Follow-up after arthroplasty surgery

Abstract

We aim to explore the potential technologies for monitoring and assessment of patients undergoing arthroplasty by examining selected literature focusing on the technology currently available and reflecting on possible future development and application. The reviewed literature indicates a large variety of different hardware and software, widely available and used in a limited manner, to assess patients’ performance. There are extensive opportunities to enhance and integrate the systems which are already in existence to develop patient-specific pathways for rehabilitation. Cite this article: Bone Joint J 2022;104-B(10):1104–1109.

Long-term follow-up of patients with idiopathic scoliosis

“…Newer technologies, such as virtual consultations and the use of sensors may provide some of the information required to monitor these patients comprehensively. 16 There are examples of poor investment in perceived lowvalue care that have been successful, but just as many that have not. 17 Lessons learned from such successes and failures need to be applied when developing long-term follow-up strategies for patients with JIS/AIS so that their best needs are met appropriately throughout their lives.…”

“…Newer technologies, such as virtual consultations and the use of sensors may provide some of the information required to monitor these patients comprehensively. 16…”

Telehealth for a better service delivery in orthopaedic surgery

“…Technological advancements, such as increasing internet speeds and more widely available video equipment, have enabled clinicians to interact with patients more efficiently. 11,16,17 It is now possible to perform gait observation, guided self-palpation, examination of range of motion (ROM), and special tests remotely via video-based platforms. 11,18 Furthermore, the use of common household objects can facilitate joint examination; household objects of known weight, for example, can help with strength testing.…”

“…20,21 Wearable sensor devices can be used to measure ROM and perform gait analyses. 16,22 Smartphone-based applications can be used for assessment of patient-reported outcome measures and rehabilitation, which result in similar outcomes when compared to in-person care, while access to video platforms can allow sharing of material to patients. 16,[22][23][24] Figure 1 presents patient pathways and illustrates a framework to aid decision-making with telemedicine.…”

“…16,22 Smartphone-based applications can be used for assessment of patient-reported outcome measures and rehabilitation, which result in similar outcomes when compared to in-person care, while access to video platforms can allow sharing of material to patients. 16,[22][23][24] Figure 1 presents patient pathways and illustrates a framework to aid decision-making with telemedicine. 18,19,24,25 Virtual diagnosis and decision-making.…”