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The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty

Purpose  After total knee arthroplasty (TKA), pain and swelling, especially in older and less cooperative patients, can limit the retrieval of a good range of motion and muscle tone and consequently the achievement of an optimal function outcome. A high-tech knee pad made of metal fibers emitting in...

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Autores principales: Innocenti, Massimo, Mancini, Michele, Faccio, Marina, Carulli, Christian, Buselli, Paolo, Messina, Sara, Quattrone, Giuseppe, Spaggiari, Piergiorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672854/
https://www.ncbi.nlm.nih.gov/pubmed/29114623
http://dx.doi.org/10.1055/s-0037-1601406
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author Innocenti, Massimo
Mancini, Michele
Faccio, Marina
Carulli, Christian
Buselli, Paolo
Messina, Sara
Quattrone, Giuseppe
Spaggiari, Piergiorgio
author_facet Innocenti, Massimo
Mancini, Michele
Faccio, Marina
Carulli, Christian
Buselli, Paolo
Messina, Sara
Quattrone, Giuseppe
Spaggiari, Piergiorgio
author_sort Innocenti, Massimo
collection PubMed
description Purpose  After total knee arthroplasty (TKA), pain and swelling, especially in older and less cooperative patients, can limit the retrieval of a good range of motion and muscle tone and consequently the achievement of an optimal function outcome. A high-tech knee pad made of metal fibers emitting infrared energy was used in a group of patients undergoing TKA to assess its efficacy in the postoperative period with respect to a group with a placebo. Methods  Twelve patients used knee pads after surgery for 3 weeks and were evaluated using visual analog scale (VAS), Knee Society Rating Score, Cincinnati Knee Rating Score, and painkillers at specific timings. Results  At 3 weeks, all scores improved in a significant manner in the treated group compared with the placebo group. At 2 months after surgery, VAS was better in the study group than the control group, whereas other parameters were similar. However, the use of rescue drugs was less in the study group than in the placebo group. Conclusion  A high-tech knee pad may contribute to a faster recovery within the first week after a knee replacement, limiting the use of painkillers and allowing a quick functional recovery by the control of pain and postoperative effusion. Level of Evidence  Level II, randomized prospective study with small sample size.
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spelling pubmed-56728542017-11-07 The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty Innocenti, Massimo Mancini, Michele Faccio, Marina Carulli, Christian Buselli, Paolo Messina, Sara Quattrone, Giuseppe Spaggiari, Piergiorgio Joints Purpose  After total knee arthroplasty (TKA), pain and swelling, especially in older and less cooperative patients, can limit the retrieval of a good range of motion and muscle tone and consequently the achievement of an optimal function outcome. A high-tech knee pad made of metal fibers emitting infrared energy was used in a group of patients undergoing TKA to assess its efficacy in the postoperative period with respect to a group with a placebo. Methods  Twelve patients used knee pads after surgery for 3 weeks and were evaluated using visual analog scale (VAS), Knee Society Rating Score, Cincinnati Knee Rating Score, and painkillers at specific timings. Results  At 3 weeks, all scores improved in a significant manner in the treated group compared with the placebo group. At 2 months after surgery, VAS was better in the study group than the control group, whereas other parameters were similar. However, the use of rescue drugs was less in the study group than in the placebo group. Conclusion  A high-tech knee pad may contribute to a faster recovery within the first week after a knee replacement, limiting the use of painkillers and allowing a quick functional recovery by the control of pain and postoperative effusion. Level of Evidence  Level II, randomized prospective study with small sample size. Georg Thieme Verlag KG 2017-06-05 /pmc/articles/PMC5672854/ /pubmed/29114623 http://dx.doi.org/10.1055/s-0037-1601406 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Innocenti, Massimo
Mancini, Michele
Faccio, Marina
Carulli, Christian
Buselli, Paolo
Messina, Sara
Quattrone, Giuseppe
Spaggiari, Piergiorgio
The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty
title The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty
title_full The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty
title_fullStr The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty
title_full_unstemmed The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty
title_short The Use of a High-Tech Knee Pad for Reduction of the Postoperative Effusion after Total Knee Arthroplasty
title_sort use of a high-tech knee pad for reduction of the postoperative effusion after total knee arthroplasty
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672854/
https://www.ncbi.nlm.nih.gov/pubmed/29114623
http://dx.doi.org/10.1055/s-0037-1601406
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