VIDEO: Improved walking asymmetry after TJA may be linked to better quality of life
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Key takeaways:
- Improved walking asymmetry may be associated with patient-reported changes in quality of life after total joint arthroplasty.
- Smartphone applications may be an ideal way to collect patient-reported outcomes.
DALLAS — In this video, Adolph V. Lombardi Jr., MD, discusses results that showed a significant association between improvements in walking asymmetry with patient-reported changes in quality of life 1 year after total joint arthroplasty.
In a retrospective study of data for patients who underwent total hip (n = 422) and knee (n = 958) arthroplasty, Lombardi and colleagues found a correlation between changes in asymmetry — collected with a smartphone application — with changes in the EuroQol-5D-5L at 3 and 6 months postoperatively. Results also showed a correlation between changes in walking asymmetry and changes in Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement at 3, 6 and 12 months and changes in Knee injury and Osteoarthritis Outcome Score for Joint Replacement at 3 and 6 months.
According to Lombardi, these results show use of a smartphone application may be a promising way for surgeons to collect preoperative and postoperative patient-reported outcome measures (PROMs), which will be ideal when CMS mandates collection of PROMs.
“This type of [smartphone] application may help us get [PROMs] if we could have CMS accept the fact that evaluating patients’ walking ability, walking asymmetry could indeed be looking at their PROMs,” Lombardi, president of JIS Orthopedics, told Healio.
He added, “We do have implantable tracking devices that we could simply turn on at 1 year and perhaps get this information. We are trying to work down that path to see if we can get the data to show the payers that these devices are beneficial.”
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Lombardi AV Jr., et al. Poster 206. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 7-10, 2024; Dallas.
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