AI Article Synopsis
- Total knee arthroplasty (TKA) is a common treatment for severe knee arthritis, and effective rehab is crucial for patient recovery.
- A study of 186 patients revealed that adding continuous passive motion (CPM) to rehab allowed for more effective recovery compared to traditional methods.
- The implementation of CPM not only improved knee flexibility faster but also significantly shortened hospital stays, leading to better emotional well-being and quicker reintegration into daily life.
Article Abstract
Background. Total knee alloplasty (TKA) is standard treatment for advanced gonarthrosis. Proper rehabilitation of the operated joint and the patient is essential in order to achieve a satisfactory functional outcome. The aim of our study was to compare rehabilitation methods used for patients recovering from TKA in the Orthopedic Clinic of the Medical University in Łódź, Poland. Material and methods. We studied 186 patients operated for advanced gonarthrosis, ranging in age from 29 to 80 (average 65.8), who had received 197 endoprotheses. From 1986 to 1989 the rehabilitation program included isometric exercises of the muscles in the operated joint, general fitness exercises in bed, and passive exercises of the knee conducted by a physiotherapist. The average stay during this period was 19.7 +/- 2.5 days. In 1989, continuous passive motion (CPM) using an electric rail was introduced to the rehabilitation program. Results. Thanks to the earlier additional flexibility of the operated joint, active exercises and weight bearing on the operated limb could be accelerated. The patients left the Clinic 2 weeks after surgery (13.6 +/- 2.5 days). The change in the rehabilitation program produced a statistically significant increase in the average range of flexion in the operated joint (p = 0.000001) in a significantly shorter time (p = 0.0000). Conclusion. Introducing CPM to the rehabilitation of TKA patients accelerates their progress and reduces hospitalization time, which improves the patients' emotional comfort and enables a faster return to an active life in society.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Impact of Periodontal Treatment on Early Rheumatoid Arthritis and the Role of Porphyromonas gingivalis Antibody Titers.
Med Sci Monit
January 2025
Department of Internal Medicine IV, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.
BACKGROUND Periodontal disease and rheumatoid arthritis (RA) are closely related, and periodontal therapy can potentially improve RA activity. However, it is not clear in which RA patient populations are more effective periodontal therapy for RA treatment. This study aimed to evaluate the effects of treatment for periodontal disease in 30 patients with rheumatoid arthritis and the titers of antibodies to Porphyromonas gingivalis (P.
View Article and Find Full Text PDFCorrelations between spinopelvic parameters and health-related quality of life in degenerative lumbar scoliosis patients before and after long -level fusion surgery.
BMC Musculoskelet Disord
January 2025
Department of Orthopedics, Peking University Third Hospital, No. 49. North Garden Street, Hai Dian District, Beijing, 100191, People's Republic of China.
Background: For degenerative lumbar scoliosis (DLS), prior studies mainly focused on the preoperative relationship between spinopelvic parameters and health-related quality of life (HRQoL), lacking an exhaustive evaluation of the postoperative situation. Therefore, the postoperative parameters most closely bonded with clinical outcomes has not yet been well-defined in DLS patients. The objective of this study was to comprehensively assess the correlation between radiographic parameters and HRQoL before and after surgery, and to identified the most valuable spinopelvic parameters for postoperative curative effect.
View Article and Find Full Text PDFPosteromedial opening wedge high tibial osteotomy has favourable outcomes in simultaneous medial meniscus posterior root repair and varus medial knee osteoarthritis patients without concomitant root tear.
J Orthop Surg Res
January 2025
Department of Orthopedics and Traumatology, Faculty of Medicine, Ege University, Bornova, 35100, Izmir, Turkey.
Purpose: To evaluate the radiological and clinical outcomes in two patient groups: first, varus aligned medial meniscus posterior root tear (MMPRT) patients who underwent posteromedial open wedge high tibial osteotomy (PMOWHTO) and simultaneous root repair; second, patients with varus medial knee osteoarthritis without MMPRT who underwent PMOWHTO.
Methods: Patients had MMPRT repair concomitant with PMOWHTO and varus medial knee osteoarthritis without concomitant root tear patients who underwent PMOWHTO and were reviewed. Radiographic parameters, medial meniscus extrusion (MME) and Knee Society Scores [KSSs, including the following subscores: knee score (KS) and knee function score (KFS)] were evaluated.
Temporary ectopic banking as a treatment option for mangled thumb: a case report.
J Med Case Rep
January 2025
Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Management of the extensive soft tissue injuries remains a significant challenge in orthopedic and plastic reconstructive surgery. Since the thumb is responsible for 40% of the functions of the hand, saving and reconstructing a mangled thumb is essential for the patient's future.
Case Presentation: This case report describes the management of a severe occupational thumb injury in a 25-year-old white Persian male who sustained an occupational injury to his left thumb, resulting in extensive burn, crush injury to the distal and proximal phalanx, and severe soft tissue damage to the first metacarpal, thenar, and palmar areas.
Purpose: This study aimed to assess the posterior cruciate ligament (PCL) angle in anterior cruciate ligament (ACL) deficient knees and correlate it with anatomical and demographic factors such as tibial slope, anterior tibial translation, age, gender, and time of injury.
Material And Methods: Patients were eligible for inclusion if they were clinically diagnosed with an ACL tear confirmed by MRI. For each patient, the following parameters were evaluated: PCL angle (PCLA), medial tibial slope (MTS), lateral tibial slope (LTS), medial anterior tibial translation (MATT), and lateral anterior tibial translation (LATT).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!