Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Sadoghi, P; Listl, C; Lewis, J; Reinbacher, P; Leithner, A; Hauer, G.
The use of an individualized intraoperative video shows no impact on the early postoperative clinical outcome after total knee arthroplasty: a prospective, randomized, controlled trial.
Arch Orthop Trauma Surg. 2023; 143(8):5277-5282
Doi: 10.1007/s00402-022-04755-0
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- Führende Autor*innen der Med Uni Graz
- Sadoghi Patrick
- Co-Autor*innen der Med Uni Graz
- Hauer Georg
- Leithner Andreas
- Reinbacher Patrick
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- Abstract:
- PURPOSE: The purpose of the study was to evaluate the potential of an intraoperatively recorded video shown to patients immediately postoperatively on early outcome after total knee arthroplasty (TKA). The hypothesis was that there is a beneficial outcome concerning range of motion (ROM) and patient-reported outcome due to enhanced trust into the artificial joint. METHODS: Seventy-three patients were randomly assigned 1:1 to two study groups in which they were either shown a video of their own postoperative range of motion or they were not. Clinically, the New Knee Society Score (nKSS) and ROM were evaluated and compared between the groups 6 weeks after surgery. Chi-square exact test, Kolmogorov-Smirnov test, Mann-Whitney U test, and the Wilcoxon signed rank test were used. Inter- and intra-class correlations were calculated for measurements of ROM. RESULTS: No clinically relevant differences were observed preoperatively and 6 weeks postoperatively between both groups in range of motion (ROM). All patients were showing a significantly improved clinical outcome 6 weeks after the procedure. Clinical scores showed statistically significant differences with respect to preoperative nKSS for satisfaction and statistically significant differences with respect to postoperative nKSS for function. CONCLUSION: Showing a video filmed immediately after implantation of primary TKA had no significant effect on ROM and clinical outcome at 6 weeks. We believe that face-to-face verbal communication in combination with video-assisted education ensures that patients understand their artificial joint in the best possible way and will continue to use intraoperatively filmed videos to enhance patient engagement during postoperative rehabilitation. LEVEL OF EVIDENCE: I.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Arthroplasty, Replacement, Knee - methods
- Knee Joint - surgery
- Prospective Studies - administration & dosage
- Treatment Outcome - administration & dosage
- Recovery of Function - administration & dosage
- Range of Motion, Articular - administration & dosage
- Osteoarthritis, Knee - surgery
- Find related publications in this database (Keywords)
- Total knee arthroplasty
- Total knee replacement
- Video demonstration
- Recovery
- Fast-track