Intelligent cloud platform follow-up model improves joint range of motion and reduces follow-up costs after total knee arthroplasty:A retrospective cohort study
10.16016/j.2097-0927.202508049
- VernacularTitle:智能云平台随访模式可改善全膝关节置换术后关节活动度并降低随访成本:一项回顾性队列研究
- Author:
Shangwei YU
1
;
Ke ZENG
;
Ran XIONG
;
Liming LIU
;
Lin GUO
Author Information
1. 陆军军医大学(第三军医大学)第一附属医院运动医学中心
- Keywords:
osteoarthritis;
arthroplasty,replacement,knee;
telemedicine;
digital health
- From:
Journal of Army Medical University
2025;47(22):2763-2773
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine whether an intelligerct cloud platform follow-up model demonstrates superiority over conventional methods in enhancing follow-up quality,reducing costs,and improving functional recovery following total knee arthroplasty(TKA).Methods A retrospective cohort study was conducted on 260 patients undergoing TKA at our hospital from October 2022 to September 2023.According to the different postoperative follow-up methods,they were divided int a cloud platform group(n=130)and a traditional group(n=130).The baseline data,pre-and postoperative knee function scores,and follow-up costs were collected and compared between the 2 groups.Results The cloud platform group exhibited significantly higher rate of follow-up satisfaction,reduced resource utilization,shorter per-follow-up duration,fewer accompanying persons per visit,lower total follow-up expenditures,and decreased cumulative follow-up time when compared with the traditional group(P<0.05).At 6 weeks,3,6,and 12 months postoperatively,better range of motion(ROM)was observed in the cloud-based group than the traditional group(P<0.05),but no intergroup differences were seen in other knee function scores.Conclusion Cloud platform follow-up enhances early postoperative ROM(6 weeks to 12 months)and demonstrates marked cost-effectiveness when compared to the conventional mode.It represents a viable alternative for post-TKA rehabilitation surveillance.