Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty

Lim, Jiang An; Thahir, Azeem

doi:10.1177/1750458920936940

Cited by 4 publications

(3 citation statements)

References 45 publications

(47 reference statements)

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“…The patients were assisted in various examinations, treatments, and rehabilitation exercises and were explained in detail about postoperative rehabilitation exercises. They were educated on the correct use of medications and provided with nutritional advice, instructed to observe and perform rehabilitation exercises before discharge, and were provided with regular hospital checkups and regular visits to inquire about rehabilitation conditions [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement

Li¹,

Gu²,

Ning³

et al. 2023

J Orthop Surg Res

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Objective To evaluate the effect of "Internet + " continuity of care on postoperative functional recovery and medication compliance in patients with knee arthroplasty. Methods In this retrospective study, 100 patients who underwent knee replacement in our hospital between January 2021 and December 2022 were recruited and assigned to receive routine care (routine group) or "Internet + " continuity of care (continuity group), with 50 patients in each group. Outcome measures included knee function, sleep quality, emotional state, medication compliance, and self-care ability. Results Patients in the continuity group showed better knee function after discharge and during follow-up versus those in the routine group (P < 0.05). Continuity care resulted in significantly lower Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) scores versus routine care (P < 0.05). Patients in the continuity group showed higher treatment compliance, ability of daily living (ADL) scores, and nursing satisfaction than those in the routine group (P < 0.05). Conclusion The "Internet + " continuity of care is highly feasible and can effectively promote the postoperative functional recovery of knee replacement patients, improve patients' medication compliance, sleep quality, and self-care ability, mitigate negative emotions, and provide enhanced home care.

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Section: Methodsmentioning

confidence: 99%

Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement

Li¹,

Gu²,

Ning³

et al. 2023

J Orthop Surg Res

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“…Preoperative exercise-based training (prehabilitation) has been suggested as an essential component, attributing to a fast recovery after TJR (Franz et al, 2018 ; Ghosh and Chatterji, 2018 ; Lim and Thahir, 2021 ). However, often with limited pre-operative time from accepting surgery to the day-of-surgery (i.e., 4–12 weeks), it is reasonable to address impairments expected to have significant impact on the post-operative outcome, such as lower limb muscle mass and strength.…”

Section: Introductionmentioning

confidence: 99%

Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis

Jørgensen

Bohn

Aagaard

et al. 2022

Front. Sports Act. Living

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ObjectiveTo evaluate the effectiveness of pre-operative resistance training in patients allocated to TJR surgery on selected post-operative outcomes, via a meta-analysis of studies using exercise modalities and loading intensities objectively known to promote gains in muscle size and strength in adults of young-to-old age.DesignA systematic review and meta-analysis.Literature SearchCochrane Central, MEDLINE, EMBASE, and PEDro were searched on August 4th 2021.Study SelectionRandomized Controlled Trials (RCTs) were included if (i) they compared pre-operative lower-limb-exercises before elective TJR with standard care, (ii) explicitly reported the exercise intensity, and (iii) reported data on functional performance.Data SynthesisThis systematic review and meta-analysis is reported in accordance with the PRISMA reporting guidelines. A random effects model with an adjustment to the confidence interval was performed for pooling the data.ResultsOne thousand studies were identified. After applying exclusion criteria, five RCTs were located including 256 participants (mean age ranged from 61 to 72 years, 54% women). Moderate-to-large improvements in functional performance and maximal knee extensor strength were observed at 3 months after surgery along with small-to-moderate effects 12 months post-operatively. For patient-reported outcomes, small-to-moderate improvements were observed at 3 months post-operatively with no-to-small improvements at 12 months.ConclusionPrehabilitation efforts involving progressive resistance training provides an effective means to improve post-operative outcomes related to functional performance, knee extensor strength and patient-reported outcome in patients undergoing TJR. Due to large methodological diversity between studies, an optimal loading intensity remains unknown.Systematic Review RegistrationProspero ID: CRD42021264796.

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“…Osteoarthritis (OA) is one of the most common joint diseases that cause musculoskeletal complaints, especially in older people [ 1 ]. Although osteoarthritis can happen in any joints, knee osteoarthritis remains one of the most common musculoskeletal disorders causing pain and functional impairment [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Covid-19 pandemic impact on osteoarthritis patient visits at physiotherapy clinics in Indonesia – A retrospective cohort study

Aras

Tang²,

Ahmad³

2022

Annals of Medicine &Amp; Surgery

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Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty

Cited by 4 publications

References 45 publications

Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement

Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement

Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis

Analysis of the Covid-19 pandemic impact on osteoarthritis patient visits at physiotherapy clinics in Indonesia – A retrospective cohort study

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