A new methodology for patient education in total knee arthroplasty: a randomized controlled trial

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dc.creatorMarco Antoniopercope de Andrade
dc.creatorGuilherme Moreira de Abreu e Silva
dc.creatorTulio Vinicius de Oliveira Campos
dc.creatorDavid Guen Kasuya Barbosa
dc.creatorDanilo da Silva Leite
dc.creatorMarcus Vinicius Teodoro Rezende
dc.creatorFelipe Maciel Santos
dc.creatorTauam Filipe Galo Magalhaes
dc.date.accessioned2023-07-31T23:44:26Z
dc.date.accessioned2025-09-08T23:05:19Z
dc.date.available2023-07-31T23:44:26Z
dc.date.issued2021-06-19
dc.format.mimetypepdf
dc.identifier.doi10.1007/s00590-021-02936-y
dc.identifier.issn16338065
dc.identifier.urihttps://hdl.handle.net/1843/57287
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofEuropean Journal of Orthopaedic Surgery & Traumatology
dc.rightsAcesso Restrito
dc.subjectArtroplastia do Joelho
dc.subjectArtroplastia do Joelho
dc.subjectOsteoartrite do Joelho
dc.subjectEducação de Pacientes como Assunto
dc.subject.otherArthroplasty, Replacement, Knee
dc.subject.otherKnee replacement
dc.subject.otherOsteoarthritis, Knee
dc.subject.otherPatient education
dc.titleA new methodology for patient education in total knee arthroplasty: a randomized controlled trial
dc.typeArtigo de periódico
local.citation.epage112
local.citation.issue32
local.citation.spage107
local.description.resumoAbstract: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 Uni versities 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 out comes, improving ROM and walk ability of patients undergoing TKA in a short-term evaluation.
local.identifier.orcidhttps://orcid.org/0000-0002-3869-8606
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://link.springer.com/article/10.1007/s00590-021-02936-y

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