Nurse-led telehealth versus in-person follow-up after total knee replacement
Official title: A Randomized Controlled Trial of Nurse-Led Telehealth Versus In-Person Consultations in Detecting Complications and Improving Recovery After Total Knee Replacement
Run by Hospital Authority, Hong Kong · NCT07058623 · Data updated 2026-11-12
This study will test whether nurse-led telehealth visits using a mobile app can catch complications and support recovery as well as in-person nurse visits for adults after their first total knee replacement.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 98 (estimated) |
| Sponsor | Hospital Authority, Hong Kong Government |
| Locations | 1 site (Hong Kong) |
| Status | Recruiting |
| Started | September 10, 2025 |
| Main results expected | February 28, 2026 |
| Study ends | June 30, 2026 |
| Registry record updated | January 5, 2026 |
| Trial ID | NCT07058623 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older who had their first total knee replacement, are medically stable for home follow-up within four weeks of surgery, can communicate in Cantonese, and have a smartphone and internet access are ideal candidates.
✕Probably not a fit
Patients undergoing bilateral or revision procedures, those with severe systemic disease (ASA III or higher), prolonged hospitalization or immediate intensive post-op needs, or those without Cantonese ability or telehealth resources are unlikely to benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial compares nurse-led telehealth consultations delivered via the HA Go mobile app with standard in-person nursing follow-up after first-time total knee replacement. Adults within four weeks of uncomplicated discharge who can communicate in Cantonese and have a smartphone are randomized to scheduled remote or clinic visits, with nurses collecting symptom reports and recovery information. Outcomes include detection of post-surgical complications, recovery measures, and patient satisfaction collected through clinical assessment and surveys. The study is conducted at Tseung Kwan O Hospital and focuses on feasibility and clinical effectiveness of a nurse-led telehealth model in the orthopedic post-operative setting.
Why it matters
Potential benefit: If successful, nurse-led telehealth could reduce travel and logistical burden while allowing timely detection of problems and support for recovery after knee replacement.
How similar studies have gone: Physician-led telehealth follow-up after orthopedic surgery has shown promise in prior work, but nurse-led telehealth in the post-operative orthopedic setting is less well studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 18 years or older * Undergoing their first total knee replacement surgery * Within 4 weeks after surgery * Medically stable for discharge and suitable for home-based follow-up care * Have access to a smartphone and internet (for telehealth participants) * Able to communicate effectively in Cantonese * Provide informed consent to participate in the study Exclusion Criteria: * Undergoing bilateral or revision total knee replacement surgery * Require immediate or intensive medical attention post-surgery (e.g., severe infection, hospitalization over 7 days) * Have severe systemic disease (ASA physical status classification III or higher) * Lack the technical ability or resources to participate in telehealth consultations * Unable to communicate effectively in Cantonese * Undergoing surgeries other than first-time total knee replacement
Where it's running
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Tseung Kwan O Hospital
Hong Kong, Hong Kong Recruiting
Study contacts
- Study coordinator: King Sum Wong, ANC, RN, BSN, MScHSM
- Email: wks008@ha.org.hk
- Phone: +852 6385 5831
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.