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Intelligent cloud platform follow-up model improves joint range of motion and reduces follow-up costs after total knee arthroplasty: A retrospective cohort study
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Shangwei YU1, Ke ZENG1, Ran XIONG2, Liming LIU3, Lin GUO1
Journal of Army Medical University | 2025, 47(22) : 2763 - 2773
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Journal of Army Medical University | 2025, 47(22): 2763-2773
• Clinical Medicine •
Intelligent cloud platform follow-up model improves joint range of motion and reduces follow-up costs after total knee arthroplasty: A retrospective cohort study
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Shangwei YU1, Ke ZENG1, Ran XIONG2, Liming LIU3, Lin GUO1
Affiliations
  • 1Center of Sports Medicine, Chongqing,China
  • 2Center of Joint Surgery,First Affiliated Hospital,Army Medical University (Third Military Medical University),Chongqing, Chongqing,China
  • 3Department of Orthopedics,Jiangbei Branch of First Affiliated Hospital of Army Medical University (Third Military Medical University),No. 958 Hospital of PLA Army, Chongqing,China
Published: 2025-11-30 doi: 10.16016/j.2097-0927.202508049
Outline
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Objective

To determine whether an intelligerct cloud platform follow-up model demonstrates superiority over conventional methods in enhancing follow-up quality, reducing costs, and improving functional recovery following total knee arthroplasty(TKA).

Methods

A retrospective cohort study was conducted on 260 patients undergoing TKA at our hospital from October 2022 to September 2023. According to the different postoperative follow-up methods, they were divided int a cloud platform group (n=130) and a traditional group (n=130). The baseline data, pre- and postoperative knee function scores, and follow-up costs were collected and compared between the 2 groups.

Results

The cloud platform group exhibited significantly higher rate of follow-up satisfaction, reduced resource utilization, shorter per-follow-up duration, fewer accompanying persons per visit, lower total follow-up expenditures, and decreased cumulative follow-up time when compared with the traditional group (P<0.05). At 6 weeks, 3, 6, and 12 months postoperatively, better range of motion (ROM) was observed in the cloud-based group than the traditional group (P<0.05), but no intergroup differences were seen in other knee function scores.

Conclusion

Cloud platform follow-up enhances early postoperative ROM (6 weeks to 12 months) and demonstrates marked cost-effectiveness when compared to the conventional mode. It represents a viable alternative for post-TKA rehabilitation surveillance.

osteoarthritis  /  arthroplasty,replacement,knee  /  telemedicine  /  digital health
余尚委, 曾科, 熊然, 刘力铭, 郭林. 智能云平台随访模式可改善全膝关节置换术后关节活动度并降低随访成本:一项回顾性队列研究. 陆军军医大学学报, 2025 , 47 (22) : 2763 -2773 . DOI: 10.16016/j.2097-0927.202508049
Shangwei YU, Ke ZENG, Ran XIONG, Liming LIU, Lin GUO. Intelligent cloud platform follow-up model improves joint range of motion and reduces follow-up costs after total knee arthroplasty: A retrospective cohort study[J]. Journal of Army Medical University, 2025 , 47 (22) : 2763 -2773 . DOI: 10.16016/j.2097-0927.202508049
Year 2025 volume 47 Issue 22
18
7
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Article Info
doi: 10.16016/j.2097-0927.202508049
  • Receive Date:2025-08-18
  • Online Date:2026-10-30
  • Published:2025-11-30
Article Data
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History
  • Received:2025-08-18
  • Revised:2025-11-13
Affiliations
    1Center of Sports Medicine, Chongqing,China
    2Center of Joint Surgery,First Affiliated Hospital,Army Medical University (Third Military Medical University),Chongqing, Chongqing,China
    3Department of Orthopedics,Jiangbei Branch of First Affiliated Hospital of Army Medical University (Third Military Medical University),No. 958 Hospital of PLA Army, Chongqing,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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