全膝关节置换术后连续被动运动的疗效:三种方案的比较。
The efficacy of continuous passive motion after total knee arthroplasty: a comparison of three protocols.
机构信息
Miller Orthopedic Specialists One Edmundson Place, Council Bluffs, Iowa.
Alegent Creighton Health Mercy Hospital, Council Bluffs, Iowa.
出版信息
J Arthroplasty. 2014 Jun;29(6):1158-62. doi: 10.1016/j.arth.2013.12.005. Epub 2013 Dec 14.
We conducted a randomized, controlled trial to determine the efficacy of CPM following total knee arthroplasty (TKA). Postoperative outcomes of interest were: swelling, drop in hemoglobin, self-reported pain scores, range of motion, and hospital length of stay. A total of 160 subjects were randomized into one of three treatment groups: CPM device on and moving from the immediate post-operative period, CPM device on and stationary at 90 degree flexion for the first night and then moving throughout the rest of their stay, and no CPM (N = 55, 51, and 54, respectfully). Subjects were followed during the first and second postoperative day until their first follow-up appointment approximately 3-4 weeks post-operatively. Cost of CPM was further evaluated. CPM provided no benefit to patients recovering from TKA.
我们进行了一项随机对照试验,以确定全膝关节置换术后(TKA)使用 CPM 的疗效。术后关注的结果包括:肿胀、血红蛋白下降、自我报告的疼痛评分、活动范围和住院时间。共有 160 名受试者被随机分为三组治疗:CPM 装置在术后立即开始活动,保持 90 度弯曲直到第一晚,然后在其余时间活动;CPM 装置在术后立即开始活动,但保持 90 度弯曲直到第一晚,然后在其余时间活动;不使用 CPM(N = 55、51 和 54)。受试者在术后第 1 天和第 2 天进行随访,直到他们在术后约 3-4 周进行第一次随访。进一步评估了 CPM 的成本。CPM 对 TKA 恢复的患者没有益处。