Continuous Passive Motion Indicated for Ankle Fractures

Continuous Passive Motion Indicated for Ankle Fractures.

 

Early passive movement of the ankle joint improves long term joint function following fixation of bimalleolar and trimalleolar fractures. But it’s important to note that reduction of the lateral malleolus is key to obtain successful surgical results.

“Continuous passive motion started immediately after surgery seems to be an effective method both for allowing complete and quick recovery of the range of motion of the ankle and for reducing the risk of early degenerative joint disease” (Farsetti et al, 2009).

In the study by Farsetti and his colleagues, they reviewed 44 clients 10-14 years post-surgery to see how their joint performed. The group was split between those who had used continuous passive motion (CPM) immediately after surgery, and those who had used static splinting.

The static splinting group exhibited greater restriction in ankle range of motion and more signs of osteoarthritis. The researchers also did not find any significant difference in wound healing between these groups, a misunderstood factor that has prevented some practitioners from passively mobilising their patients’ ankles previously.

Read the full study here…

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