Construction and Application of the Whole Course Management Scheme for Knee Arthroscopic Ligament Surgery Patients Based on "Internet +"

Overview

On the basis of the conventional diagnosis and treatment mode, the experimental group added an application program for closed-loop management of the entire course of the disease. Within 24 hours of admission, orthopedic specialist nurses conducted personal evaluations of patients, mainly observing their level of importance for postoperative functional exercise, compliance with patients and their families, intention towards the application program, setting personalized goals, providing health guidance, and improving patients' awareness of rehabilitation needs. Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management. During home stay, orthopedic specialist nurses and rehabilitation therapists conduct weekly assessments of exercise compliance and functional status in patient uploaded videos. Motivational measures are taken for patients with high cooperation to promote goal achievement. Patients with negative and fatigue attitudes seek professional psychological counseling and provide successful rehabilitation cases to enhance patient confidence. Patients who have doubts during the rehabilitation period outside the hospital can apply the "online information sending mode, online consultation+offline service" in the program. Nurses can help patients register and authenticate, teach them how to use "Zhe Li Nursing Home Service" and place orders online. Orthopedic specialist nurses or rehabilitation therapists can contact the supervising doctor to communicate the patient's needs and provide relevant nursing and rehabilitation technical services on-site. The management backend has functions such as full process traceability of service behavior, workload analysis, and nurse service evaluation. It regularly updates disease-related knowledge within the program, perioperative health education, postoperative functional exercise and intervention measures, and regular functional exercise time reminders. Multi terminal collaboration implements information system integration, establishes a complete electronic health record, and forms a closed-loop management mode throughout the process.

Interventions

• Behavioral Added applications for closed-loop management of the entire disease course
  Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management.

Primary outcome measures

• Report on the measurement of knee flexion range of motion (ROM) values for patients treated with knee arthroscopy [Time frame: 12 weeks]

Secondary outcome measures (1)

• Evaluate daily functional status using Lysholm score after knee arthroscopy treatment [Time frame: 12 weeks]

Eligibility criteria

Inclusion criteria

Orthopedic knee arthroscopic ligament surgery patients; Age range: 18-60 years old; Informed consent from participants in this study; Internet is available at home, and patients and their families can skillfully use mobile WeChat and other functions.

Exclusion criteria

Those who give up halfway or have difficulty cooperating to complete the exercise; I am currently participating in other clinical trials that may have an impact on this study; Having a clear history of mental illness and epilepsy in the past; Postoperative complications such as fractures and rheumatoid arthritis (such as thrombosis or osteomyelitis) are present; Lower extremity deep vein thrombosis;

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Non-randomized

Model

Parallel assignment

Masking

Double blind

Primary purpose

Health services research

Study locations

Center list to be confirmed — check the primary protocol.

Publications

• Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med. 2009 May;37(5):890-7. doi: 10.1177/0363546508330143. Epub 2009 Mar 4. PMID 19261899
• Li Y, Gu Z, Ning R, Yin H. Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement. J Orthop Surg Res. 2023 Jun 11;18(1):424. doi: 10.1186/s13018-023-03907-1. PMID 37303038
• Backer HC, Wu CH, Schulz MRG, Weber-Spickschen TS, Perka C, Hardt S. App-based rehabilitation program after total knee arthroplasty: a randomized controlled trial. Arch Orthop Trauma Surg. 2021 Sep;141(9):1575-1582. doi: 10.1007/s00402-021-03789-0. Epub 2021 Feb 6. PMID 33547927
• [13]MA Z L, HUANG Y G, GU X P, et al. Expert consensus on anethesia management of enhanced recovery after adult ambulatory surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 562-569. Chinese
• Jones D, Duffy ME, Flanagan J. Randomized clinical trial testing efficacy of a nurse-coached intervention in arthroscopy patients. Nurs Res. 2011 Mar-Apr;60(2):92-9. doi: 10.1097/NNR.0b013e3182002e46. PMID 21358373
• Bowman EN, Limpisvasti O, Cole BJ, ElAttrache NS. Anterior Cruciate Ligament Reconstruction Graft Preference Most Dependent on Patient Age: A Survey of United States Surgeons. Arthroscopy. 2021 May;37(5):1559-1566. doi: 10.1016/j.arthro.2021.01.042. Epub 2021 Feb 1. PMID 33539983

Identifiers

NCT: NCT07362849 · KY-2025-154

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