Fall Prevention in Total Knee Replacement Patients

The Effect Of Algorithm-Guided Care Provided To Total Knee Prosthesis Patients On Fall And Recovery: Randomized Controlled Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06977529

Enrollment

Registered

2025-05-18

Start date

2024-01-20

Completion date

2024-06-20

Last updated

2025-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Total Knee Arthroplasty

Keywords

ALGORİTHM, FALL, PATİENT SAFETY, TOTAL KNEE ARTHROPLASTY

Brief summary

Falls, one of the patient safety goals, lead to injury and death if not prevented. This study was conducted to determine the effect of algorithm-guided care on falling, fear of movement, fear of falling and postoperative recovery index for patients with total knee replacement surgery at high risk of falling. The research was conducted as a randomized, controlled and experimental study in the orthopedic clinics of a city hospital and a state hospital between 20.01.2024 and 04.06.2024. The sample of the study consisted of 56 patients who would undergo total knee replacement surgery with a high risk of falling. The patients were divided into two groups: experimental (n=28) and control (n=28) groups. Patient Questionnaire, Postoperative Recovery Index (ASII), Tampa Kinesiophobia Scale (TKÖ), International Fall Effectiveness Scale (UDES) were applied to all patients participating in the study. The Fall Prevention Algorithm prepared by the researchers was applied to the experimental group patients.

Interventions

BEHAVIORALAlgorithm; Algorithm-based maintenance created by researchers:such as falls training, early mobilization

The Fall Prevention Algorithm prepared by the researchers was applied to the experimental group patients.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Having a unilateral total knee replacement surgery for the first time, * Not having a psychiatric illness diagnosis, * Being able to speak and understand Turkish, * Being willing to participate in the research.

Exclusion criteria

* Patients who will undergo emergency surgery, * Have hearing and speech problems, * Have visual impairment, * Have conditions that may affect cognitive functions

Design outcomes

Primary

Measure	Time frame	Description
FALL	Perioperative period , Within 30 days after surgery.	Patients' fall status will be recorded by asking questions in the Patient Questionnaire Form.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026