Continuous passive motion after knee-joint arthrolysis under catheter peridural anesthesia
✍ Scribed by C. Ulrich; C. Burri; O. Wörsdörfer
- Book ID
- 104779691
- Publisher
- Springer
- Year
- 1986
- Tongue
- English
- Weight
- 548 KB
- Volume
- 104
- Category
- Article
- ISSN
- 1434-3916
No coin nor oath required. For personal study only.
✦ Synopsis
The results of arthrolysis of a stiff knee are often poor because postoperative pain prevents the early active mobilization that is so essential Adequate analgesia may be ensured by the use of continuous anesthesia via a peridural catheter; in combination with continuous passive motion, such analgesia is able to maintain, and often improve, the range of movement obtained at surgery Twenty-two patients treated in this way showed improvement in the range of movement between 39 °and 120 °Patients with post-traumatic knee stiffness achieved an average improvement in the range of movement of 93 %, while those with stiffness following infection improved by only 55 % on the average The preoperative loss of movement does not appear to determine the end result; the etiology of the stiffness is more important.
Preventing the stiffening of joints is the professed purpose of exercise-therapeutic care of osteosynthesis, and is the basis of modern traumatology But if in the knee joint area for example, fractures, ligament reconstructions, or joint infections have led to the developmenmt of fibrous joint stiffness and loss of flexibility in the course of a pain-induced and reflex-linked immobilization of the joint, then the procedures of intra and extra-articular knee-joint arthrolysis will initially produce an outstanding increase in flexibility-as long as the chondroarticular surfaces are intact l 1, 3, 6, 10, 12, 15, 20 l Renewed postoperative loss of flexibility, caused by reflex and