{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:52:03Z","timestamp":1790009523692,"version":"4.0.1"},"reference-count":0,"publisher":"Annali Italiani di Chirurgia","issue":"10","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann. Ital. Chir."],"abstract":"<jats:p>AIM: Deep vein thrombosis (DVT) is acknowledged as the primary complication associated with tibial plateau fractures (TPFs), necessitating the implementation of preventive measures such as physical exercise. While ankle pump exercise (APE) is an effective preventive measure, challenges such as insufficient monitoring and a shortage of nursing staff have been identified. Therefore, our study aimed to evaluate the efficacy of the self-developed telemonitored APE compared to conventional APE. METHODS: The study was conducted in a randomized parallel-group design (Consolidated Standards of Reporting Trials (CONSORT)-compliant). We randomized 60 participants with TPFs into two groups for traditional APE (Group A) and telemonitored APE (Group B) separately. The study population was recruited from Zhejiang Hospital between December 2022 and June 2024. Evaluate the efficacy by four indices: diameter and flow velocity of the femoral vein and popliteal vein in the lower extremity, the increased value of postoperative calf diameter, visual analogue scale (VAS), and D-dimer. RESULTS: Following both telemonitored and traditional APE, statistically significant differences (p &lt; 0.05) were detected between the two groups in at least one assessment period. Group B showed significantly lower VAS than Group A on postoperative day 7 (p = 0.001) and day 14 (p &lt; 0.001). Group B had a lower D-dimer level on postoperative day 7 (p = 0.004). Group B showed a smaller calf diameter increment on day 7, p = 0.001). Group B had a significantly higher popliteal vein flow velocity after APE (p &lt; 0.001). CONCLUSIONS: The remote monitoring ankle pump system is more effective than traditional methods in reducing postoperative pain, improving venous hemodynamics, and reducing thrombotic risk indicators, demonstrating its significant clinical value in the prevention and rehabilitation of lower extremity deep vein thrombosis in patients with tibial plateau fractures. CLINICAL TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR2200065384).<\/jats:p>","DOI":"10.62713\/aic.4045","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T09:27:52Z","timestamp":1760088472000},"source":"Crossref","is-referenced-by-count":2,"title":["Digital Therapeutic Intervention for Venous Thromboembolism Prevention: Efficacy Evaluation of Telemonitored Ankle Pump System in Tibial Plateau Fracture Patients"],"prefix":"10.62713","volume":"96","author":[{"given":"Yanzhi","family":"Ge","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, 310030 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Xu","sequence":"additional","affiliation":[{"name":"First Clinical Medical College, Zhejiang Chinese Medical University, 310000 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juncai","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, 310030 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hangbo","family":"Qu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, 310030 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huanxiang","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, 310030 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuanliang","family":"Ru","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, 310030 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, 310030 Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"48935","published-online":{"date-parts":[[2025,9,23]]},"container-title":["Annali Italiani di Chirurgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/96\/10\/10.62713\/aic.4045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T06:25:36Z","timestamp":1760682336000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/96\/10\/10.62713\/aic.4045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,23]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025]]}},"alternative-id":["S0003-469X(25)00043-0"],"URL":"https:\/\/doi.org\/10.62713\/aic.4045","relation":{},"ISSN":["0003-469X","2239-253X"],"issn-type":[{"value":"0003-469X","type":"print"},{"value":"2239-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,23]]},"article-number":"1409"}}