Achilles Tendon Surgery From The Perspective Of Patients: an Instagram Study

Öz

Aim: The use of social media, especially Instagram, has become widespread in the medical field. The aim of this study was to evaluate Achilles tendon surgery from patients' perspectives by examining public posts on Instagram. Material and Methods: A retrospective analysis was made of the Instagram posts of patients with the hashtags #achillestendonsurgery and #achillestendonrepair between December 2018 and October 2021. In total, 234 posts (181 photographs, 53 videos) were evaluated and compared in terms of gender, sharing format (video, photo), sharing tone (negative, positive, neutral), content (activities of daily living, rehabilitation, cast/brace, hospital room, surgical site), country and popularity (the number of views for videos, the number of likes for photographs). Results: Posts in video format and a positive tone, posts on the rehabilitation process, and posts about male patients were found to have higher numbers of likes and views than other posts. The content of the shares were respectively; activity of daily living 36.8%(n=86), physical therapy 29.9%(n=70), cast/brace 20.1%(n=47), surgical site 7.7%(n=18), and hospital room 5.6%(n=13). The media tone of the posts was 40.2%(n=94) positive, 6.4%(n=15) negative, and 53.4%(n=125) neutral. Conclusions: Patients avoided making negative posts on their Instagram after Achilles tendon surgery, and often shared experiences of postoperative rehabilitation processes and daily living activities.

Anahtar Kelimeler

• social media
• Instagram
• Physical therapy
• achilles tendon

Hasta Perspektifinden Aşil Tendon Cerrahisi: Bir Instagram Çalışması

Öz

Amaç: Sosyal medyanın özellikle de instagramın, tıp alanında yaygın olarak kullanılmaya başlamıştır. Bu çalışmanın amacı, Instagram'daki herkese açık paylaşımları incelemek ve aşil tendon cerrahisini hastaların bakış açısıyla değerlendirmektir. Yöntemler: Aralık 2018 ve Ekim 2021 tarihleri arasında, #achillestendonsurgery ve #achillestendonrepair etiketleri kullanılarak, hastaların Instagram gönderileri, geriye dönük olarak analiz edildi. Toplam 234 gönderi (181 fotoğraf, 53 video) cinsiyet, biçim (video, fotoğraf), paylaşım tonu (olumsuz, olumlu, nötr), içerik (günlük yaşam aktivitesi, rehabilitasyon, alçı/korse, hastane odası, cerrahi alan), ülke ve popülerlik (videoların görüntülenme sayısı ve fotoğrafların beğeni sayısı) açısından değerlendirilmiştir. Bulgular: Video formatındaki ve pozitif tondaki paylaşımların, rehabilitasyon süreci ile ilgili paylaşımların ve erkek hastalara ait paylaşımlarının diğer paylaşımlara göre daha fazla beğeni ve izlenme aldığı tespit edildi. Paylaşımların içeriği sırasıyla; günlük yaşam aktivitesi %36,8(n=86), fizik tedavi %29,9(n=70), alçı/breys %20,1(n=47), ameliyat yeri %7,7(n=18), hastane odası %5,6(n)=13) idi. Gönderilerin medya tonu %40,2(n=94) olumlu, %6,4 (n=15) olumsuz ve %53,4(n=125) nötrdü. Sonuçlar: Hastalar aşil tendonu ameliyatından sonra Instagram'da olumsuz paylaşımlar yapmaktan kaçınmışlardır. Ameliyat sonrası rehabilitasyon süreçleri ve günlük yaşam aktivitelerine ilişkin deneyimlerini sıklıkla paylaşmışlardır.

