患者报告结局改善相关？
完整摘要 · 中文译文
本系统综述旨在评估通过透视、三维运动分析和可穿戴/植入式设备测量的术后运动学模式（即活动度、运动中的功能和步态）与患者报告结局指标（PROMs）的相关性。共纳入14项研究，评估了771个膝关节。两项使用透视探讨术后锻炼运动学的研究显示，深度跪姿时股骨旋转和内收增加，以及登阶运动时内旋增加与更好的PROMs相关。使用三维运动分析检查术后步态与PROMs之间关联的研究发现，步行速度、步态中的最大膝关节屈曲度、步频和垂直步幅规律性与PROMs改善呈正相关。使用可穿戴/植入式设备的研究显示，PROMs提高后出现功能改善。这些发现可用于指导未来关于植入物选择和植入策略的研究，并证明PROMs与更客观指标之间的联系。证据等级：III。（Journal of Surgical Orthopaedic Advances 35(3):158-165, 2026）。
完整摘要 · 英文原文
This systematic review aimed to evaluate how postoperative kinematic patterns (i.e., range of motion, function during movement, and gait) measured through fluoroscopy, 3D motion analysis, and wearable/implanted devices were associated with patient-reported outcome measures (PROMs). Fourteen studies evaluating 771 knees were included. Two studies exploring post-surgery exercise kinematics with fluoroscopy showed that increased femoral rotation and adduction during deep kneeling, and greater internal rotation during step-up exercises were linked to better PROMs. Studies examining the association between postoperative gait and PROMs with 3D motion analysis found that walking speed, maximal knee flexion during gait, cadence, and vertical stride regularity were positively associated with improved PROMs. Studies utilizing wearable/implanted devices showed functional improvement following increases in PROMs. These findings may be used to guide future research on implant selection and implantation strategies as well as demonstrate the links between PROMs and more objective metrics. Level of Evidence: III. (Journal of Surgical Orthopaedic Advances 35(3):158-165, 2026).