[CPM--Continuous Passive Motion: treatment of injured or operated knee-joints using passive movement. A meta-analysis of current literature].
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.
Kirschner
P
P
Unfall- und Wiederherstellungschirurgie, St. Vincenz- und Elisabeth-Hospital, Katholisches Klinikum Mainz. kirschner@veh-mainz.de
D004487:Edema / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007718:Knee Injuries / Q000453:epidemiology / Q000534:rehabilitation* / Q000601:surgery*; D007902:Length of Stay / Q000706:statistics & numerical data; D015915:Motion Therapy, Continuous Passive / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data*; D011182:Postoperative Care / Q000379:methods* / Q000706:statistics & numerical data; D013923:Thromboembolism / Q000453:epidemiology / Q000517:prevention & control; D016896:Treatment Outcome; D014945:Wound Healing