3D Patient Education and Exercise for Safer Recovery
Custom-branded content delivered in 30 languages

Keith Krugh MS
Exercise Science and Health Promotion
Web & Mobile App Development
3D Animation
Reducing Complications & Re-hospitalizations
"1 in 5 Medicare patients re-admitted within 30 days, costing $17B annually."
Mastering Orthopedic Brace Use at Home
"Brace misuse has led to an 18% increase in 30-day re-hospitalizations."
Simplifying complex information with Anatomy visuals
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1. Heusdens, C. H. W., Roelant, E., & De Wachter, J. (2021).
Non-compliance with knee brace usage after anterior cruciate ligament reconstruction: A prospective study. Knee Surgery, Sports Traumatology, Arthroscopy, 29(8), 2543β2550.- Summary: 25% non-compliance post-ACL reconstruction, often due to discomfort or misunderstanding of brace use. Improper use caused delayed healing and instability.
- Relevance: 3D animations can improve patient understanding and correct usage of braces, reducing errors and complications.
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2. Van der Weegen, W., Kornuijt, A., & Das, D. (2019).
Patient adherence to shoulder braces after rotator cuff repair: A multicenter study. Journal of Shoulder and Elbow Surgery, 28(6), 1120β1127.- Summary: A multicenter study examining post-rotator cuff repair brace adherence found a 20β30% misuse or failure rate. The primary reasons cited were poor patient understanding of fit and function, as well as discomfort due to incorrect positioning.
- Relevance: When patients donβt understand how to properly wear a brace, adherence drops dramatically. Using 3D animation to illustrate the correct fit and adjustments ensures they have a reliable visual reference to follow at home, improving compliance.
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3. Rossi, M. J., & Lubowitz, J. H. (2020).
Elbow brace compliance and recovery outcomes following ulnar collateral ligament reconstruction. Orthopedic Journal of Sports Medicine, 8(5), 2325967120918945.- Summary: This study found that 15β20% of patients experienced prolonged recovery times due to improper elbow brace use after surgery. Misuse often resulted in reduced range of motion, increased stiffness, and longer rehabilitation times.
- Relevance: A delayed recovery due to improper brace use is entirely preventable with the right education. 3D animations provide an easy-to-follow, step-by-step guide that makes brace instructions clear and actionable, reducing unnecessary complications.
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4. Dekker, A. E., Davis, D. E., & Abboud, J. A. (2022).
Brace adherence and readmission rates after foot and ankle surgery: A retrospective analysis. Foot & Ankle International, 43(3), 412β419.- Summary: Brace misuse led to an 18% increase in 30-day hospital readmissions. Non-compliance delayed healing and increased healthcare costs.
- Relevance: A visually engaging, easy-to-understand 3D animation can significantly improve patient adherence and reduce avoidable hospital visits.
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5. Van der List, J. P., & DiFelice, G. S. (2018).
Web-based patient education in orthopedics: A systematic review. Journal of Medical Internet Research, 20(4), e143.- Summary: This systematic review analyzed 10 trials with 4,172 patients, concluding that digital education tools improved patient knowledge and satisfaction. However, while knowledge retention improved, anxiety and clinical outcomes remained unchanged.
- Relevance: Digital education is already proven to increase patient knowledge and satisfaction. Adding 3D animation takes it further, making instructions even more engaging and effective than static web-based content or printed materials.
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6. McDonald, S., & Jones, A. R. (2020).
Improving resource utilization and outcomes after total knee arthroplasty through technology-enabled patient engagement. Journal of Orthopaedics, 17, 156β162.- Summary: Technology-enabled education reduced hospital stays by 2 days following total knee arthroplasty. Patients who received visual and interactive education showed higher adherence to recovery protocols, leading to better outcomes and lower costs.
- Relevance: A stronger, more engaging education approach translates to better patient adherence and faster recovery times. 3D animations simplify complex instructions, giving patients the tools they need to follow their recovery plan successfully.
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7. Bernatz, J. T., & Anderson, P. A. (2015).
Thirty-day readmission rates in orthopedics: A systematic review and meta-analysis. PLOS ONE, 10(4), e0123593.- Summary: 30-day readmission rates in orthopedic procedures ranged from 4.8% to 6.0%, with common causes including poor adherence to post-op protocols and improper device use.
- Relevance: Clear 3D animations can dramatically improve patient understanding of post-op protocols, lowering the risk of complications and hospital readmission.
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8. Wilson, E. A., et al. (2010).
