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远程医疗在关节置换手术中的作用?最新综述。

The role of telemedicine in joint replacement surgery? An updated review.

作者信息

Li Ka Yau, Chan Ping Keung, Yeung Shun Shing, Cheung Amy, Chan Wai Kwan Vincent, Luk Michelle Hilda, Cheung Man Hong, Fu Henry, Chiu Kwong Yuen

机构信息

Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.

Department of Orthopaedics and Traumatology, School of Clinical Medicine, The University of Hong Kong, Hong Kong SAR, China.

出版信息

Arthroplasty. 2023 Aug 4;5(1):39. doi: 10.1186/s42836-023-00196-1.

DOI:10.1186/s42836-023-00196-1
PMID:37537634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10401824/
Abstract

The usage of telemedicine and telehealth services has grown tremendously and has become increasingly relevant and essential. Technological advancements in current telehealth services have supported its use as a viable alternative tool to conduct visits for consultations, follow-up, and rehabilitation in total joint arthroplasty. Such technology has been widely implemented, particularly during the coronavirus 2019 (COVID-19) pandemic, to deliver postoperative rehabilitation among patients receiving total joint arthroplasty (TJA), further demonstrating its feasibility with a lower cost yet comparable clinical outcomes when compared with traditional care. There remains ample potential to utilize telemedicine for prehabilitation to optimize the preoperative status and postoperative outcomes of patients with osteoarthritis. In this review, various implementations of telemedicine within total joint arthroplasty and future application of telemedicine to deliver tele-prehabilitation in TJA are discussed.

摘要

远程医疗和远程健康服务的使用量大幅增长,且变得越来越重要和必不可少。当前远程健康服务的技术进步使其成为在全关节置换术中进行会诊、随访和康复的可行替代工具。此类技术已得到广泛应用,尤其是在2019年冠状病毒病(COVID-19)大流行期间,为接受全关节置换术(TJA)的患者提供术后康复服务,与传统护理相比,进一步证明了其成本更低但临床结果相当的可行性。利用远程医疗进行术前康复以优化骨关节炎患者的术前状态和术后结果仍有很大潜力。在本综述中,讨论了远程医疗在全关节置换术中的各种应用以及远程医疗在TJA中提供远程术前康复的未来应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea5/10401824/f73f15b62bfa/42836_2023_196_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea5/10401824/e147af30ccea/42836_2023_196_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea5/10401824/f73f15b62bfa/42836_2023_196_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea5/10401824/e147af30ccea/42836_2023_196_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea5/10401824/f73f15b62bfa/42836_2023_196_Fig2_HTML.jpg

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本文引用的文献

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2
Understanding Patients' Experiences and Perspectives of Tele-Prehabilitation: A Qualitative Study to Inform Service Design and Delivery.了解患者对远程预康复的体验和看法:一项为服务设计与提供提供信息的定性研究。
Clin Pract. 2022 Aug 16;12(4):640-652. doi: 10.3390/clinpract12040067.
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Successes and challenges of implementing teleprehabilitation for onco-surgical candidates and patients' experience: a retrospective pilot-cohort study.
全髋关节和膝关节置换术护理环节的创新:从住院护理向门诊护理的转变。
HSS J. 2024 Feb;20(1):7-9. doi: 10.1177/15563316231213367. Epub 2023 Nov 24.
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开展肿瘤外科候选者和患者远程康复的成功与挑战:回顾性试点队列研究。
Sci Rep. 2022 Apr 26;12(1):6775. doi: 10.1038/s41598-022-10810-y.
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