scholarly journals Increasing Patient Empowerment in TKA-Recovery Via a Mobile Application: an Observational Study

10.29007/774f ◽  
2019 ◽  
Author(s):  
Philippe Van Overschelde ◽  
Stefaan Van Onsem ◽  
Ward Servaes ◽  
Alain Kalmar
Keyword(s):  
Patient Empowerment ◽  
Clinical Results ◽  
Basic Function ◽  
Patient Acceptance ◽  
Mobile Health Application ◽  
Level Of Activity ◽  
Total Knee ◽  
Autonomous Recovery ◽  
High Level ◽  
Health Application

During the last few years, total knee arthroplasty has evolved from basic surgery to restore basic function, to a fast-track procedure to relief pain and get the patients back to a high level of activity.. However, the way physiotherapy is performed, remained the same. This paper presents the results of 185 patients that used a mobile health application to track their recovery. Adherence and clinical results were evaluated and reported. Our study demonstrated an excellent patient acceptance and compliance of the outpatient autonomous recovery app. Patient satisfaction was outstanding, and functional recovery was securely within conventional range.

Implant Technology: Knee Design for Improved Function and Wear

2001 ◽  
Author(s):  
Donald Bartel ◽  
Av Edidin ◽  
Todd Johnson ◽  
Thomas Sculco ◽  
Timothy Wright
Keyword(s):  
Knee Replacement ◽  
Clinical Success ◽  
Clinical Results ◽  
The United States ◽  
Total Knee Replacements ◽  
Knee Replacements ◽  
Total Knee ◽  
Improved Function ◽  
High Level

Abstract Total knee replacement has become an accepted treatment for diseased and damaged joints with over 150,000 surgeries performed annually in the United States alone. The popularity of knee replacement stems from the excellent clinical results, which in some reported series exceeded ninety percent at twenty years follow-up [1]. The high level of clinical success in elderly populations has spurred surgeons to extend the indications to younger patients; today, about a third of total knee replacements are implanted in individuals under sixty-five years of age.

scholarly journals Bicruciate retaining total knee arthroplasty : results throughout history

2021 ◽  
Vol 87 (1) ◽  
pp. 73-83
Author(s):  
Jef De Mulder ◽  
Pieter Berger ◽  
Hilde Vandenneucker
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Kinematics ◽  
Functional Results ◽  
Clinical Results ◽  
High Rate ◽  
Total Knee ◽  
High Level ◽  
Bcr Tka

Approximately 20% amongst patients are dissatisfied after total knee arthroplasty (TKA). Bicruciate retaining (BCR) TKA offers superior knee kinematics and proprioception, but many surgeons abandoned its use because of complications and technical difficulties. Recently, two new BCR implant designs were introduced : Vanguard XP (Zimmer Biomet) and Journey XR (Smith&Nephew). We searched Pubmed, Limo, Embase and Cochrane, screened reference lists of eligible studies and included studies that met the inclusion criteria. We included 35 articles reporting on ten different BCR implants, including three articles presenting results of the Vanguard XP prosthesis. Unfortunately, no articles reporting on the results of the Journey XR prosthesis had been published. The BCR implants of the early 1970s showed good functional results, but a high rate of complications, mainly loosening and infections. The Townley Anatomic TKA was the first BCR implant with good clinical results, a low incidence of loosening and a high survivorship. One article of the three reporting on the Vanguard XP yielded high patient satisfaction (94%) with two revisions (1.4%). The two other articles reported three revisions (5%) after one year of follow-up and 19 revisions (13.4%) after three years of follow-up. Throughout history, the functional results of BCR TKA improved, with lessening of the complications. The short-term results of the Vanguard XP implant showed good functional results, but two out of three articles reported a high rate of loosening. Based on the results reported in this review, the use of BCR TKA is still debatable. Further high-level evidence research is necessary to assess the clinical benefit of BCR TKA.

scholarly journals EgoSENSE: A Framework for Context-Aware Mobile Applications Development

