Ramkumar Prem N, Navarro Sergio M, Haeberle Heather S, Chughtai Morad, Flynn Megan E, Mont Michael A
Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio.
Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas.
J Arthroplasty. 2017 Sep;32(9):2694-2700. doi: 10.1016/j.arth.2017.03.067. Epub 2017 Apr 6.
The purpose of this study was to analyze the nature of shared content of total joint arthroplasty patients on Instagram. Specifically, we evaluated social media posts for: (1) perspective and timing; (2) tone; (3) focus (activities of daily living [ADLs], rehabilitation, return-to-work); and (4) the comparison between hip and knee arthroplasties.
A search of the public Instagram domain was performed over a 6-month period. Total hip and knee arthroplasties (THA and TKA) were selected for the analysis using the following terms: "#totalhipreplacement," "#totalkneereplacement," and associated terms. 1287 individual public posts of human subjects were shared during the period. A categorical scoring system was utilized for media format (photo or video), time (preoperative, perioperative, or postoperative) period, tone (positive or negative), return-to-work, ADLs, rehabilitation, surgical site, radiograph image, satisfaction, and dissatisfaction.
Ninety-one percent of the posts were shared during the postoperative period. Ninety-three percent of posts had a positive tone. Thirty-four percent of posts focused on both ADLs and 33.8% on rehabilitation. TKA patients shared more about their surgical site (14.5% vs 3.3%, P < .001) and rehabilitation (58.9% vs 8.8%, P < .001) than THA patients, whereas THA patients shared more about ADLs than TKA patients (60.5% vs 7.6%, P < .001).
When sharing their experience on Instagram, arthroplasty patients did so with a positive tone, starting a week after surgery. TKA posts focused more on rehabilitation and wound healing than THA patients, whereas THA patients shared more posts on ADLs. The analysis of social media posts provides insight into what matters to patients after total joint arthroplasty.
本研究旨在分析全关节置换患者在照片墙（Instagram）上分享内容的性质。具体而言，我们评估社交媒体帖子的以下方面：（1）观点和时间；（2）语气；（3）重点（日常生活活动[ADL]、康复、重返工作岗位）；以及（4）髋关节置换术和膝关节置换术之间的比较。
在6个月的时间内对照片墙的公共领域进行搜索。使用以下术语选择全髋关节置换术和全膝关节置换术（THA和TKA）进行分析：“#全髋关节置换”、“#全膝关节置换”及相关术语。在此期间共分享了1287条关于人类受试者的个人公开帖子。采用分类评分系统对媒体形式（照片或视频）、时间（术前、围手术期或术后）、语气（积极或消极）、重返工作岗位、日常生活活动、康复、手术部位、X光图像、满意度和不满意度进行评分。
91%的帖子是在术后期间分享的。93%的帖子语气积极。34%的帖子关注日常生活活动，33.8%关注康复。与THA患者相比，TKA患者更多地分享了他们的手术部位（14.5%对3.3%，P<.001）和康复情况（58.9%对8.8%，P<.001），而THA患者比TKA患者更多地分享了日常生活活动方面的内容（60.5%对7.6%，P<.001）。
关节置换患者在照片墙上分享他们的经历时，语气积极，且从术后一周开始。TKA患者的帖子比THA患者更关注康复和伤口愈合，而THA患者在日常生活活动方面分享的帖子更多。对社交媒体帖子的分析有助于深入了解全关节置换术后对患者重要的事项。
