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

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

Publication date: Jan 09, 2024

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. 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. 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 88^0 +/- 8^0 to 120^0 +/- 12^0. 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%. 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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Concepts Keywords
Italy COVID
Knee knee arthroplasty
Pandemic telemedicine
Survivorship TKA

Semantics

Type Source Name
disease MESH COVID-19 Pandemic
disease VO age
drug DRUGBANK Spinosad
disease MESH knee osteoarthritis
drug DRUGBANK Coenzyme M
disease MESH infection
disease VO population
disease VO efficiency
disease VO effectiveness
disease VO USA
disease MESH Osteoarthritis
disease MESH complications
disease VO protocol
disease VO device
drug DRUGBANK Aspartame

Original Article

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