2017 ◽  
Vol 7 (4) ◽  
pp. 1791-1796 ◽  
Author(s):  
E. M. Milic ◽  
D. Stojanovic
Keyword(s):  
Mobile Applications ◽  
Mobile User ◽  
Health Conditions ◽  
Context Aware ◽  
Mobile Health Application ◽  
Software Sensors ◽  
Basic Concepts ◽  
Mobile Context ◽  
High Level ◽  
Health Application

This paper presents a context-aware mobile framework (or middleware), intended to support the implementation of context-aware mobile services. The overview of basic concepts, architecture and components of context-aware mobile framework is given. The mobile framework provide acquisition and management of context, where raw data sensed from physical (hardware) sensors and virtual (software) sensors are combined, processed and analyzed to provide high-level context and situation of the user to the mobile context-aware applications in near real-time. Using demo mobile health application, its most important components and functions, such as these supposed to detect urgent or alarming health conditions of a mobile user and to initiate appropriate actions demonstrated.

The Design and Preliminary Evaluation of a Mobile Health Application TangTangQuan in Management of Type 1 Diabetes in China

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 860-P
Author(s):  
PING LING ◽  
SIHUI LUO ◽  
JINHUA YAN ◽  
XUEYING ZHENG ◽  
DAIZHI YANG ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Mobile Health ◽  
Preliminary Evaluation ◽  
Mobile Health Application ◽  
Health Application

scholarly journals Is It the Surgeon, the Patient, or the Device? A Comprehensive Clinical and Radiological Evaluation of Factors Influencing Patient Satisfaction in 648 Total Knee Arthroplasties

2021 ◽  
Vol 10 (12) ◽  
pp. 2599
Author(s):  
Lorenzo Rissolio ◽  
Luigi Sabatini ◽  
Salvatore Risitano ◽  
Alessandro Bistolfi ◽  
Umberto Galluzzo ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Female Gender ◽  
Womac Score ◽  
Clinical Results ◽  
Positive Outcome ◽  
High Expectations ◽  
Surgeon Experience ◽  
Total Knee ◽  
Determinants Of Satisfaction ◽  
Final Alignment

Total knee arthroplasty (TKA) is a successful and safe surgical procedure for treating osteoarthritic knees, but despite the overall good results, some patients remain dissatisfied. The aim of this study is to evaluate the influence of patient-related and surgery-related variables in a consecutive group of patients that underwent TKA. Individuals (n = 648) who had TKA performed between 01 January 2013 and 31 December 2017 were enrolled in the study. Postoperative Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Knee Injury and Osteoarthritis Outcome Score (KOOS) and Forgotten Joint score (FJS-12) were collected at a mean follow-up of 4.79 years. Patient satisfaction was assessed with a questionnaire. Determinants of satisfaction (age, sex, smoking, presence of diabetes or cardiovascular disease, pain in other joints, preoperative arthritic stage) and components of satisfaction (slope variation, mechanical axis variation, outlier final alignment, surgeon experience) were examined to identify which variables correlated with positive outcome. Correlations with septic and mechanicals failures were also evaluated. Thirteen percent of patients were unsatisfied, despite good results in KOOS, WOMAC and FJS-12 tests. Female gender, low Kellgren–Lawrence grade and the presence of back pain and pain in other joints were factors associated with poor clinical results. Poorer clinical results were also reported in younger patients. Infection rate was correlated with active smoking and mechanical failure with an outlier final alignment. Comorbidities, smoking habits and high expectations have a big influence on TKA results and on final satisfaction after surgery.

scholarly journals Clinical Results of Bilateral Total Knee Arthroplasties Comparison of Simultaneous and Staged Knee Replacements.

1997 ◽  
Vol 46 (3) ◽  
pp. 653-656
Author(s):  
Noriyuki Takasu ◽  
Akira Fukushima ◽  
Joji Nioh ◽  
Hiroko Fukushima ◽  
Yoshiro Nanjo
Keyword(s):  
Clinical Results ◽  
Total Knee Arthroplasties ◽  
Knee Replacements ◽  
Total Knee
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