SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
Post-operative limb position can influence blood loss and range of motion after total knee arthroplasty: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- An updated meta-analysis evaluating limb management after total knee arthroplasty-what is the optimal method?Journal of orthopaedic surgery and research · 2019Pooled it
- Impact of flexion versus extension of knee position on outcomes after total knee arthroplasty: a meta-analysis.Archives of orthopaedic and trauma surgery · 2017Pooled it
- The role of wound closure in total knee arthroplasty: a systematic review on knee position.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- Reduction of Blood Loss by Intra-articular Injection of Tranexamic Acid Combined with Knee and Hip Flexion at 45° During Primary Total Knee Arthroplasty: A Randomized Controlled Trial.Orthopaedic surgery · 2020Trial
- The effect of post-operative limb positioning on blood loss and early outcomes after primary total knee arthroplasty: a randomized controlled trial.International orthopaedics · 2019Trial
- Effect of different postoperative flexion regimes on the outcomes of total knee arthroplasty: randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Effects of knee position on blood loss following total knee arthroplasty: a randomized, controlled study.Journal of orthopaedic surgery and research · 2015Trial
- All-arthroscopic release in treating knee stiffness after anterior cruciate ligament reconstruction.Annals of joint · 2026Article
- [The influence of knee flexion position on postoperative blood loss and knee range of motion after total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Review
- Blood management in fast-track orthopedic surgery: an evidence-based narrative review.Journal of orthopaedic surgery and research · 2019Review
- Article
- Influence of synovectomy on blood loss and need for transfusion in standard total knee replacement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Perioperative blood management strategies for patients undergoing total knee replacement: Where do we stand now?World journal of orthopedics · 2017Review
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA 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.
methodsA 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.
resultsSeven 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 48-72 h 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.
conclusionsBased on the studies undertaken to date, a 48-72 h 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.