Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries
The aim of this study is to develop a digital monitoring system to track weight and evaluate its impact on postoperative outcomes after lower extremity surgeries (LES). This parallel randomized controlled trial enrolled 266 patients who underwent LES (fracture or joint replacement) at our medical c...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-11-01
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| Series: | European Journal of Translational Myology |
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| Online Access: | https://www.pagepressjournals.org/index.php/bam/article/view/11974 |
| _version_ | 1797627893429305344 |
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| author | Babak Otoukesh Seyedeh Fariba Moshiri Behrad Jahangiri Kamal Mehraban Jafarlou Shayan Amiri Nadieh Baniasadi Bahareh Heshmat Ghahderijani |
| author_facet | Babak Otoukesh Seyedeh Fariba Moshiri Behrad Jahangiri Kamal Mehraban Jafarlou Shayan Amiri Nadieh Baniasadi Bahareh Heshmat Ghahderijani |
| author_sort | Babak Otoukesh |
| collection | DOAJ |
| description |
The aim of this study is to develop a digital monitoring system to track weight and evaluate its impact on postoperative outcomes after lower extremity surgeries (LES). This parallel randomized controlled trial enrolled 266 patients who underwent LES (fracture or joint replacement) at our medical center between March 11, 2022, and January 10, 2023. Patients were randomly assigned to the intervention and control groups in a 1:1 ratio. The intervention group (n=116) used a cane and shoes equipped with a weight-bearing system after lower limb surgery, while the control group (n=116) used a simple cane and shoes without a weight-bearing system. The primary outcomes included callus formation, duration of union, and success rate of union in the two groups. The intervention group had a significantly higher rate of complete surgical success than the control group (93.9% vs. 79.3%, p=0.001). The intervention group also had a significantly lower risk of non-union than the control group (OR: 2.33, 95% CI: 1.14, 3.48, p=0.001). The mean duration of surgery until the time of union and the meantime of callus formation was significantly lower in the intervention group (p=0.01). The use of a digital monitoring system for weighing in LES significantly increased the success rate and reduced post-operative complications. Therefore, incorporating this system can enhance the rehabilitation process and prevent revision surgeries in patients with LES.
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| first_indexed | 2024-03-11T10:31:00Z |
| format | Article |
| id | doaj.art-b1d5ced83abe4128bc5053939835b1a4 |
| institution | Directory Open Access Journal |
| issn | 2037-7452 2037-7460 |
| language | English |
| last_indexed | 2024-03-11T10:31:00Z |
| publishDate | 2023-11-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | European Journal of Translational Myology |
| spelling | doaj.art-b1d5ced83abe4128bc5053939835b1a42023-11-14T23:03:41ZengPAGEPress PublicationsEuropean Journal of Translational Myology2037-74522037-74602023-11-0110.4081/ejtm.2023.11974Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeriesBabak Otoukesh0Seyedeh Fariba Moshiri1Behrad Jahangiri2Kamal Mehraban Jafarlou3Shayan Amiri4Nadieh Baniasadi5Bahareh Heshmat Ghahderijani6Department of Orthopedics Surgery, Iran University of Medical Sciences, TehranBabol University of Medical Sciences , Babol, Mazandaran ProvinceTehran University of Medical Sciences, TehranOrumieh University of Medical Sciences, OrumiehShohadaye Haftom-e-Tir Hospital, School of Medicine, Iran University of Medical Sciences, TehranNon-Communicable Diseases Research Center, Bam University of Medical Sciences, BamZahedan University of Medical Sciences, Zahedan The aim of this study is to develop a digital monitoring system to track weight and evaluate its impact on postoperative outcomes after lower extremity surgeries (LES). This parallel randomized controlled trial enrolled 266 patients who underwent LES (fracture or joint replacement) at our medical center between March 11, 2022, and January 10, 2023. Patients were randomly assigned to the intervention and control groups in a 1:1 ratio. The intervention group (n=116) used a cane and shoes equipped with a weight-bearing system after lower limb surgery, while the control group (n=116) used a simple cane and shoes without a weight-bearing system. The primary outcomes included callus formation, duration of union, and success rate of union in the two groups. The intervention group had a significantly higher rate of complete surgical success than the control group (93.9% vs. 79.3%, p=0.001). The intervention group also had a significantly lower risk of non-union than the control group (OR: 2.33, 95% CI: 1.14, 3.48, p=0.001). The mean duration of surgery until the time of union and the meantime of callus formation was significantly lower in the intervention group (p=0.01). The use of a digital monitoring system for weighing in LES significantly increased the success rate and reduced post-operative complications. Therefore, incorporating this system can enhance the rehabilitation process and prevent revision surgeries in patients with LES. https://www.pagepressjournals.org/index.php/bam/article/view/11974Weight-bearinglower extremityrandomized controlled trialtotal kneetotal hip |
| spellingShingle | Babak Otoukesh Seyedeh Fariba Moshiri Behrad Jahangiri Kamal Mehraban Jafarlou Shayan Amiri Nadieh Baniasadi Bahareh Heshmat Ghahderijani Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries European Journal of Translational Myology Weight-bearing lower extremity randomized controlled trial total knee total hip |
| title | Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries |
| title_full | Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries |
| title_fullStr | Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries |
| title_full_unstemmed | Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries |
| title_short | Digital monitoring of weight-bearing improves success rates and reduces complications in lower extremity surgeries |
| title_sort | digital monitoring of weight bearing improves success rates and reduces complications in lower extremity surgeries |
| topic | Weight-bearing lower extremity randomized controlled trial total knee total hip |
| url | https://www.pagepressjournals.org/index.php/bam/article/view/11974 |
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