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Author Topic: Did you use the CPM after TKR?  (Read 1672 times)

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Offline huntingandmoon

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Did you use the CPM after TKR?
« on: March 06, 2006, 02:13:44 AM »
Hello All!

At my arthroscope post-op appointment I asked my OS if he prescribes the CPM in the hospital and then for home use after a TKR.  He said he will prescribe one if I want it (how am I suppose to know if "I want one"??).  He said no one has shown that a CPM makes any difference in the long run.  I have come across articles to support that theroy; however my question to you very knowlegeable folks is:  Did you use the CPM and did you find it to be of benefit?

I appreciate any input .. need to get all my ducks in a row before I book surgery!

Thank you,

Offline missmyknee

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Re: Did you use the CPM after TKR?
« Reply #1 on: March 06, 2006, 02:32:47 AM »
I had a left TKR in Jan 05. My doctor puts his patients in a CPM right out of surgery. I was in one out of surgery at about 60 degrees flexion, but it wasn't turned on til the morning. I used it in the hospital 2hrs/3 times a day and took it with me when I was dismissed at 4 days. I used it a total of 2 weeks. I found it very beneficial for a jump start on flexion. Extension is the most important to achieve early on. The most I got up to in the CPM was 100 degrees. After the CPM Machine was discontinued, I used the ERMI flexionator seat. The PT dept had the ERMI and I had the doctor write a script for me to have one to use at home for 2 mos.  It helped me progress further with my flexion and the constant battle with the stiffness you will have the first 4 mos. When I was 2 weeks post op, I was at 122 degrees flexion. The highest flexion I got was 130 and that was while using the ERMI, but a year later I am between 120-125 degrees flexion.

So to answer your question, I found the CPM to be very beneficial for early flexion after TKR surgery, but it takes constant hard work afterwards to continue gaining flexion once the CPM has been discontinued.

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Offline nlb

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Re: Did you use the CPM after TKR?
« Reply #2 on: March 14, 2006, 05:24:41 PM »
I HIGHLY recommend using the cpm.  I am a ortho nurse as well as suffer from knee problems and see the benefits from the cpm.  Pts that use the cpm have a much better recovery.  The cpm helps with range of motion and pain control.  When I had my knee surgery the cpm helped considerably.  It helps keep scar tissue down  and keeps the knee flexible which helps in physical therapy.  I used my machine 1-2 times a day for 1-2 hours at each session.  Hope this helps.  Good luck with your TKR.  Any questions please feel free to ask.

Offline huntingandmoon

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Re: Did you use the CPM after TKR?
« Reply #3 on: March 15, 2006, 12:48:31 AM »
Thank you all for your honest answers!  I think I'll err on the side of caution and ask my OS to order a cpm in the hospital as well as at home.  At least my OS will work with me - even if he thinks patients do fine without a cpm!  Doing all of this research is very time consuming, but I am the type who needs to research and get answers or I don't do very well thank you all very, very much!


Offline Leentje

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Re: Did you use the CPM after TKR?
« Reply #4 on: March 15, 2006, 10:42:48 AM »
Our OS put patients in a CPM right after surgery. Their only goal is getting the patients to get 90° of flexion within a week. Either by CPM or active ROM exercises, as long as they gt the 90°bent it's ok. however passive motion is more easy than active ROM.

Good luck!

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