Telerehabilitation following fast-track total knee arthroplasty is effective and safe: a randomized controlled trial with the ReHub® platform

Nuevo, Montse; Rodríguez-Rodríguez, Daniel; Jauregui, Ricardo; Fabrellas, Núria; Zabalegui, Adelaida; Conti, Marco; Prat-Fabregat, Salvi

doi:10.1080/09638288.2023.2228689

Cited by 9 publications

(4 citation statements)

References 51 publications

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“…PROMs and functional outcomes including knee range of motion (ROM), Timed Up and Go scores, and gait speed have also been found to be no different at 6 weeks and 1 year after TKA 9,14, 30,32 . Similar findings have been found when a MA was paired with the addition of a smartwatch or other wearable sensor 14,33 . MAs using custom knee-based sensors require correct placement, increased cost, and the technological literacy of patients to be useful, but have been successful in highly controlled studies 18,21 .…”

Section: Communication and Education-based Applicationssupporting

confidence: 77%

Mobile Application Use and Patient Engagement in Total Hip and Knee Arthroplasty

Sniderman,

Monarrez,

Drew

et al. 2024

JBJS Reviews

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» Mobile applications (MAs) are widely available for use during the perioperative period and are associated with increased adherence to rehabilitation plans, increased satisfaction with care, and considerable cost savings when used appropriately.» MAs offer surgeons and health care stakeholders the ability to collect clinical data and quality metrics that are important to value-based reimbursement models and clinical research.» Patients are willing to use wearable technology to assist with data collection as part of MAs but prefer it to be comfortable, easy to apply, and discreet.» Smart implants have been developed as the next step in MA use and data collection, but concerns exist pertaining to patient privacy and cost.» The ongoing challenge of MA standardization, validation, equity, and cost has persisted as concerns regarding widespread use.

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Section: Communication and Education-based Applicationssupporting

confidence: 77%

Mobile Application Use and Patient Engagement in Total Hip and Knee Arthroplasty

Sniderman,

Monarrez,

Drew

et al. 2024

JBJS Reviews

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“…The efficacy of telerehabilitation protocols has been confirmed and evaluated by many other recent studies [11,[24][25][26].…”

Section: Telemedicine Follow-upmentioning

confidence: 74%

Low Response Rate to Follow-Up Using Telemedicine after Total Knee Replacement during the COVID-19 Pandemic in Italy

Cammisa,

La Verde,

Coliva

et al. 2024

JCM

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Background: This study aimed to evaluate the survival rate and medium-term outcomes of patients after cemented posterior-stabilized (PS) mobile-bearing (MB) total knee arthroplasty (TKA) using a telemedicine platform during the COVID-19 pandemic in Italy. Methods: A total of 100 consecutive patients (mean age 73.5 ± 13.2 years) who received a cemented PS MB TKA were enrolled. The mean age of patients who did not complete the telemedicine follow-up (58%) was 75.8 ± 9.7 years. A dedicated software that makes it possible to perform video calls, online questionnaires, and acquire X-rays remotely was used. Subjective clinical scores and objective range-of-motion (ROM) measurements were observed at an average follow-up of 54 ± 11.3 months. Results: A total of 42 of 100 enrolled patients (mean age 70.3 ± 8.4 years) completed the telemedicine follow-up. The mean age of patients who did not complete the telemedicine follow-up (58%) was 75.8 ± 9.7 years. Age was found to be a statistically significant difference between the group that completed the telemedicine follow-up and the one that did not (p < 0.004). KOOS scores improved from 56.1 ± 11.3 to 77.4 ± 16.2, VAS scores decreased from 7.2 ± 2.1 to 2.8 ± 1.6, KSSf scores increased from 47.2 ± 13.3 to 77.1 ± 21.1, FJS scores improved from 43.4 ± 12.3 to 76.9 ± 22.9, and OKS scores increased from 31.9 ± 8.8 to 40.4 ± 9.9. All the differences were statistically significant (p < 0.05). The mean flexion improved from 88° ± 8° to 120° ± 12°. A radiographic evaluation showed a mean pre-operative mechanical axis deviation of 5.3 ± 8.0 degrees in varus, which improved to 0.4 ± 3.4 degrees of valgus post-operation. The survivorship at 5 years was 99%. Conclusions: Subject to small numbers, telemedicine presented as a useful instrument for performing remote monitoring after TKA. The most important factor in telemedicine success remains the patient’s skill, which is usually age-related, as older patients have much more difficulty in approaching a technological tool.

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“…Postoperative complications and readmission incidence are considered an essential safety index after joint replacement [ 51 , 52 ]. In this study, the literature on complications was included, and results indicated that continuing nursing had no obvious advantage over postoperative complications of the THA, which also meant that continuing nursing did not show significant improvement in safety after TKA.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of continuous nursing in improving functional recovery after total hip or knee arthroplasty in older adults: A systematic review

Sun,

Xu,

Zhu

et al. 2024

International Journal of Nursing Sciences

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Telerehabilitation following fast-track total knee arthroplasty is effective and safe: a randomized controlled trial with the ReHub® platform

Cited by 9 publications

References 51 publications

Mobile Application Use and Patient Engagement in Total Hip and Knee Arthroplasty

Mobile Application Use and Patient Engagement in Total Hip and Knee Arthroplasty

Low Response Rate to Follow-Up Using Telemedicine after Total Knee Replacement during the COVID-19 Pandemic in Italy

Efficacy and safety of continuous nursing in improving functional recovery after total hip or knee arthroplasty in older adults: A systematic review

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