Nurse-Led Telehealth vs In-Person Follow-Up After Total Knee Replacement
A Randomized Controlled Trial of Nurse-Led Telehealth Versus In-Person Consultations in Detecting Complications and Improving Recovery After Total Knee Replacement
Hospital Authority, Hong Kong
98 participants
Sep 10, 2025
INTERVENTIONAL
Conditions
Summary
Brief Summary The goal of this clinical trial is to learn if nurse-led telehealth consultations can help detect complications and support recovery after total knee replacement surgery. The study will compare telehealth nursing consultations to traditional in-person nursing visits. The main questions it aims to answer are: * Can nurse-led telehealth detect post-surgery complications as well as or better than in-person consultations? * Does telehealth nursing support better or equivalent recovery outcomes and patient satisfaction compared to in-person care? Participants will: * Be adults who had their first total knee replacement surgery. * Receive follow-up care either through telehealth consultations using the HA Go mobile app or through traditional face-to-face nurse visits in the outpatient clinic. * Attend scheduled consultations and provide information about their recovery and any complications they experience. * Complete surveys about their satisfaction with the care they receive. This study will help determine if telehealth nursing consultations can provide safe, effective, and convenient follow-up care for patients after knee replacement surgery, potentially improving access and reducing travel burdens.
Eligibility
Inclusion Criteria7
- Adults aged 18 years or older
- Undergoing their first total knee replacement surgery
- Within 4 weeks after surgery
- Medically stable for discharge and suitable for home-based follow-up care
- Have access to a smartphone and internet (for telehealth participants)
- Able to communicate effectively in Cantonese
- Provide informed consent to participate in the study
Exclusion Criteria6
- Undergoing bilateral or revision total knee replacement surgery
- Require immediate or intensive medical attention post-surgery (e.g., severe infection, hospitalization over 7 days)
- Have severe systemic disease (ASA physical status classification III or higher)
- Lack the technical ability or resources to participate in telehealth consultations
- Unable to communicate effectively in Cantonese
- Undergoing surgeries other than first-time total knee replacement
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Interventions
Participants receive scheduled postoperative nursing consultations delivered remotely via the HA Go mobile application, a secure, hospital-approved telehealth platform. Consultations occur approximately two weeks after total knee replacement surgery, with additional sessions arranged as clinically needed within the first month post-surgery. Each telehealth session lasts about 20 to 30 minutes and includes assessment of recovery progress, monitoring for complications, patient education, and guidance on rehabilitation exercises. Patients receive technical support to facilitate effective use of the telehealth platform. This intervention leverages virtual care technology to provide convenient, accessible nursing follow-up without requiring in-person clinic visits.
Participants receive scheduled postoperative nursing consultations in person at the Specialist Outpatient Department. Each consultation lasts approximately 20 to 30 minutes and includes physical assessment, monitoring for complications, patient education, and rehabilitation guidance. Follow-up visits are typically scheduled two weeks after total knee replacement surgery, with additional visits as clinically indicated. This intervention represents standard postoperative nursing care delivered face-to-face.
Locations(1)
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NCT07058623