scholarly journals Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty

Author(s):  
Karolina Kamecka ◽  
Anna Rybarczyk-Szwajkowska ◽  
Anna Staszewska ◽  
Per Engelseth ◽  
Remigiusz Kozlowski

The importance of telemedicine technologies around the world has been growing for many years, and it turned out to be a particularly important issue for conducting some medical procedures during the SARS-CoV-2 pandemic. It is necessary to create interdisciplinary teams to design and implement improved procedures using telemedicine tools. The aim of the article is to develop original, improved posthospital patient care process after total hip arthroplasty (THA) with the use of telemedicine technologies. In the study, a literature review and empirical research were used. The conducted research resulted in the designing an original posthospital patient care process after THA that uses telematics technologies. Due to the use of analyzed telemedicine technologies, the designed patient care process brings a possibility to increase the patient′s safety by monitoring life parameters, allowing for regular, remote contact with specialists and to be supervised remotely. All this may contribute to shortening the convalescence time, reducing the risk of complications, as well as reducing treatment costs. The designed model is ready for further clinical research with the participation of medical staff, patients after THA and patient caregivers.

2005 ◽  
Vol 441 (&NA;) ◽  
pp. 104-114 ◽  
Author(s):  
Yutaka Inaba ◽  
Lawrence D Dorr ◽  
Zhinian Wan ◽  
Leighellen Sirianni ◽  
Myriam Boutary

2006 ◽  
Vol 53 (4) ◽  
pp. 53-56 ◽  
Author(s):  
Z.Lj. Bascarevic ◽  
B.B. Radojevic ◽  
S.S. Timotijevic ◽  
V.D. Bascarevic ◽  
G.Z. Trajkovic ◽  
...  

"Minimally-invasive" total joint arthroplasty have been widely introduced to the orthopedic community several years ago. The concept has received a great attention and has been greeted variably with enthusiasm, concern, and skepticism. Numerous meetings, scientific exhibits, symposia and congresses has been taking place all around the world. Whether this represents the future of orthopedic surgery or just a fad, the term "minimally-invasive" or "minimally- incision" are yet to be clear and establish. Our intention is to present 72 of first 100 cases of total hip arthroplasty performed by "minimally-incision" surgery. In our opinion first results are positive and we intend to continue with this kind of surgery.


Author(s):  
Silvério Neves Marco Aurélio

The World Health Organization (WHO) declared, on January 30, 2020, that the outbreak of the disease caused by the new Coronavirus (COVID-19) constitutes a Public Health Emergency of International Importance - the highest level of alert of the Organization, as provided for in the International Health Regulations. On March 11, 2020, COVID-19 was characterized by the WHO as a pandemic and since then the world has been going through an unprecedented period. The pandemic is interfering with all aspects of everyday life, especially in the area of ​​health. Surgical practice was directly affected by the suspension of elective procedures and the prioritization of urgent and emergency surgeries as a way to free up beds for patients infected with the disease. New coronavirus. The script for resumption of elective surgery after this COVID-19 pandemic must be progressive and cautious. Elective surgery should be performed in COVID-free facilities and the hospital stay should be as short as possible. For safety reasons, patients considered for surgery should be carefully selected according to status/exposure to COVID-19 infection, age, ASA physical status/risk factor classification system, socio-professional status and surgical indication. Therefore, in this study, we will demonstrate the positive impact on surgical resumption using a rapid recovery protocol combined with a minimally invasive technique (AMIS) for total hip arthroplasty during the period of worldwide pandemic for SARS-CoV-2.


2018 ◽  
Author(s):  
Benedikt Schwaiger ◽  
Alexandra Gersing ◽  
Daniela Muenzel ◽  
Julia Dangelmaier ◽  
Peter Prodinger ◽  
...  

1987 ◽  
Vol 58 (04) ◽  
pp. 1040-1042
Author(s):  
J J M L Hoffmann ◽  
J H J P M Kortmann

SummaryThe behaviour of the contact system was studied in 40 patients with total hip arthroplasty, by measuring plasma prekallikrein, spontaneous kallikrein activity and factor XII. In the literature it had been shown that patients with complications from this operation had decreased prekallikrein and increased kallikrein activity (M. Nakahara. Acta orthop scand 1982; 53: 591-6). In the present study, comprising patients with and without pain and proven loosening of the hip prosthesis, these findings could only partially be confirmed. Patients with a loosened prosthesis had significantly lower prekallikrein (mean 0.78 ± 0.28 U/ml; p <0.01) than patients without problems, but no detectable kallikrein activity in plasma. Patients with pain but no loosening had normal prekallikrein (1.04 ±0 0.26 U/ml) and also no demonstrable kallikrein activity. Factor XII was normal in all patient groups. It is concluded that decreased prekallikrein is limited to patients with a loosened hip prosthesis, with or without pain.


2020 ◽  
Vol 04 (02) ◽  
pp. 084-089
Author(s):  
Vivek Singh ◽  
Stephen Zak ◽  
Ran Schwarzkopf ◽  
Roy Davidovitch

AbstractMeasuring patient satisfaction and surgical outcomes following total joint arthroplasty remains controversial with most tools failing to account for both surgeon and patient satisfaction in regard to outcomes. The purpose of this study was to use “The Forgotten Joint Score” questionnaire to assess clinical outcomes comparing patients who underwent a total hip arthroplasty (THA) with those who underwent a total knee arthroplasty (TKA). We conducted a retrospective review of patients who underwent primary THA or TKA between September 2016 and September 2019 and responded to the Forgotten Joint Score-12 (FJS-12) questionnaire at least at one of three time periods (3, 12, and 21 months), postoperatively. An electronic patient rehabilitation application was used to administer the questionnaire. Collected variables included demographic data (age, gender, race, body mass index [BMI], and smoking status), length of stay (LOS), and FJS-12 scores. t-test and chi-square were used to determine significance. Linear regression was used to account for demographic differences. A p-value of less than 0.05 was considered statistically significant. Of the 2,359 patients included in this study, 1,469 underwent a THA and 890 underwent a TKA. Demographic differences were observed between the two groups with the TKA group being older, with higher BMI, higher American Society of Anesthesiologists scores, and longer LOS. Accounting for the differences in demographic data, THA patients consistently had higher scores at 3 months (53.72 vs. 24.96; p < 0.001), 12 months (66.00 vs. 43.57; p < 0.001), and 21 months (73.45 vs. 47.22; p < 0.001). FJS-12 scores for patients that underwent THA were significantly higher in comparison to TKA patients at 3, 12, and 21 months postoperatively. Increasing patient age led to a marginal increase in FJS-12 score in both cohorts. With higher FJS-12 scores, patients who underwent THA may experience a more positive evolution with their surgery postoperatively than those who had TKA.


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