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KNEE ARTHROPLASTY
DOES IT OFFER ANY BENEFITS?
RICHARD O. POPE,
SHEILA CORCORAN,
KIERAN MCCAUL,
DONALD W. HOWIE
Between April 1988 and April 1989 we performed a prospective study on all patients having a primary TKA,
914
Age in years
Group
Male
Female
Mean
No CPM
CPM 0 to 40
CPM 0 to 70
5 (27.7)*
6 (35.3)
9 (50.0)
13 (72.2)
11 (64.7)
9 (50.0)
Range
* percentage
95% confidence interval
915
916
R. O. POPE,
S. CORCORAN,
K. MCCAUL,
D. W. HOWIE
Table II. Mean fixed flexion deformity (FFD), flexion and range of movement (ROM) in degrees, with associated 95% confidence intervals,
preoperatively and at one week and one year postoperatively
FFD
Flexion
Preop
1 week
1 Year
ROM
Preop
1 Week
1 Year
Preop
1 Week
1 Year
No CPM
11.8
6.2
7.1
105.8
56.8
100.0
93.9
50.5
92.9
(7.7 to 16.0) (3.2 to 9.2) (4.3 to 9.9) (97.5 to 114.1) (48.5 to 65.2) (92.7 to 107.3) (83.5 to 104.4) (41.5 to 59.6) (85.1 to 100.7)
CPM 0 to 40
7.2
11.3
6.9
104.2
70.3
103.8
96.9
58.6
96.9
(3.0 to 11.5) (7.9 to 14.7) (4.1 to 9.8) (95.7 to 112.7) (61.7 to 78.9) (96.4 to 111.3) (86.3 to 107.6) (49.3 to 67.9) (88.9 to 104.9)
CPM 0 to 70
7.8
8.2
5.3
101.8
78.3
102.0
94.0
69.5
96.8
(3.7 to 11.8) (4.5 to 11.9) (2.6 to 7.9) (93.7 to 109.8) (70.1 to 86.4) (83.9 to 109.1) (83.9 to 104.1) (60.7 to 78.3) (89.2 to 104.3)
Table IV. Mean blood loss (ml) and analgesia (mg morphine), with
95% confidence intervals, required postoperatively for the three
treatment groups
Postop
33 (0 to 58)
29 (0 to 56)
29 (0 to 58)
No CPM
CPM 0 to 40
CPM 0 to 70
52 (25 to 70)
56 (20 to 70)
52 (10 to 70)
Blood loss
Analgesia
Miller-Galante
Whiteside
Cemented
Cementless
PCA
Cemented
Cementless
Cemented
Cementless
Cemented
Cementless
1
-
4
2
2 (1)
2
6 (2)
8 (1)
2 (2)*
1
6 (5)
5
4 (3)
4
5
5 (3)
* numbers in parentheses represent those which had patellar replacement (these components are always cemented)
THE JOURNAL OF BONE AND JOINT SURGERY
917
18
DISCUSSION
9
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