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Application of a vibrating device for the prevention of flexion contracture after total knee arthroplasty

  • Sándor ManóEmail author
  • Judit Pálinkás
  • János Szabó
  • Judit T. Nagy
  • Katalin Bakó
  • Zoltán Csernátony
Original Article

Abstract

Our research team developed a new, heel support-based static and vibrating complementary treatment method for the prevention of flexion contractures often arising after total knee arthroplasty. We examined the efficiency of the method performing a randomized clinical trial with 144 patients undergoing total knee replacement. Seventy-nine patients were treated for 1 week with a generally used continuous passive motion (CPM) device complemented with our new method, which was based on the application of a static and an alternating heel support. The 65 patients in the control group were treated with only a CPM device as in usual clinical practice. The femoro-tibial angle was measured immediately following surgery, and after 1 week of treatment. At the end of the 1 week treatment, the target extension angle (0° ± 5°) was achieved by significantly more patients with the new combined method. This way the elevated heel rest and the vibrating device proved to be a good adjunct treatment along with the CPM used in routine clinical practice in the first place for the prevention of flexion contractures.

Keywords

Heel vibrating device Elevated heel rest Knee flexion contracture Fixed flexion deformity 

Notes

Acknowledgments

The authors wish to thank Veronika Kósa and her colleagues who gave their time to participate in the study.

Conflict of interest

None.

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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • Sándor Manó
    • 1
    Email author
  • Judit Pálinkás
    • 2
  • János Szabó
    • 1
  • Judit T. Nagy
    • 3
  • Katalin Bakó
    • 1
  • Zoltán Csernátony
    • 1
  1. 1.Department of Orthopaedic Surgery, Clinical CenterUniversity of DebrecenDebrecenHungary
  2. 2.Department of Physiotherapy, Clinical CenterUniversity of DebrecenDebrecenHungary
  3. 3.Doctoral School of Mathematical and Computational Sciences, Institute of MathematicsUniversity of DebrecenDebrecenHungary

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