Association Between Digitally Provided Education and 90-Day Return to Sexual Activity Following Total Knee Arthroplasty: A Randomized Controlled Trial.

Autor: DeMik DE; Rothman Orthopaedic Institute, Philadelphia, Pennsylvania., Lonner JH; Rothman Orthopaedic Institute, Philadelphia, Pennsylvania., Cholewa JM; Clinical Affairs, Zimmer Biomet, Warsaw, Indiana., Anderson MB; Clinical Affairs, Zimmer Biomet, Warsaw, Indiana., Kamath AF; Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio., Tripuraneni KR; New Mexico Orthopaedic Associates, Albuquerque, New Mexico.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2024 Apr; Vol. 39 (4), pp. 916-920. Date of Electronic Publication: 2023 Oct 16.
DOI: 10.1016/j.arth.2023.10.014
Abstrakt: Background: Contemporary total knee arthroplasty patients have increased expectations of returning to predisease function, including sexual activity (SA). The purpose of this study was to determine whether patients using a digital care management platform (DCMP) were more likely to have a higher rate and frequency of return to SA.
Methods: We conducted an exploratory analysis of a prospective, multicenter, randomized controlled trial that enrolled patients undergoing total knee arthroplasty. A total of 304 patients were randomized to a DCMP (n = 119) providing preoperative and postoperative education regarding return to SA or standard postoperative care (control group; n = 185). Return to SA, assessed via questionnaire, patient-reported outcome measures, Timed Up and Go test, single leg stance, active range of motion and need for manipulation under anesthesia were assessed at 90 days postoperatively.
Results: More patients in the DCMP group returned to SA compared to control at 90 days (58.4 versus 39.6%, P = .018); however, the control group resumed SA sooner (33.1 versus 42.0 days, P = .023). Patients who returned to SA were younger (61.6 versus 65.9 year), more often men (56 versus 35%) (P < .001), higher performing on the Timed Up and Go and single leg stance tests (P < .001), and had greater active range of motion (P = .007). There were no differences in patient-reported outcome measures or need for manipulation under anesthesia between patients that returned to SA and those who did not.
Conclusions: More patients using a DCMP resumed SA at 90 days; however, patients in the control group returned to SA sooner. Those who returned to SA were younger, possessed greater physical function, and were more often men.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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