Joint surgeons'perceptions and management strategies of knee extension lag in the perioperative period of total knee arthroplasty:a qualitative study
10.3969/j.issn.1006-9771.2025.04.015
- VernacularTitle: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
- Author:
Jing ZHONG
1
;
Boyang YU
1
;
Yanyan YANG
1
;
Mouwang ZHOU
1
Author Information
1. 北京大学第三医院康复医学科,北京市 100191
- Publication Type:Journal Article
- Keywords:
joint surgery;
total knee arthroplasty;
knee extension lag;
qualitative study
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(4):490-496
- CountryChina
- Language:Chinese
-
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.
