Construction and Application of the Whole Course Management Scheme for Knee Arthroscopic Ligament Surgery Patients Based on "Internet +"

NCT07362849 | Not Yet Recruiting

• 1 other identifier: KY-2025-154
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

On the basis of the conventional diagnosis and treatment mode, the experimental group added an application program for closed-loop management of the entire course of the disease. Within 24 hours of admission, orthopedic specialist nurses conducted personal evaluations of patients, mainly observing their level of importance for postoperative functional exercise, compliance with patients and their families, intention towards the application program, setting personalized goals, providing health guidance, and improving patients' awareness of rehabilitation needs. Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management. During home stay, orthopedic specialist nurses and rehabilitation therapists conduct weekly assessments of exercise compliance and functional status in patient uploaded videos. Motivational measures are taken for patients with high cooperation to promote goal achievement. Patients with negative and fatigue attitudes seek professional psychological counseling and provide successful rehabilitation cases to enhance patient confidence. Patients who have doubts during the rehabilitation period outside the hospital can apply the "online information sending mode, online consultation+offline service" in the program. Nurses can help patients register and authenticate, teach them how to use "Zhe Li Nursing Home Service" and place orders online. Orthopedic specialist nurses or rehabilitation therapists can contact the supervising doctor to communicate the patient's needs and provide relevant nursing and rehabilitation technical services on-site. The management backend has functions such as full process traceability of service behavior, workload analysis, and nurse service evaluation. It regularly updates disease-related knowledge within the program, perioperative health education, postoperative functional exercise and intervention measures, and regular functional exercise time reminders. Multi terminal collaboration implements information system integration, establishes a complete electronic health record, and forms a closed-loop management mode throughout the process.

Conditions

Patients Undergoing Knee Arthroscopic Ligament Surgery

Keywords

Construction and application of "Internet plus" full course management model in patients undergoing knee arthroscopic ligament surgery

Outcome Measures

Primary Outcomes (1)

• Report on the measurement of knee flexion range of motion (ROM) values for patients treated with knee arthroscopy

  Use a medical protractor to measure, instruct the patient to lie flat and actively/passively flex to the maximum angle of the knee joint, align the medical protractor with the lateral femoral condyle of the knee joint, align the fixed arm with the longitudinal axis of the femur, and move the measuring arm with the longitudinal axis of the tibia. Record the measurement angle, active range of motion AROM, and passive range of motion PROM

  12 weeks

Secondary Outcomes (1)

• Evaluate daily functional status using Lysholm score after knee arthroscopy treatment

  12 weeks

Other Outcomes (2)

• Evaluate the high and low levels of relevant participants based on the rehabilitation function exercise compliance scale

  12weeks

• Evaluate the quality of life level of relevant participants based on the quality of life questionnaire scale

  12weeks

Study Arms (2)

The control group patients were treated and managed using conventional diagnosis and treatment metho

EXPERIMENTAL

On the basis of the conventional diagnosis and treatment mode, the experimental group added an application program for closed-loop management of the entire course of the disease. Within 24 hours of admission, orthopedic specialist nurses conducted personal evaluations of patients, mainly observing their level of importance for postoperative functional exercise, compliance with patients and their families, intention towards the application program, setting personalized goals, providing health guidance, and improving patients' awareness of rehabilitation needs. Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management. During home stay, orthopedic specialist nurses and rehabilitation therapists conduct weekly assessments of exercise compliance and functional status i

Behavioral: Added applications for closed-loop management of the entire disease course

Control Group

NO INTERVENTION

The control group patients were treated and managed using conventional diagnosis and treatment methods, followed up by telephone calls and follow-up questionnaire surveys for intervention. Routine discharge guidance includes medication guidance, exercise guidance, dietary guidance, and psychological guidance. It guides patients on the precautions, intervention measures, and follow-up time for self-management at home after discharge. Patients are followed up once a month by phone or in person, and questionnaire data is collected during follow-up visits.

Interventions

Added applications for closed-loop management of the entire disease course BEHAVIORAL

Teach patients to proficiently use the program's educational video viewing function, function exercise video classification query, upload function exercise videos, view medical feedback, and pay attention to questionnaire filling for in-hospital and post hospital health management.

The control group patients were treated and managed using conventional diagnosis and treatment metho

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Orthopedic knee arthroscopic ligament surgery patients; Age range: 18-60 years old; Informed consent from participants in this study; Internet is available at home, and patients and their families can skillfully use mobile WeChat and other functions.

You may not qualify if:

• Those who give up halfway or have difficulty cooperating to complete the exercise; I am currently participating in other clinical trials that may have an impact on this study; Having a clear history of mental illness and epilepsy in the past; Postoperative complications such as fractures and rheumatoid arthritis (such as thrombosis or osteomyelitis) are present; Lower extremity deep vein thrombosis;

Sponsors & Collaborators

• The Fourth Affiliated Hospital of Zhejiang University School of Medicine: lead

Related Publications (6)

• Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med. 2009 May;37(5):890-7. doi: 10.1177/0363546508330143. Epub 2009 Mar 4.

  PMID: 19261899 BACKGROUND

• Li Y, Gu Z, Ning R, Yin H. Study on the effect of internet plus continuous nursing on functional recovery and medication compliance of patients with knee joint replacement. J Orthop Surg Res. 2023 Jun 11;18(1):424. doi: 10.1186/s13018-023-03907-1.

  PMID: 37303038 BACKGROUND

• Backer HC, Wu CH, Schulz MRG, Weber-Spickschen TS, Perka C, Hardt S. App-based rehabilitation program after total knee arthroplasty: a randomized controlled trial. Arch Orthop Trauma Surg. 2021 Sep;141(9):1575-1582. doi: 10.1007/s00402-021-03789-0. Epub 2021 Feb 6.

  PMID: 33547927 BACKGROUND

• [13]MA Z L, HUANG Y G, GU X P, et al. Expert consensus on anethesia management of enhanced recovery after adult ambulatory surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 562-569. Chinese

  BACKGROUND

• Jones D, Duffy ME, Flanagan J. Randomized clinical trial testing efficacy of a nurse-coached intervention in arthroscopy patients. Nurs Res. 2011 Mar-Apr;60(2):92-9. doi: 10.1097/NNR.0b013e3182002e46.

  PMID: 21358373 BACKGROUND

• Bowman EN, Limpisvasti O, Cole BJ, ElAttrache NS. Anterior Cruciate Ligament Reconstruction Graft Preference Most Dependent on Patient Age: A Survey of United States Surgeons. Arthroscopy. 2021 May;37(5):1559-1566. doi: 10.1016/j.arthro.2021.01.042. Epub 2021 Feb 1.

  PMID: 33539983 BACKGROUND

Central Study Contacts

lifang li shao

CONTACT

0086+13757195875; 850799313@zju.edu.cn

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 11, 2025
• First Posted: January 23, 2026
• Study Start: January 1, 2026
• Primary Completion (Estimated): December 30, 2026
• Study Completion (Estimated): December 30, 2027
• Last Updated: January 23, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share