knee osteoarthritis
Conditions
Interventions
The preoperative doctor-patient communication model assisted by Deepseek:When dealing with the patients assigned to this group, the surgeon will first provide a detailed explanation of the patients cu
The traditional mode of doctor-patient communication before surgery:The preoperative discussion materials prepared by this department for patients about to undergo TKA surgery include the "TKA Brochur
Sponsors
Xi'an honghui Hospital
Eligibility
Sex/Gender
All
Age
45 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Age: 45 to 80 years old; 2. Diagnosis: Suffering from knee joint osteoarthritis (OA), with recurrent knee pain in the past month; 3. Symptoms: The average morning stiffness lasts less than 30 minutes, and there are occasional bone friction sounds; 4. Radiological criteria: The preoperative full-length standing X-ray shows a Kellgren-Lawrence grade of IV; 5. Insurance: Covered by employee or resident medical insurance; 6. Family support: When the consent is given before the surgery, family members under the age of 50 are present.
Exclusion criteria
Exclusion criteria: 1.Mental health: Presence of mental disorders; 2. Other pain: Main complaints are hip joint or lower back pain, or a history of total hip replacement; 3.Surgical history: History of lateral collateral ligament reconstruction of the knee joint or osteotomy of the distal femur or proximal tibia; 4.Physical condition: Body mass index (BMI) greater than 30 kg/m², muscle strength less than level III, use of wheelchair for more than 3 months; 5.Neuromuscular diseases: Post-polio sequelae, Parkinson's disease; 6.Cognitive impairment: Alzheimer's disease or brain atrophy; 7. Joint condition: Charcot joint, severe genu varum (>30°) or genu valgum deformity, joint deformity outside the joint (>10°); 8. Postoperative problems: Complications such as sterile prosthesis displacement, prosthesis-related fractures, infection or non-healing of the incision.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospital Anxiety and Depression Scale - Anxiety Subscale (HADS - A);Hospital Anxiety and Depression Scale - Depression Subscale (HADS-D);Perioperative Anxiety Scale - 7 (PAS-7);Visual Analogue Scale - Anxiety (VAS-A); | — |
Secondary
| Measure | Time frame |
|---|---|
| Western Ontario and McMaster Universities Osteoarthritis Index;Visual Analogue Scale - Pain (VAS-P);Single Item Overall Patient Satisfaction Questionnaire; | — |
Countries
China
Contacts
Public ContactZheng Li
Xi'an Honghui Hospital
Outcome results
None listed