Faculty of Medicine, University of New South Wales, Sydney, Australia.
NeuroSpine Surgery Research Group (NSURG), Sydney, Australia.
J Orthop Surg Res. 2023 Oct 31;18(1):812. doi: 10.1186/s13018-023-04303-5.
Surgical procedures involving the hip, knee, or spine represent a majority of orthopaedic procedures performed electively in the health care system. Postoperative care is a key aspect of surgery and mobilisation without injury is the primary objective. Recent advances in wearable technologies allow objective evaluation of walking metrics to inform and guide postoperative care following orthopaedic surgery.
The aim of this scoping review is to explore current applications of wearable devices, objective data capture and gait analysis in monitoring postoperative recovery following commonly performed elective orthopaedic procedures of the hip, knee and spine.
A search against pre-defined criteria was performed on the following scientific databases from date of inception to February 28th, 2021: Medline (via OvidSP), Embase (via OvidSP) and Cochrane Library (via CENTRAL). Data were collected according to a predetermined checklist including study participants, surgery, wearable device (model), sensor location, and monitoring parameters such as mobility metrics, monitoring timepoints and monitoring duration for each study included in our review. Quality was assessed independently using the Newcastle Ottawa Scale (NOS).
To our knowledge, this is the first review of wearable monitoring (of postoperative recovery) following hip, knee and spine surgery. Patients undergoing elective orthopaedic procedures may benefit from wearable monitoring of their walking health and mobility metrics.
涉及髋关节、膝关节或脊柱的手术代表了医疗保健系统中大多数择期进行的骨科手术。术后护理是手术的一个关键方面，无损伤的活动是主要目标。可穿戴技术的最新进展允许对步行指标进行客观评估，以告知和指导骨科手术后的术后护理。
本范围综述的目的是探讨可穿戴设备、客观数据采集和步态分析在监测髋关节、膝关节和脊柱常见择期骨科手术后术后恢复中的当前应用。
根据预先确定的标准，对以下科学数据库进行了搜索，检索日期从成立日期到 2021 年 2 月 28 日：Medline（通过 OvidSP）、Embase（通过 OvidSP）和 Cochrane Library（通过 CENTRAL）。根据预定的检查表收集数据，包括研究参与者、手术、可穿戴设备（型号）、传感器位置以及每个研究的监测参数，如移动性指标、监测时间点和监测持续时间。使用纽卡斯尔-渥太华量表（NOS）独立评估质量。
据我们所知，这是对髋关节、膝关节和脊柱手术后可穿戴监测（术后恢复）的首次综述。接受择期骨科手术的患者可能受益于对其步行健康和活动能力指标的可穿戴监测。
