Prospective Randomized Trial of the Efficacy of Continuous Passive Motion Post Total Knee Arthroplasty: Experience of the Hospital for Special Surgery.

作者: Rupali N. Joshi , Peter B. White , Mary Murray-Weir , Michael M. Alexiades , Thomas P. Sculco

DOI: 10.1016/J.ARTH.2015.06.006

关键词: SurgeryDischarge dispositionPhysical therapyMedicineRehabilitationTotal knee arthroplastyContinuous passive motionRandomized controlled trialKnee flexion

摘要: Conflicting evidence has created substantial controversy regarding the use of continuous passive motion (CPM) in in-patient setting post total knee arthroplasty (TKA). A 109 patients were randomly assigned to two groups, CPM or no CPM, applied after TKA. All received same physical therapy protocol (3 sessions per day), with only exception being CPM. Both groups had a flexion 115° at 6 weeks and 120° 3 months, significant differences (P=0.69 P=0.41, respectively). Length stay was significantly less for group who did not receive The clinically relevant benefits respect AROM, clinical outcomes discharge disposition associated cost $235.50

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