Anahtar Kelimeler

• sosyal medya
• fizyoterapi
• aşil tendonu
• instagram

Kaynakça

1. 1. Khalil LS, Jildeh TR, Tramer JS. et al. Effect of Achilles Tendon Rupture on Player Performance and Longevity in National Basketball Association Players. Orthop J Sports Med. 2020 Nov 30;8(11):2325967120966041. doi: 10.1177/2325967120966041.
2. 2. Liles J, Adams SB Jr. Management of Complications of Achilles Tendon Surgery. Foot Ankle Clin. 2019 Sep;24(3):447-457. doi: 10.1016/j.fcl.2019.04.008.
3. 3. Cao S, Teng Z, Wang C, Zhou Q, Wang X, Ma X. Influence of Achilles tendon rupture site on surgical repair outcomes. J Orthop Surg (Hong Kong). 2021 JanApr;29(1):23094990211007616. doi: 10.1177/23094990211007616.
4. 4. Maempel JF, Clement ND, Wickramasinghe NR, Duckworth AD, Keating JF. Operative repair of acute Achilles tendon rupture does not give superior patient-reported outcomes to nonoperative management. Bone Joint J. 2020 Jul;102-B(7):933-940. doi: 10.1302/0301-620X.102B7.BJJ-2019-0783.R3.
5. 5. Czarkowska M, Gumkowska A. Facebook, Twitter, Instagram, Pinterest–nowe perspektywy badawcze. Adeptus. 2017(10).doi: https://doi.org/10.11649/a.1519
6. 6. Wong XL, Liu RC, Sebaratnam DF. Evolving role of Instagram in #medicine. Intern Med J. 2019 Oct;49(10):1329-1332. doi: 10.1111/imj.14448.
7. 7. Ramkumar PN, La T Jr, Fisch E. Et al. Integrating Social Media and Anterior Cruciate Ligament Surgery: An Analysis of Patient, Surgeon, and Hospital Use. Arthroscopy. 2017 Mar;33(3):579-585. doi: 10.1016/j.arthro.2016.08.021.
8. 8. Haeberle HS, Bartschat NI, Navarro SM.et al. Hip Arthroscopy: A Social Media Analysis of Patient Perception. Orthop J Sports Med. 2019 Jun 18;7(6):2325967119854188. doi: 10.1177/2325967119854188.

9. 9. Ramkumar PN, Navarro SM, Cornaghie MM. et al. Social Media in Shoulder & Elbow Surgery: An Analysis of Twitter and Instagram. Int J Sports Med. 2018 Jul;39(7):564-570. doi: 10.1055/s-0043-124369.
10. 10. Ramkumar PN, Navarro SM, Haeberle HS, Chughtai M, Flynn ME, Mont MA. Social Media and Total Joint Arthroplasty: An Analysis of Patient Utilization on Instagram. J Arthroplasty. 2017 Sep;32(9):2694-2700. doi: 10.1016/j.arth.2017.03.067.
11. 11. Rizkalla JM, Lines T, Daoud Y, Zide J. Instagram and Pilon Fractures: An Analysis of Social Media and Its Relationship to Patient Injury Perception. Foot Ankle Spec. 2022 Feb;15(1):43-49. doi: 10.1177/1938640020940837.
12. 12. Agarwal N, Rahman A, Jacobs R. et al. Patient perception of scoliosis correction surgery on Instagram. Neurosurg Focus. 2021 Nov;51(5):E6. doi: 10.3171/2021.8.FOCUS201015.
13. 13. Holm C, Kjaer M, Eliasson P. Achilles tendon rupture--treatment and complications: a systematic review. Scand J Med Sci Sports. 2015 Feb;25(1):e1-10. doi: 10.1111/sms.12209.
14. 14. Beier M, Früh S. Technological, Organizational, and Environmental Factors Influencing Social Media Adoption by Hospitals in Switzerland: Cross-Sectional Study. J Med Internet Res. 2020 Mar 9;22(3):e16995. doi: 10.2196/16995.
15. 15. Ramkumar PN, Navarro SM, Haeberle HS. et al. Cellular therapy injections in today's orthopedic market: A social media analysis. Cytotherapy. 2017 Dec;19(12):1392-1399. doi: 10.1016/j.jcyt.2017.08.006.