Abstract：
BACKGROUND: Smartphone and wearable technologies offer innovative methods for monitoring postoperative recovery in total knee arthroplasty (TKA) patients. This review assessed the benefits of these technologies in postoperative care, focusing on (1) smartphone applications, (2) wearable devices, and (3) their combination.
METHODS: A systematic search identified studies on smartphone applications and wearables for post-TKA monitoring. The review analyzed 2,119 studies, with 58 meeting criteria: 25 on applications, 25 on wearables, and 8 on both. Studies were rated with a methodology index as well as by levels of evidence. They were then analyzed by categorizing them by adherence and patient satisfaction, functional outcomes and pain scores, gait analyses and ranges of motion, and measurement and comparison tools.
RESULTS: A review of 24 of 25 publications related to smartphone applications used for postoperative recovery in TKA showed the potential for improved patient\'s satisfaction, gait recovery, pain medication scheduling guidance with improved pain management, cost savings, and functional outcomes. Wearable technologies used in postoperative recovery demonstrated monitoring accuracy in 25 studies. These devices also showed effectiveness in gait and motion analysis. Other demonstrated benefits of the wearables were improved outcomes, return to function, cost reduction, and again, better management of pain due to patient interaction and guidance. Studies that combined applications and wearables demonstrated the individual findings with the addition of adherence, patient\'s satisfaction, and overall mobility improvement at 3 months.
CONCLUSIONS: Smartphone applications and wearables can enhance postoperative rehabilitation for TKA patients. Smartphone applications and wearables have been shown in randomized trials to be accurate, effective, and useful in the postoperative rehabilitation of TKA patients. A recurring theme in the review was improved adherence to care plans and medication schedules that ultimately result in improved functional outcomes. These technologies and the data that they generate offer direct patient benefits and the potential for future cost savings.
METHODS: A systematic search identified studies on smartphone applications and wearables for post-TKA monitoring. The review analyzed 2,119 studies, with 58 meeting criteria: 25 on applications, 25 on wearables, and 8 on both. Studies were rated with a methodology index as well as by levels of evidence. They were then analyzed by categorizing them by adherence and patient satisfaction, functional outcomes and pain scores, gait analyses and ranges of motion, and measurement and comparison tools.
RESULTS: A review of 24 of 25 publications related to smartphone applications used for postoperative recovery in TKA showed the potential for improved patient\'s satisfaction, gait recovery, pain medication scheduling guidance with improved pain management, cost savings, and functional outcomes. Wearable technologies used in postoperative recovery demonstrated monitoring accuracy in 25 studies. These devices also showed effectiveness in gait and motion analysis. Other demonstrated benefits of the wearables were improved outcomes, return to function, cost reduction, and again, better management of pain due to patient interaction and guidance. Studies that combined applications and wearables demonstrated the individual findings with the addition of adherence, patient\'s satisfaction, and overall mobility improvement at 3 months.
CONCLUSIONS: Smartphone applications and wearables can enhance postoperative rehabilitation for TKA patients. Smartphone applications and wearables have been shown in randomized trials to be accurate, effective, and useful in the postoperative rehabilitation of TKA patients. A recurring theme in the review was improved adherence to care plans and medication schedules that ultimately result in improved functional outcomes. These technologies and the data that they generate offer direct patient benefits and the potential for future cost savings.
摘要：
背景：智能手机和可穿戴技术提供了监测全膝关节置换术（TKA）患者术后恢复的创新方法。这篇综述评估了这些技术在术后护理中的益处，专注于（1）智能手机应用程序，（2）可穿戴设备，（3）它们的组合。
方法：系统搜索确定了对智能手机应用和可穿戴设备进行TKA后监测的研究。这篇综述分析了2,119项研究，符合58项标准：25项申请，25在可穿戴设备上，8在这两个研究通过方法学指数和证据水平进行评级。然后通过依从性和患者满意度对它们进行分类来分析它们，功能结果和疼痛评分，步态分析和运动范围，以及测量和比较工具。
结果：对25篇与用于TKA术后恢复的智能手机应用相关的出版物中的24篇的综述显示，患者满意度有可能得到改善，步态恢复,疼痛药物调度指导，改善疼痛管理，节省成本,和功能结果。在25项研究中，用于术后恢复的可穿戴技术证明了监测的准确性。这些设备在步态和运动分析中也显示出有效性。可穿戴设备的其他已证明的好处是改善的结果，返回函数，降低成本,再一次,由于患者的互动和指导，更好地管理疼痛。结合应用程序和可穿戴设备的研究表明，除了坚持，患者的满意度，3个月时总体流动性改善。
结论：智能手机应用和可穿戴设备可以促进TKA患者的术后康复。智能手机应用和可穿戴设备已在随机试验中被证明是准确的，有效,对TKA患者的术后康复有用。审查中反复出现的主题是改善对护理计划和药物治疗计划的依从性，最终导致改善功能结果。这些技术及其生成的数据为患者带来了直接的利益，并为未来节省成本提供了潜力。
方法：系统搜索确定了对智能手机应用和可穿戴设备进行TKA后监测的研究。这篇综述分析了2,119项研究，符合58项标准：25项申请，25在可穿戴设备上，8在这两个研究通过方法学指数和证据水平进行评级。然后通过依从性和患者满意度对它们进行分类来分析它们，功能结果和疼痛评分，步态分析和运动范围，以及测量和比较工具。
结果：对25篇与用于TKA术后恢复的智能手机应用相关的出版物中的24篇的综述显示，患者满意度有可能得到改善，步态恢复,疼痛药物调度指导，改善疼痛管理，节省成本,和功能结果。在25项研究中，用于术后恢复的可穿戴技术证明了监测的准确性。这些设备在步态和运动分析中也显示出有效性。可穿戴设备的其他已证明的好处是改善的结果，返回函数，降低成本,再一次,由于患者的互动和指导，更好地管理疼痛。结合应用程序和可穿戴设备的研究表明，除了坚持，患者的满意度，3个月时总体流动性改善。
结论：智能手机应用和可穿戴设备可以促进TKA患者的术后康复。智能手机应用和可穿戴设备已在随机试验中被证明是准确的，有效,对TKA患者的术后康复有用。审查中反复出现的主题是改善对护理计划和药物治疗计划的依从性，最终导致改善功能结果。这些技术及其生成的数据为患者带来了直接的利益，并为未来节省成本提供了潜力。
