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The use of continuous passive motion after arthroscopically assisted anterior cruciate ligament reconstruction: help or hindrance?

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

One hundred and eight patients having undergone arthroscopic anterior cruciate replacement and having had continuous passive motion (CPM) as part of their immediate post-operative regime were prospectively compared with 108 patients having an identical operative procedure but not receiving CPM. All patients were operated on by the same surgeon, and the two groups were well matched for age, weight and associated injuries and procedures. These not receiving CPM required significantly less analgesia (P-0.0001), had less blood loss measured in the drains (P=0.001) and had a shorter hospital stay (P=0.0001). At review 6 months after surgery, there was no significant difference between the two groups in the range of movement of the operated leg compared to the normal leg.

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References

  1. Arvidsson I, Eriksson E, Knutsson E, Arner S (1986) Reduction of pain inhibition on voluntary muscle activation by epidural analgesia. Orthopaedics 9:1415–1419

    Google Scholar 

  2. Burks R, Daniel D, Losse G (1984) The effect of continuous passive motion on anterior cruciate ligament reconstruction stability. Am J Sports Med 12:323–327

    PubMed  Google Scholar 

  3. Ecker ML, Lotke PA (1989) Postoperative care of the total knee patient. Orthop Clin North Am 20:55–62

    PubMed  Google Scholar 

  4. Hamilton HW, Hoffman DV, Morris JS, Porter JS (1988) Continuous passive motion in postoperative knee rehabilitation. In: Feagin JA Jr (ed.) The crucial ligaments. Chirchill Livingstone. Edinburgh, pp 465–471.

    Google Scholar 

  5. Leeds Keio System 90. Instructional literature. Howmedica

  6. Noyes FR, Mangine RE, Barber S (1987) Early knee motion after open and arthroscopic anterior cruciate ligament reconstruction Am J Sports Med 15:149–160

    PubMed  Google Scholar 

  7. Paulos LE, Cherf J, Rosenberg TD, Beck CL (1991) Anterior cruciate reconstruction with autografts. Clin Sports Med 10: 469–485

    PubMed  Google Scholar 

  8. Richmond JC, Gladstone J, MacGillivray J (1991) Continuous passive motion after arthroscopically assisted anterior reconstruction: comparison of short versus long term use. Arthroscopy 7:39–44

    PubMed  Google Scholar 

  9. Salter RS, Simmonds DE, Malcolm BW, Rumble EJ, MacMichael D, Clements NMD (1980) The biological effect of continuous passive motion on the healing of full thickness defects in articular artilage. J. Bone Joint Surg [Am] 62:1232–1251

    Google Scholar 

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Witherow, G.E., Bollen, S.R. & Pinczewski, L.A. The use of continuous passive motion after arthroscopically assisted anterior cruciate ligament reconstruction: help or hindrance?. Knee Surg, Sports traumatol, Arthroscopy 1, 68–70 (1993). https://doi.org/10.1007/BF01565454

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