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- Title
A new methodology for patient education in total knee arthroplasty: a randomized controlled trial.
- Authors
Percope de Andrade, Marco Antonio; Moreira de Abreu Silva, Guilherme; de Oliveira Campos, Tulio Vinicius; Guen Kasuya Barbosa, David; da Silva Leite, Danilo; Teodoro Rezende, Marcus Vinicius; Maciel Santos, Felipe; Galo Magalhaes, Tauam Filipe
- Abstract
Background: We established a method in which patients are instructed before total knee arthroplasty (TKA) in a differentiated way without the necessity of reading any self-orientation, which can be applied even for illiterate patients Methods: We developed a multidisciplinary approach to improve patient education in TKA comprising of a differentiated orientation conducted by an orthopedic surgeon, a nurse and a physiotherapist. It consists of standardized lectures regarding on pre-, intra- and postoperative issues in a randomized controlled trial of 79 consecutive patients undergoing primary TKA. Thirty-four patients received the standard education (control group), and 45 patients received the differentiated education (intervention group). The patients were evaluated during at least 6 months. Results: After a 6-month follow-up period, the Short Form Health Survey (SF-36), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the visual analogue pain scale (VAS) and knee range of motion (ROM) improved significantly in both groups. Range of motion was better in the intervention group (mean and SD—106.9 ± 5.7 versus 92.5 ± 12.1 degrees, p = 0.02). Moreover, walk ability (more than 400 m) was better in the intervention group compared with the control group (97.4% versus 72.4%, p = 0.003). In the intervention and control groups, respectively, 10.5% and 31% of patients reported the need for some walking devices (p = 0.03). Conclusions: A differentiated educational program with a multidisciplinary team had a positive impact on functional outcomes, improving ROM and walk ability of patients undergoing TKA in a short-term evaluation.
- Subjects
LITERACY; TOTAL knee replacement; INTERDISCIPLINARY research; RANGE of motion of joints; CONFIDENCE intervals; SELF-perception; HEALTH surveys; VISUAL analog scale; RANDOMIZED controlled trials; QUESTIONNAIRES; WALKING; HEALTH care teams; DESCRIPTIVE statistics; PATIENT education; ODDS ratio
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2022, Vol 32, Issue 1, p107
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-021-02936-y