Continuous passive motion for preventing venous thromboembolism after total knee arthroplasty

He, Mao Lin; Xiao, Zeng; Lei, Ming; Li, Ting Song; Wu, Hao; Liao, Jun

doi:10.1002/14651858.cd008207.pub2

Cited by 11 publications

(10 citation statements)

References 33 publications

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“…We excluded those able to receive physical therapy, but there is conflicting evidence regarding whether passive physical therapy reduces VTE incidence. 27,28 Multiple studies cite CVL as the most significant VTE risk factor, but previous research on pharmacologic prophylaxis for pediatric patients with CVL has not consistently shown benefit. However, many of these studies used pharmacologic prophylaxis in restricted patient populations (eg, cancer 29 or infants after cardiac surgery 30 ), with 1 broad-based trial (Prophylaxis of Thromboembolism in Kids Trial [PROTEKT]) closed prematurely due to poor accrual and lack of benefit.…”

Section: Discussionmentioning

confidence: 99%

Development and Implementation Results of a Venous Thromboembolism Prophylaxis Guideline in a Tertiary Care Pediatric Hospital

Mahajerin

Webber

Morris

et al. 2015

Hospital Pediatrics

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Section: Discussionmentioning

confidence: 99%

Development and Implementation Results of a Venous Thromboembolism Prophylaxis Guideline in a Tertiary Care Pediatric Hospital

Mahajerin

Webber

Morris

et al. 2015

Hospital Pediatrics

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“…Patellar resurfacing or not No significant differences between groups with regard to the incidence of anterior knee pain. Higher rate of reoperations was observed in the nonresurfacing group He et al [34] Meta-analysis of randomized trials. Patellar resurfacing or not…”

Section: Ref Type Of Study Outcomementioning

confidence: 99%

“…Additionally, the use of CPM was discouraged by the review of randomized controlled trials by Harvey et al [33] also in 2010, who supported that, in the patients who participated, range of knee motion, pain, swelling, quadriceps strength, length of hospital stay, and incidence of manipulation under anesthesia, did not show significant improvement after the use of CPM [33] . Another interesting parameter of the possible effectiveness of CPM was investigated by He et al [34] with their review of randomized controlled trials concerning the possible prevention of venous thromboembolism. They claimed that CPM did not significantly reduce this risk.…”

Section: Tourniquet Use or Notmentioning

confidence: 99%

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Common controversies in total knee replacement surgery: Current evidence

Nikolaou¹

2014

WJO

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Total knee replacement (TKR) is a widely used operation that has radically improved the quality of life of millions of people during the last few decades. However, some technical details, concerning the surgical procedure and the rehabilitation following total knee arthroplasty, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, in an effort to shed light on some of the most controversial subjects related to TKR surgery. Posterior-stabilized or cruciate-retaining prosthesis? To use a tourniquet during operation or not? Do patients need continuous passive motion for their post-surgery rehabilitation? To resurface patella or not? These are some of the most controversial topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and more well conducted high quality trials are needed in order to gain more secure answers. At the same time, it is becoming apparent that a meticulous operative technique, respecting the soft tissue envelope and knowing the principles of alignment and soft tissue balancing, are some of the parameters that might contribute more to achieving the optimal results for the patients. Key words: Total knee replacement; Controversy; Literature review; Patella resurfacing; Patella eversion; Posterior stabilized; Cruciate retaining; Tourniquet; Continuous passive motion Core tip: A literature review has been conducted in an effort to present the best available evidence of the last decade and to shed light on some of the most controversial subjects related to total knee replacement surgery. Patella resurfacing or not? Posterior cruciate retaining or sacrificing? Continuous passive motion or not? Tourniquet or not? These are some of the most debatable topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and better conducted high quality trials are needed in order to gain more secure answers.Nikolaou VS, Chytas D, Babis GC. Common controversies in total knee replacement surgery: Current evidence. World J Orthop 2014; 5(4

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“…Early postoperative mobilization has been shown to reduce the risk of venous thromboembolism [17,19]. Others have stated that continuous passive movement does not conclusively prevent DVT after TKR [20]. No mortalities were observed in our experience with joint replacement surgery.…”

Section: Resultsmentioning

confidence: 63%

Total Hip and Knee Replacement in Eastern Libya: A Post-Conflict Case Series

Elzwai¹,

Elhnid²,

Bodalal³

et al. 2014

Int. J. Stats. Med. Res.

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Background: Total knee replacement (TKR) and total hip replacement (THR) are effective procedures for alleviating pain and improving hip and knee function. Literature has not covered the experience of developing countries with arthroplasty-especially in an unstable post-conflict setting. Methods: Patient records were obtained from a major surgical center in Benghazi where total joint arthroplasties (TJA) are performed for a period of twenty months and key parameters were analyzed. The patients were followed up on an outpatient basis at regular time intervals (one week, one month, three months and six months) and any complications were documented. Results: A total of 135 total knee (81.5%, n=110) and total hip (18.5%, n=25) replacements were done in Benghazi mostly on elderly (mean age=60.2 years) females (72.2%, n=100). The most common causative pathology in both groups was osteoarthritis (80.6%, n=108). The most common complication was superficial infection (4.4%, n=6) by Staph aureus. The Harris Hip Score and Knee Society Score were used to determine the functional outcomes of THR and TKR respectively-both showing high values. The Short form 36 (SF36) health survey was carried out to assess the patients' satisfaction levels. For all the axes, the obtained score was over 80%. Discussions: THR and TKR are major orthopedic surgeries that constitute an advancement in the treatment of chronic joint pain. Most of the demographic features of our patients match up well with previous literature-with certain exceptions. There was no difference in thromboembolic incidence between the group of patients who received LMWH and those who simply started early mobilization and physiotherapy. Despite a number of hindrances faced by the hospital due to the conflict (i.e. funding limitations and drug shortages), a low rate of complications was maintained. No thromboembolic incidents or mortalities occurred. Conclusions: Libyan surgeons have had a good experience with TJA and patients have been satisfied with the outcomes.

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Continuous passive motion for preventing venous thromboembolism after total knee arthroplasty

Cited by 11 publications

References 33 publications

Development and Implementation Results of a Venous Thromboembolism Prophylaxis Guideline in a Tertiary Care Pediatric Hospital

Development and Implementation Results of a Venous Thromboembolism Prophylaxis Guideline in a Tertiary Care Pediatric Hospital

Common controversies in total knee replacement surgery: Current evidence

Total Hip and Knee Replacement in Eastern Libya: A Post-Conflict Case Series

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