Deep-vein thrombosis and continuous passive motion after total knee arthroplasty

Seventy-five of 150 consecutive patients who underwent total knee arthroplasty had routine physiotherapy and seventy-five had continuous passive motion of the lower limb that had been operated on as well as routine physiotherapy. A pulmonary embolus did not develop in any patient, but about 40 per c...

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Bibliographic Details
Published inJournal of bone and joint surgery. American volume Vol. 70; no. 1; p. 11
Main Authors Lynch, A F, Bourne, R B, Rorabeck, C H, Rankin, R N, Donald, A
Format Journal Article
LanguageEnglish
Published United States 01.01.1988
Subjects
Adult
Aged
Aged, 80 and over
Bone Cements - adverse effects
Exercise Therapy - instrumentation
Female
Humans
Knee Joint - physiopathology
Knee Joint - surgery
Knee Prosthesis
Length of Stay
Male
Middle Aged
Movement
Postoperative Complications - prevention & control
Thrombophlebitis - etiology
Thrombophlebitis - prevention & control
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Summary:Seventy-five of 150 consecutive patients who underwent total knee arthroplasty had routine physiotherapy and seventy-five had continuous passive motion of the lower limb that had been operated on as well as routine physiotherapy. A pulmonary embolus did not develop in any patient, but about 40 per cent had thrombosis in the veins of the calf, whether passive motion had been administered or not. Radiographically, the deep-vein thrombosis was seen to extend into or proximal to the popliteal vessel in 5 per cent of the patients in each group. Sex, age, obesity, or a history of hypertension or diabetes did not influence the incidence of venous thrombosis, but there was a higher incidence in patients in whom cement was used for fixation of the total knee components, irrespective of the use of continuous passive motion of the limb.
ISSN:0021-9355
DOI:10.2106/00004623-198870010-00003