Analysis of Wheeled Knee Walker Use following Foot and Ankle Surgery or Injury

Yeoh, Jane; Ruta, David J.; Murphy, G. Andrew; Richardson, David R.; Ishikawa, Susan N.; Grear, Benjamin J.; Bettin, Clayton C.; Smith, Richard A.

doi:10.1053/j.jfas.2021.04.001

Cited by 3 publications

(11 citation statements)

References 9 publications

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“…Three studies have reported that the prevalence of postoperative knee scooter–related falls ranges from 25 to 44%. 102 , 108 , 111 The prevalence of knee scooter–related injuries in a prospective cohort study was found to be 15%, and on average these injuries prolonged recovery by 7 weeks. 102 Injuries in another study included a rotator cuff tear requiring surgery, wound dehiscence, knee and hand lacerations, bruised ribs, and severe fright.…”

Section: Presentation: Common Physical Impairments and Psychological ...mentioning

confidence: 99%

“… 73 Despite the apparent risk associated with knee scooter use, patients report very high satisfaction scores and continue to prefer knee scooters over conventional ambulatory aids. 88 , 102 , 111 There have been no studies investigating the effect of preoperative physical therapy, ambulatory aid training, patient education or other preventative strategies on fall risk after foot and ankle surgery. To this end, most patients in one study reported receiving no instruction or education on the proper use of knee scooters.…”

Section: Presentation: Common Physical Impairments and Psychological ...mentioning

confidence: 99%

“…To this end, most patients in one study reported receiving no instruction or education on the proper use of knee scooters. 111 …”

Section: Presentation: Common Physical Impairments and Psychological ...mentioning

confidence: 99%

“…Noncompliance rate with postoperative weightbearing restrictions has been reported to be 27.5%, 19 which may lead to suboptimal recovery and possible complications. 102 , 111 Knee scooters are associated with reported prevalence of falls and associated injury as high as 44% 111 and 15%, 102 respectively, and knee scooter–related injuries prolong recovery by an average of 7 weeks. 102 Gait training using ambulatory aids, such as canes, crutches, walkers, knee scooters, hands-free walking crutches, and other assistive devices should be included as a part of preoperative patient education for those with anticipated weightbearing restrictions.…”

Section: Treatment: Prehabilitation For Patients Undergoing Elective ...mentioning

confidence: 99%

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Prehabilitation for Patients Undergoing Elective Foot and Ankle Surgery: A Contemporary Review

Rhim,

Schon,

et al. 2024

Foot & Ankle Orthopaedics

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Section: Presentation: Common Physical Impairments and Psychological ...mentioning

confidence: 99%

Section: Presentation: Common Physical Impairments and Psychological ...mentioning

confidence: 99%

“…To this end, most patients in one study reported receiving no instruction or education on the proper use of knee scooters. 111 …”

Section: Presentation: Common Physical Impairments and Psychological ...mentioning

confidence: 99%

Section: Treatment: Prehabilitation For Patients Undergoing Elective ...mentioning

confidence: 99%

See 2 more Smart Citations

Prehabilitation for Patients Undergoing Elective Foot and Ankle Surgery: A Contemporary Review

Rhim,

Schon,

et al. 2024

Foot & Ankle Orthopaedics

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“…One prospective crossover study compared an OKS to axillary crutches, showing that 88% of patients preferred utilizing an OKS over crutches [ 3 ]. Additionally, a retrospective descriptive study analyzed patient satisfaction with the use of an OKS where 85% of patients were satisfied compared to 13% that were dissatisfied [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Orthopaedic knee scooter-related injury: prevalence and patient safety perception in a prospective cohort with exploratory risk factor analysis

Walsh,

Hsiao,

Rosevear

et al. 2023

J Orthop Surg Res

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Background There is a paucity of research investigating the harms associated with orthopaedic knee scooter (OKS) use and patient safety perceptions. This prospective study aimed to define the prevalence of OKS-related injuries, describe the patient perceptions of OKS safety, and identify potential risk factors. Methods This study was conducted at a single foot and ankle fellowship-trained surgeon’s community-based clinic from 6/2020 to 4/2021 and enrolled 134 patients. Our primary outcome was an OKS-related event (injury or fall) and informed an a priori power analysis. Point estimate of association magnitude was calculated as an odds ratio (OR) for statistically and clinically significant associations. Results There were 118 (88%) patients eligible for analysis; fourteen enrolled patients did not use OKS, and two withdrew. The prevalence of patient falls was 37% (44/118), and the prevalence of patient injury was 15% (18/118). Four percent of patients would not recommend OKS and 8% would not use an OKS again. Sedentary lifestyle increased risk (OR = 4.67, 1.52–14.35 95 CI) for OKS-related injury. Conclusions Despite a high prevalence of patient falls (37%), there is a low prevalence of injury (15%) and a favorable perception of OKS safety. Sedentary lifestyles may be a risk factor for OKS-related injury and should be considered in the development of a risk model.

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Quality of life and patient satisfaction after the provision of an orthopedic knee scooter

Clas,

Ehrnthaller,

Herrmann

et al. 2024

Deutsches Ärzteblatt International

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Analysis of Wheeled Knee Walker Use following Foot and Ankle Surgery or Injury

Cited by 3 publications

References 9 publications

Prehabilitation for Patients Undergoing Elective Foot and Ankle Surgery: A Contemporary Review

Prehabilitation for Patients Undergoing Elective Foot and Ankle Surgery: A Contemporary Review

Orthopaedic knee scooter-related injury: prevalence and patient safety perception in a prospective cohort with exploratory risk factor analysis

Quality of life and patient satisfaction after the provision of an orthopedic knee scooter

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