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Conventional follow-up vs mobile app home monitoring for postoperative anterior cruciate ligament reconstruction patients: A randomized controlled trial

Arthroscopy Jun 17, 2020

Higgins J, Chang J, Hoit G, et al. - This study was undertaken to ascertain if a mobile app can decrease the requirement for in-person visits and analyze the resulting societal cost differences between mobile and conventional follow-up for postoperative anterior cruciate ligament (ACL) reconstruction patients. Researchers performed a single-center, 2-arm parallel group randomized controlled trial to screen patients who are undergoing ACL reconstruction aged 16 to 70 years for inclusion in the study. Individuals were allocated randomly to receive follow-up via a mobile app or conventional appointments. Analysis was intention-to-treat. The primary endpoint included the number of in-person visits to any health care professional during the first 6 postoperative weeks. Analysis of costs incurred by the health care system and personal patient costs related to both methods of follow-up were considered as secondary outcomes. They further examined patient-reported satisfaction and convenience scores, rates of complications, and clinical outcomes. This study's findings demonstrate that during the first 6 postoperative weeks, mobile follow-up can eliminate a significant number of in-person visits in patients undergoing ACL reconstruction with cost savings to both the patient and health care system. This technique should be recognized for dissemination among similar orthopaedic procedures during early postoperative care.

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