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NCT07598539NARecruiting

Knee Replacement Rehabilitation Care Pathways

University of Pittsburgh

Start Date

10/1/2026

Completion Date

6/30/2027

Summary

Previous research has shown that use of rehabilitation (including physical therapy) and the recovery of function after knee replacement surgery may differ depending on patients' race, sex, income or insurance, and geographic location. In this study, the investigators will develop and test a new care pathway for knee replacement rehabilitation that is designed to maximize functional recovery for all patients and reduce differences between different groups of patients. Findings from this project will lead to improved rehabilitation quality after knee replacement surgery.

Detailed Description

In previous work, the investigators used quantitative and qualitative data to identify sociodemographic disparities in physical function and use of rehabilitation following total knee arthroplasty (TKA), or knee replacement surgery. The investigators also identified patient and provider impressions regarding areas of the post-TKA rehabilitation pathway and recommendations for improvements. Based on all of this information, the investigative team has developed a newly-optimized rehabilitation care pathway and will pilot test this approach in this study.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * scheduled to receive unilateral TKA surgery at a University of Pittsburgh Medical Center hospital * plans to utilize UPMC Home Health and/or UPMC Rehab Institute for home health and/or outpatient rehabilitation post-operatively Exclusion Criteria: * does not undergo planned surgery * does not receive any post-TKA rehabilitation at UPMC facilities

Interventions

BEHAVIORAL

TKA Journey - patient education

OTHER

Optimized Rehab Scheduling

BEHAVIORAL

Usual Rehab

BEHAVIORAL

Physical Therapist reminders

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Conditions

Knee Replacement, Total

Locations

University of Pittsburgh

Pittsburgh, Pennsylvania 15219

United States