Use of Continuous Passive Motion in the Post-Operative Treatment of Intra-articular Knee Fractures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intra-articular Knee Fractures
- Sponsor
- Prisma Health-Upstate
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Knee Range of Motion
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
Decreased range of motion is common after fractures around the knee and can impact a patient's ability to perform activities of daily living such as rising from a seated position or getting in and out of a bathtub. A continuous passive motion (CPM) machine is a machine that continuously moves a joint (such as the knee) without the patient having to use the muscles in his/her leg. A goal of this therapy is to maintain as much motion as possible following this injury. This study is a randomized, prospective study to evaluate the effectiveness of CPM in maintaining knee range of motion following open reduction and internal fixation (ORIF) of fractures around the knee
Investigators
Eligibility Criteria
Inclusion Criteria
- •If the patient has an intra-articular distal femur or proximal tibia fracture
- •Independent ambulatory prior to injury
- •No previous knee injury limiting motion
Exclusion Criteria
- •If the patients range of motion was decreased prior to injury (ex. Osteoarthritis, previous knee fracture or injury)
- •Any contraindication to CPM (concomitant hip or ankle fracture)
- •Open physis of tibia or distal femur
- •Pathological Fracture
- •Compartment Syndrome
- •Neurovascular injury
- •Fracture due to gunshot wound
- •Greater than 21 days from fracture to definitive open reduction and internal fixation
- •Fractures treated with definitive external fixation
- •Open fractures
Outcomes
Primary Outcomes
Knee Range of Motion
Time Frame: 48 hours, 2 weeks, 6 weeks, 3 months, 6 months and 1 year