{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:32:55Z","timestamp":1792099975551,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the effectiveness of a six\u2010month home\u2010based telerehabilitation based on the Internet\u2010based rehabilitation management system coupled with conventional outpatient care in elderly patients with hip fractures following total hip replacement (THR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Elderly patients (aged over 65\u2009years) with first hip fractures who underwent THR between March 2018 and September 2018 in Tianjin Hospital were enrolled in this study. Patients were divided into two groups: telerehabilitation group (n\u00a0=\u00a043) and telephone group (n\u00a0=\u00a042). A Internet\u2010based telerehabilitation management system was established and applied on patients in the telerehabilitation group. For patients in the telephone group, the rehabilitation intervention was administered through conventional outpatient care (telephone along with outpatient follow\u2010up). Data from the Harris hip scale (HHS), functional independence measure (FIM), self\u2010rating anxiety scale (SAS), and postoperative complications at 1, 3, and 6\u2009months after surgery were collected and compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 85 elderly patients completed the 6\u2010month follow\u2010up assessment. Results showed that the HHS score was significantly higher in the telerehabilitation group than in the telephone group at 1\u2009month (66.35\u2009\u00b1\u20094.63 <jats:italic>vs<\/jats:italic> 63.48\u2009\u00b1\u20094.49), 3\u2009months (76.33\u2009\u00b1\u20094.52 <jats:italic>vs<\/jats:italic> 71.81\u2009\u00b1\u20093.84), and 6\u2009months (84.23\u2009\u00b1\u20093.13 <jats:italic>vs<\/jats:italic> 77.29\u2009\u00b1\u20094.95) after surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The FIM score was significantly higher in the telerehabilitation group than in the telephone group at 1\u2009month (89.00\u2009\u00b1\u20095.63 <jats:italic>vs<\/jats:italic> 73.35\u2009\u00b1\u20098.70), 3\u2009months (100.16\u2009\u00b1\u20094.56 <jats:italic>vs<\/jats:italic> 92.81\u2009\u00b1\u20095.17), and 6\u2009months (111.70\u2009\u00b1\u20093.13 <jats:italic>vs<\/jats:italic> 98.64\u2009\u00b1\u20095.12) after surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The SAS score was significantly lower in the telerehabilitation group than in the telephone group at 1\u2009month (42.40\u2009\u00b1\u20093.07 <jats:italic>vs<\/jats:italic> 46.21\u2009\u00b1\u20093.53), 3\u2009months (36.77\u2009\u00b1\u20092.26 <jats:italic>vs<\/jats:italic> 40.24\u2009\u00b1\u20091.66), and 6\u2009months (29.26\u2009\u00b1\u20091.63 <jats:italic>vs<\/jats:italic> 33.81\u2009\u00b1\u20092.62) after surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The overall complication rate was significantly lower in the telerehabilitation group than in the telephone group (14% <jats:italic>vs<\/jats:italic> 40.5%) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Internet\u2010based rehabilitation management system can not only promote the physical rehabilitation of patients, but also play a positive role in psychological rehabilitation and the prevention of complications, which provides new ideas and methods for clinical rehabilitation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13521","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T08:06:16Z","timestamp":1669795576000},"page":"423-431","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Clinical Effectiveness of <scp>Home\u2010Based<\/scp> Telerehabilitation Program for Geriatric Hip Fracture Following Total Hip Replacement"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-8731","authenticated-orcid":false,"given":"Wei\u2010yong","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Tianjin Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin\u2010guang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hip Trauma Tianjin Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9252-1756","authenticated-orcid":false,"given":"Yuan\u2010Yuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Tianjin Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Tianjin Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010guo","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Tianjin Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-013-1241-y"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12830"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13142"},{"key":"e_1_2_8_5_1","first-page":"99","article-title":"Longitudinal and axial stability of a cementless metaphyseal versus a fully porous coated cylindrical femoral stem","volume":"18","author":"Rivera VR","year":"2009","journal-title":"J Surg Orthop 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