caa a22 4500 605457948 CHVBK 20210128100226.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00167-013-2732-4 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2732-4 Post-operative limb position can influence blood loss and range of motion after total knee arthroplasty: a systematic review [Elektronische Daten] [Cesare Faldini, Francesco Traina, Marcello De Fine, Marco Pedrini, Andrea Sambri] Purpose: A consistent post-operative limb positioning regime could be an attractive, simple and cost-effective alternative to improve patient's outcomes after total knee arthroplasty (TKA). The aim of this study was to perform a systematic review of the available literature in order to understand whether a consistent post-operative limb positioning regime could affect blood loss and range of motion (ROM) after TKA. Methods: A search was performed using the keywords "total knee replacement/knee prosthesis” in combination with "post-operative management”, "blood loss”, "range of motion”, "leg position”, "flexion”, "extension” and "splinting” regardless of the year of publication. The scientific databases have been accessed in order to identify papers dealing with post-operative limb positioning regimes after TKA. Results: Seven articles matching the inclusion criteria were selected. Blood loss and ROM were both investigated in all but one paper, in which only blood loss was evaluated. There were six randomized controlled trials and one prospective comparative study. A 48-72h post-operative knee flexion protocol seems to be effective in reducing blood loss and increasing ROM following TKA. We did also find no benefit in using extension splints in the immediate post-operative period. Conclusions: Based on the studies undertaken to date, a 48-72h post-operative knee flexion protocol should be implemented as an easy and inexpensive method of reducing blood loss and increasing ROM following TKA. Shorter flexion regimes failed to influence these parameters. Level of evidence: II. Springer-Verlag Berlin Heidelberg, 2013 Total knee arthroplasty nationallicence Post-operative limb position nationallicence Blood loss nationallicence Range of motion nationallicence Faldini Cesare General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut Traina Francesco General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut De Fine Marcello General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut Pedrini Marco General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut Sambri Andrea General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 852-859 0942-2056 23:3<852 2015 23 167 https://doi.org/10.1007/s00167-013-2732-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2732-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Faldini Cesare General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut NATIONALLICENCE 700 1- Traina Francesco General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut NATIONALLICENCE 700 1- De Fine Marcello General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut NATIONALLICENCE 700 1- Pedrini Marco General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut NATIONALLICENCE 700 1- Sambri Andrea General Orthopaedic Surgery, Rizzoli-Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, km 246, 90011, Bagheria, PA, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 852-859 0942-2056 23:3<852 2015 23 167