Completed

NCT Number: NCT00591929

Use of Continuous Passive Motion in the Post-Operative Treatment of Intra-articular Knee Fractures

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

Completed

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Key information

Conditions

Intra-articular Knee Fractures

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Greenville Hospital System Univeristy Medical Center

Greenville, South Carolina, 29605, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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
Extensor mechanism injuries
Likely problems in the judgment of the investigator with maintaining follow-up

Treatment and study plan

Continuous Passive Motion

Other

at least 48 hours of continuous passive motion following ORIF of fractures around the knee

Primary outcomes

Knee Range of Motion

Time frame: 48 hours, 2 weeks, 6 weeks, 3 months, 6 months and 1 year

Sponsors and collaborators

Lead sponsor

Prisma Health-Upstate