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Of the following, which has the highest strength of recommendation according to the AAOS Clinical Practice Guidelines (CPG) for Surgical Management of Osteoarthritis of the Knee?
Preoperative physical therapy improves pain and physical function postoperatively
Tourniquet use during total knee arthroplasty (TKA) decreases short-term postoperative function
Continuous passive motion (CPM) after TKA improves outcomes
Rehabilitation started on the day of TKA reduces length of hospital stay
Surgical navigation should be used because there is a decrease in pain and functional outcomes
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A 62-year-old female undergoes an uncomplicated primary total knee replacement. Her knee range-of-motion pre-operatively was 0-135 degrees of flexion. Which of the following is true regarding the immediate post-operative use of a continuous passive motion machine in this patient?
Reduced risk of venous thromboembolism
No long-term difference in ROM compared to patients not using CPM
Increased passive knee flexion at 6 months
Increased length of hospitalization
Decreased risk of surgical site infection
Which of the following statements regarding the use of continuous passive motion (CPM) devices following total knee arthroplasty is true?
The use of CPM decreases the incidence of knee flexion contracture at 6 months following surgery.
The use of CPM has been associated with a decreased incidence of secondary surgery for knee manipulation.
The use of CPM has not demonstrated any difference in clinical outcomes at one year following surgery.
The use of CPM has been associated with increasing analgesic pain requirements in the first 3 days following surgery.
The use of CPM decreases knee flexion at one year following surgery.