Kirschner P
Unfall- und Wiederherstellungschirurgie, St. Vincenz- und Elisabeth-Hospital, Katholisches Klinikum Mainz.
Unfallchirurg. 2004 Apr;107(4):328-40. doi: 10.1007/s00113-004-0743-9.
There is still a controversial discussion in literature about the use of motor driven splints in knee surgery--as the principle of continuous passive motion, CPM. For this reason it seemed useful for an evaluation to look through the papers which were published since 1990. It was obvious, that negative results were published often before this year, but this papers are still quoted standard works. In medical data bases subito-doc.de, medscape.com, medica.de and zbmed.de 230 papers were found by search CPM, continuous passive motion and arthromot. Coincidentally there was a search for authors who were already quoted in other papers. 36 papers concerning CPM after knee surgery were utilized. The role of CPM regarding the range of motion, swelling, duration of hospital stay, use of analgesics, costs, postoperative manipulations, wound healing and thrombo embolic complications was evaluated. Although the results of this partial retrospective, partial prospective, sometimes randomized or double blinded studies are in contradiction, there can only be found a trend to better results. New clinical studies for evidence based guidelines in the handling of continuous passive motion after knee surgery are necessary.
关于在膝关节手术中使用电动夹板——作为持续被动运动（CPM）的原则，文献中仍存在争议性的讨论。因此，查阅自1990年以来发表的论文进行评估似乎是有用的。很明显，今年之前经常发表负面结果，但这些论文仍被引用为标准著作。在医学数据库subito-doc.de、medscape.com、medica.de和zbmed.de中，通过搜索CPM、持续被动运动和关节运动，找到了230篇论文。巧合的是，还搜索了在其他论文中已被引用的作者。使用了36篇关于膝关节手术后CPM的论文。评估了CPM在活动范围、肿胀、住院时间、镇痛药使用、成本、术后手法操作、伤口愈合和血栓栓塞并发症方面的作用。尽管这些部分回顾性、部分前瞻性、有时随机或双盲研究的结果相互矛盾，但只能发现有取得更好结果的趋势。有必要开展新的临床研究，为膝关节手术后持续被动运动的处理提供循证指南。
