Your browser doesn't support javascript.
loading
The Effect of Postoperative Sleeping Position on Knee Extension and Range of Motion Following Primary Total Knee Arthroplasty.
Goodwin, Tyler M; Brazier, Brett G; Cien, Adam J; Riggle, Patrick K; Popovich, John M; Penny, Phillip C; Cochran, Jason M.
Afiliación
  • Goodwin TM; Tyler M. Goodwin, MD, Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN.
  • Brazier BG; Brett G. Brazier, DO, Department of Orthopaedic Surgery, University of Tennessee Health Science Center Chattanooga, Chattanooga,TN.
  • Cien AJ; Adam J. Cien, DO, Department of Orthopaedic Surgery, Michigan State University, East Lansing, MI.
  • Riggle PK; Patrick K. Riggle, DO, Department of Orthopaedic Surgery, Michigan State University, East Lansing, MI.
  • Popovich JM; John M. Popovich, Jr., PhD, DPT, Department of Orthopaedic Surgery, Michigan State University, East Lansing, MI.
  • Penny PC; Phillip C. Penny, DO, Department of Orthopaedic Surgery, Michigan State University, East Lansing, MI.
  • Cochran JM; Jason M. Cochran, DO, Department of Orthopaedic Surgery, McLaren Greater Lansing Hospital, Sparrow Hospital, Michigan State University, East Lansing, MI.
Orthop Nurs ; 43(4): 218-222, 2024.
Article en En | MEDLINE | ID: mdl-39047274
ABSTRACT
Total knee arthroplasty (TKA) is an orthopaedic operation that improves quality of life and reduces pain in patients with disabling arthritis of the knee. One commonly recognized complication is flexion contracture of the knee. Early physical therapy helps prevent flexion contracture and improve range of motion (ROM) postoperatively. This study evaluated postoperative sleeping position and its effect on terminal knee extension and ROM following primary TKA. We hypothesized that patients who slept in the supine position would achieve earlier knee extension and greater ROM when compared to those in the lateral recumbent position. A total of 150 consecutive primary TKAs were performed by a single surgeon (J.M.C.) from April 2014 to December 2014. The data were collected prospectively to determine preoperative ROM, postoperative ROM, and sleeping position. Mean postoperative terminal extension ROM at 1 month was 2.9 degrees in the supine group versus 6.0 degrees (p< .001) in the lateral group. No significant demographic differences between the two groups at baseline were found. Our results demonstrate that sleeping position affects initial postoperative terminal extension, however, not overall ROM. We found a statistically significant difference in extension when comparing patients in the supine versus lateral group. Patients who slept in the lateral position lacked 6 degrees of extension which is greater than the 5 degrees needed for normal gait mechanics. Those in the supine group lacked 2.9 degrees of extension, allowing for normal gait mechanics. This study identifies an easy, effective means of increasing patients initial ability to achieve knee extension and satisfaction following TKA.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sueño / Rango del Movimiento Articular / Artroplastia de Reemplazo de Rodilla Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Orthop Nurs Asunto de la revista: ENFERMAGEM / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Túnez Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sueño / Rango del Movimiento Articular / Artroplastia de Reemplazo de Rodilla Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Orthop Nurs Asunto de la revista: ENFERMAGEM / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Túnez Pais de publicación: Estados Unidos