Media and memory: The efficacy of video and print materials for promoting patient education about asthma. Patient Education and Counseling, 80(3), 393β398.- Summary: Animated videos were more effective than print materials for patient education, resulting in better health information retention.
- Relevance: Visual learning through 3D animations ensures patients retain vital post-op care instructions, improving outcomes and compliance.
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9. Seymour, N. E., et al. (2002).
Virtual reality training improves operating room performance: Results of a randomized, double-blinded study. Annals of Surgery, 236(4), 458β464.- Summary: Surgical trainees who used VR made fewer errors and completed procedures more efficiently than those trained via traditional methods.
- Relevance: Similar to VR, 3D animations offer an enhanced, hands-on learning experience that boosts patient comprehension and adherence.
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10. American Institutes for Research (AIR). (n.d.).
The Revolving Door: U.S. Hospital Readmissions by Diagnosis and Procedure. [Report].- Summary: Unplanned readmissions cost Medicare over $17 billion annually, with poor discharge planning and patient misunderstanding cited as key causes.
- Relevance: Providing clear, 3D visual post-op instructions can bridge the gap between hospital discharge and home care, reducing costly readmissions.
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11. Office of Information Products and Data Analytics. (2012).
Medicare hospital readmissions statistics. U.S. Department of Health and Human Services.- Summary: 19.2% of Medicare patients are readmitted within 30 days of discharge, costing the healthcare system approximately $17.5 billion annually.
- Relevance: 3D visual demonstrations provided at discharge help patients retain key recovery information, significantly lowering preventable readmissions.
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12. Auerbach, A. D., et al. (2016).
Preventability and causes of readmissions in a national cohort of general medicine patients. JAMA Internal Medicine, 176(4), 484β493.- Summary: 27% of 30-day readmissions were potentially preventable, with inadequate discharge instructions and poor follow-up being major contributors.
- Relevance: Simple, visual post-discharge instructions via 3D animations empower patients to better manage their recovery at home.
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13. Dailey, E. A., et al. (2013).
Risk factors for readmission of orthopedic surgical patients. The Journal of Bone and Joint Surgery, 95(11), 1012β1019.- Summary: Risk factors for orthopedic readmissions include discharge to skilled nursing facilities and poor post-discharge care coordination.
- Relevance: 3D animations can ensure consistent patient understanding of recovery protocols, reducing confusion and avoidable readmissions.
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14. Weiss, A. J., Elixhauser, A., & Steiner, C. (2014).
Readmissions to U.S. hospitals by procedure, 2010. Healthcare Cost and Utilization Project (HCUP) Statistical Brief #154.- Summary: Hospital readmissions cost the U.S. $41.3 billion in 2010, with joint replacement surgeries among the most common causes.
- Relevance: Better post-op education through visual formats like 3D animations can reduce errors, costs, and unnecessary readmissions.
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15. Brown, M. M., et al. (2019).
Preoperative education for hip and knee replacement: A systematic review. Current Reviews in Musculoskeletal Medicine, 12(3), 302β310.- Summary: Preoperative education improves outcomes and reduces readmissions for hip and knee replacement patients by clarifying recovery expectations.
- Relevance: 3D animations deliver clear, pre- and post-op instructions, helping patients adhere more closely to recovery protocols.
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16. Greysen, S. R., et al. (2020).
Digital health interventions to reduce hospital readmissions: A systematic review. Journal of General Internal Medicine, 35(5), 1538β1545.- Summary: Digital tools like apps and videos significantly improved patient adherence and post-discharge self-care when tailored to recovery needs.
- Relevance: Tailored 3D visual education offers scalable, effective support to patients transitioning from hospital to home care.
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17. Krumholz, H. M., et al. (2014).
Post-hospital syndromeβAn acquired, transient condition of generalized risk. New England Journal of Medicine, 370(11), 1004β1006.- Summary: Patients are especially vulnerable after discharge due to stress, poor rest, and incomplete recovery instructions.
- Relevance: 3D visual reinforcement of recovery instructions ensures patients retain and correctly follow critical self-care steps post-discharge.
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18. Centers for Medicare & Medicaid Services. (2023).
Hospital Readmissions Reduction Program (HRRP). CMS.gov.- Summary: HRRP ties hospital reimbursements to readmission rates, encouraging hospitals to focus on preventing avoidable complications and returns.
- Relevance: 3D animations offer an efficient, proven method to improve patient education, compliance, and reduce hospital penalties from readmissions.