Observational studyKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Physical activity after outpatient surgery and enhanced recovery for total knee arthroplasty.
Observational study in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Safety and efficacy of outpatient hip and knee arthroplasty: a systematic review with meta-analysis.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Reduced opiate use after total knee arthroplasty using computer-assisted cryotherapy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Accelerometer-measured postoperative physical activity confers a significant mortality benefit following joint arthroplasty.Bone & joint research · 2026Article
- Step count as a digital mobility outcome in orthopedics and orthopedic trauma surgery: a scoping review.EFORT open reviews · 2026Review
- Clinical Pathways in Knee and Hip Arthroplasty: Narrative Review on Sustainability, Quality, and Resource Management.JMIR perioperative medicine · 2025Review
- Accelerometers can correctly count orthopaedic patients' early post-operative steps while using walking aids.Journal of experimental orthopaedics · 2025Article
- Enhanced recovery after surgery in thulium laser prostatectomy: benefits and complication risk factors.American journal of translational research · 2024Article
- Advances in the application of wearable sensors for gait analysis after total knee arthroplasty: a systematic review.Arthroplasty (London, England) · 2023Review
- Fostering Excellence in Knee Arthroplasty: Developing Optimal Patient Care Pathways and Inspiring Knowledge Transfer of Advanced Surgical Techniques.Journal of healthcare leadership · 2023Article
- Key Components, Current Practice and Clinical Outcomes of ERAS Programs in Patients Undergoing Orthopedic Surgery: A Systematic Review.Journal of clinical medicine · 2022Review
- Patients' perceived walking abilities, daily-life gait behavior and gait quality before and 3 months after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2022Article
- Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty: A systematic review and meta-analysis.World journal of orthopedics · 2022Article
- Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients.Acta orthopaedica · 2021Article
- Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty?Acta orthopaedica · 2021Article
- Smartphone App with an Accelerometer Enhances Patients' Physical Activity Following Elective Orthopedic Surgery: A Pilot Study.Sensors (Basel, Switzerland) · 2020Article
- Low complication rates in outpatient total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Simplified Measurement of Maximum Strength After Knee Surgery: Application-Based Knee-Training Device Compared to Isokinetic Testing.Open access journal of sports medicine · 2020Article
- Current clinical utilisation of wearable motion sensors for the assessment of outcome following knee arthroplasty: a scoping review.BMJ open · 2019Article
- Validation of a Novel Device for the Knee Monitoring of Orthopaedic Patients.Sensors (Basel, Switzerland) · 2019Article
- The correlation between activity level, serum-ion concentrations and pseudotumours in patients with metal-on-metal hip articulations and metal-on-polyethylene total hip articulations.Journal of orthopaedic translation · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose and hypothesisThe purpose of this study was to 'objectively' measure improvement of physical activity with the use of an activity monitor between patients who followed an enhanced recovery- or outpatient surgery pathway after total knee arthroplasty (TKA). It was hypothesized that both pathways will have comparable physical activity after TKA at 6-week follow-up.
methodsThis prospective observational comparative case study was designed to investigate activity parameters (e.g. physical activity, number of steps, sit-stand transfers) of two different pathways after 6 weeks with the use of a non-invasive triaxial accelerometer activity monitor. This study included 20 patients with a mean age of 65.5 years (SD 6.1) undergoing TKA who were allocated to follow one of the two pathways: enhanced recovery (n = 10) or outpatient surgery (n = 10). Patients were monitored for 4 days pre-, 4 days during and 4 days after 5 weeks postoperatively. Patient-reported outcome measures (PROMs) and range of knee motion were obtained pre- and 6 weeks postoperatively.
resultsThe activity parameters recovered steeply during the first 4 postoperative days and continued to improve within both pathways (n.s.). Preoperative and during the first 4 days and 5 weeks postoperative, activity parameters were comparable (n.s.) between both pathways but did not reach preoperative levels of physical activity and range of motion (n.s.). PROMs improved within each pathway, and no difference between both pathways was observed (n.s.).
conclusionsThis study demonstrates that the early physical activity parameters of patients after TKA, following the outpatient surgery pathway, were similar to patients who followed the standard enhanced recovery pathway. The activity monitor is an added value for a more detailed and objective analysis of the physical performance in patients after TKA. LEVEL OF EVIDENCE: III.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.