Arthroplasty Complications, Fibrosis, Knee Joint Contracture
Conditions
Keywords
knee stiffness
Brief summary
This research aims to develop an optimal physiotherapy intervention for people with arthrofibrosis (stiffness due to scar tissue) after total knee replacement (TKR). We will develop an optimal intervention by conducting: 1. A review of the evidence to identify what components could be included in the intervention, how effective they are and what outcomes have been measured by the research. 2. Interviews with patients with arthrofibrosis to understand the impact it has on their life and what outcomes are important to them and interviews with healthcare professionals (HCPs) to understand their experiences of treating patients with arthrofibrosis. 3. A Delphi study with a larger group of HCPs and patients to reach a consensus on what the optimal intervention should include. This involves a series of anonymous voting on a range of items that have been generated by the group and the results of the evidence review. 4. A workshop with patients, HCPs and health-care commissioners to finalise the intervention. During the workshop we will present our findings and work in small groups to agree the intervention
Interventions
OTHERInterviews and Delphi Survey
no intervention delivered
Sponsors
King's College London
National Institute for Health Research, United Kingdom
University of Nottingham
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
for Patients: * adults (aged 18 and over) of any age who have undergone elective TKR with post- operative arthrofibrosis/stiffness who have undergone manipulation under anaesthetic (MUA) in the previous 24 months or are currently listed for a MUA. * Ability to give informed consent
Exclusion criteria
* Patients with neurological or blood disorders For HCP participants : * at least 5 years of experience working with joint arthroplasty including the management of patients with arthrofibrosis or 3 years in the case of orthopaedic surgeons.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative interviews with Patients and Healthcare Professionals | 12 months | we will conduct qualitative interviews with patients to explore (i) the experiences, important outcomes and unmet needs of patients; and with health care professionals (HCPs) to understand (ii) their experiences, perceptions and context of managing arthrofibrosis and (iii) their opinions on the intervention components identified in a systematic review of the evidence. |
| A Delphi survey with HCPs and patients to achieve consensus agreement on the most important components of an optimal intervention. | 6 months | We will conduct a modified Delphi exercise with a maximum of 4 rounds to agree consensus on (i) the essential components of the intervention and what are the important outcomes that should be collected for patients with arthrofibrosis . |
Countries
United Kingdom
Contacts
Primary ContactMichelle C Hall, PhD
Outcome results
None listed