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Research article
Marco Antonio Percope de Andrade
Universidade Federal de Minas Gerais Faculdade de Ciencias Economicas
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6284-213X
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Background: The illiteracy index is high in public hospitals of developing countries,. 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.
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 post-operative 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 six 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 meters) 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.
Keywords
Arthroplasty, Knee Replacement, Osteoarthritis, Patient Education
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CURRENT STATUS: Under Revision
Version 2
Posted 20 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 16 Jan, 2021
Editor assigned
On 11 Jan, 2021
Submission checks complete
On 11 Jan, 2021
Editor invited
On 11 Jan, 2021
No comments provided
Editorial decision: Major revision
On 11 Nov, 2020
Review #2 received
Received 18 Aug, 2020
Review #1 received
Received 18 Aug, 2020
Reviewer #2 agreed
On 10 Aug, 2020
Reviewer #1 agreed
On 18 Jul, 2020
Reviewers invited
Invitations sent on 17 Jun, 2020
Editor assigned
On 07 Jun, 2020
Submission checks complete
On 06 Jun, 2020
Editor invited
On 06 Jun, 2020
First submitted
On 05 Jun, 2020
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Subject Areas
Orthopedics
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A new preprint design is coming!
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This preprint is under consideration at BMC Musculoskeletal Disorders. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Marco Antonio Percope de Andrade
Universidade Federal de Minas Gerais Faculdade de Ciencias Economicas
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6284-213X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Revision
Version 2
Posted 20 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 16 Jan, 2021
Editor assigned
On 11 Jan, 2021
Submission checks complete
On 11 Jan, 2021
Editor invited
On 11 Jan, 2021
No comments provided
Editorial decision: Major revision
On 11 Nov, 2020
Review #2 received
Received 18 Aug, 2020
Review #1 received
Received 18 Aug, 2020
Reviewer #2 agreed
On 10 Aug, 2020
Reviewer #1 agreed
On 18 Jul, 2020
Reviewers invited
Invitations sent on 17 Jun, 2020
Editor assigned
On 07 Jun, 2020
Submission checks complete
On 06 Jun, 2020
Editor invited
On 06 Jun, 2020
First submitted
On 05 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The illiteracy index is high in public hospitals of developing countries,. 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.
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 post-operative 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 six 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 meters) 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.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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