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J Knee Surg 2025; 38(08): 386-392
DOI: 10.1055/a-2542-7427
Special Focus Section

Internet-Based Patient Portals Increase Patient Connectivity Following Total Knee Arthroplasty

James P. Henry 
1   Department of Orthopaedic Surgery, Huntington Hospital, Northwell Health, Huntington, New York
,
Pierre Tamer
2   Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York
,
Giles R. Scuderi
2   Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York
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Abstract

Many healthcare-related processes have undergone substantial transformation by the internet since the turn of the century. This technological revolution has fostered a fundamental shift from medical paternalism to patient autonomy and empowerment via a “patient-centric approach.” Patient portals, or internet-enabled access to an electronic medical record, permit patients to access, manage, and share their health-related information. Patient connectivity following total knee arthroplasty (TKA) has the potential to positively influence overall outcomes, patient experience, and satisfaction. To understand current trends in patient portal usage, modalities of connectivity, and the implications following TKA. A systematic literature review was performed by searching PubMed and Google Scholar. Articles specific to portal usage and connectivity after TKA or total joint arthroplasty were subsequently identified for further review. Patient portals and internet-based digital connectivity platforms enable physicians, team members, and patients to communicate in the perioperative period both directly and indirectly. Communication can be through web-based patient portals, messaging services/apps, preprogrammed alerts (e.g., mobile applications or wearable devices), audio mediums, or videoconferencing. The spectrum and utilization of available patient engagement platforms continues to expand as the importance and implications of patient engagement and connectivity continue to be elucidated. Connectivity through patient portals or other mediums will continue to have an expanding role in all aspects of orthopedic surgery, patient care, and engagement. This includes preoperative education, postoperative rehabilitation, patient care, and, perhaps most importantly, collection of outcome measures. The level of evidence is V (expert opinion).

Keywords

arthroplasty - total knee arthroplasty - patient connectivity - patient portals - digital divide


Publication History

Received: 05 January 2025

Accepted: 19 February 2025

Article published online:
01 April 2025

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