Use of Continuous Passive Motion in the Postoperative Treatment of Intra-Articular Knee Fractures

Hill, Austin D.; Palmer, M. Jason; Tanner, Stephanie L.; Snider, Rebecca G.; Broderick, J. Scott; Jeray, Kyle J.

doi:10.2106/jbjs.m.00534

Cited by 22 publications

(19 citation statements)

References 18 publications

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“…However, the immobilization versus movement debate continues. Recent studies have found that CPM offers no benefit in intraarticular fractures [4] or TKA [3] in the long-term.…”

Section: Immobilization Versus Movement: the Debate Continuesmentioning

confidence: 99%

Giants In Orthopaedic Surgery: Robert Bruce Salter CC, MD, FRCSC

Festino¹

2014

Clin Orthop Relat Res

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“…However, the immobilization versus movement debate continues. Recent studies have found that CPM offers no benefit in intraarticular fractures [4] or TKA [3] in the long-term.…”

Section: Immobilization Versus Movement: the Debate Continuesmentioning

confidence: 99%

Giants In Orthopaedic Surgery: Robert Bruce Salter CC, MD, FRCSC

Festino¹

2014

Clin Orthop Relat Res

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“…However, its bene ts and value remain controversial due to the disparity in practice, such as differences in clinical protocols and the type of cryotherapy application [20]. CPM is a motorized device, which passively moves the knee joint within a certain degree to accelerate motion after knee fracture [21]. But the effects of CPM remain contentious in the literature [22] and rarely used now.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Immediate Programmed Cryotherapy and Continuous Passive Motion in Patients after Computer-Assisted Total Knee Arthroplasty: A prospective, randomized controlled trial

Chen

Lin

et al. 2020

Preprint

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Background: The postoperative nursing intervention with immediate cryotherapy and continuous passive motion (CPM) remains elusive regarding the postoperative pain and range of motion (ROM) for patients undergoing computer-assisted total knee arthroplasty (CAS-TKA).Methods: A prospective, randomized controlled trial with a purposive sampling method was utilized. Sixty patients scheduled for a unilateral CAS-TKA at a medical center were randomly assigned to the intervention group (n=30) and control group (n=30). The intervention group applied programed cryotherapy and CPM within one hour while returning to the ward on the day of surgery, while the control group did not. Data were analyzed using mixed models to compare the numeric rating scale (NRS) for pain, ROM, and swelling at postoperative day (POD) 4.Results: There was no significant difference in the NRS score between the groups (p = 0.168). The intervention group had significantly higher ROM than the control group (98 degrees vs. 91 degrees, p = 0.004) at POD 4. Although no significant difference in joint swelling was found between groups (p = 0.157), the intervention group had lower mean joint swelling (32.2 cm) than the control group (33.9 cm).Conclusions: Immediate programmed cryotherapy and continuous passive motion could help to improve ROM quickly after CAS-TKA. It should be incorporated into the daily nursing plan for patients undergoing CAS-TKA.Trial registration: ClinicalTrials.gov: NCT04136431. Registered 23 October 2019 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04136431

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“…The most important reason for its prevalence was extensive indications. However, excessive soft tissue dissection during surgery further impaired the already damaged soft tissue envelop, along with the concomitant vascular and neurological injuries, inevitably resulting in complications related to incision and bone union.…”

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors for deep surgical site infection after open reduction and internal fixation of closed tibial plateau fractures in adults

Abulaiti

Wang

et al. 2017

International Wound Journal

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This study aimed to investigate the incidence and risk factors of deep surgical site infection (DSSI) during hospitalisation after closed tibial plateau fractures treated with open reduction and internal fixation (ORIF). We performed this retrospective study at a university-affiliated hospital with an advanced trauma centre. The data of adult patients with closed tibial plateau fractures treated with ORIF from January 2012 to February 2017 were extracted from the electronic medical records. Demographics, injury-related and surgery-related variables of DSSI and non-DSSI groups were compared by univariate test. Multivariate logistic analysis models were used to investigate the independent risk factors. In total, 676 patients with complete data met the inclusion criteria and were included, and of them, 17 developed DSSI (2.51%) during hospitalisation. Approximately 60% (9/17) of DSSI was caused by Staphylococcus aureus. Compared to the non-DSSI group, DSSI patients had a significantly longer stay in hospital (25.8 vs 15.2 days). Independent risk factors of DSSI identified by multivariate analysis were higher BMI (>26.0) (OR, 1.58; 95% CI, 1.09 to 3.27; P = 0.032), prolonged surgical duration (>138 min) (OR, 4.26; 95% CI, 1.54 to 11.19; P = 0.005) and current smoking (OR, 3.42; 95% CI, 1.47 to 8.62; P = 0.01). A relatively low incidence rate of DSSI (2.51%) was found in this study, and several significant risk factors were identified. Smoking cessation programmes should be implemented immediately after hospitalisation, especially for obesity and morbid obesity patients. Detailed and comprehensive preoperative assessment and a considerate operative plan should be guaranteed to reduce surgical duration.

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Use of Continuous Passive Motion in the Postoperative Treatment of Intra-Articular Knee Fractures

Abstract: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.

Cited by 22 publications

References 18 publications

Giants In Orthopaedic Surgery: Robert Bruce Salter CC, MD, FRCSC

Giants In Orthopaedic Surgery: Robert Bruce Salter CC, MD, FRCSC

The Effects of Immediate Programmed Cryotherapy and Continuous Passive Motion in Patients after Computer-Assisted Total Knee Arthroplasty: A prospective, randomized controlled trial

Incidence and risk factors for deep surgical site infection after open reduction and internal fixation of closed tibial plateau fractures in adults

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