Volume 22 Issue 6
Jun.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 1064-1067
WENG Huiying, SHEN Dandan, SHEN Jiamin, DING Liying. The effect of flexion position maintenance time on Hb, ROM and VAS after total knee arthroplasty[J]. Chinese Journal of General Practice, 2024, 22(6): 1064-1067. doi: 10.16766/j.cnki.issn.1674-4152.003567
Citation: WENG Huiying, SHEN Dandan, SHEN Jiamin, DING Liying. The effect of flexion position maintenance time on Hb, ROM and VAS after total knee arthroplasty[J]. Chinese Journal of General Practice, 2024, 22(6): 1064-1067. doi: 10.16766/j.cnki.issn.1674-4152.003567
shu

The effect of flexion position maintenance time on Hb, ROM and VAS after total knee arthroplasty

doi: 10.16766/j.cnki.issn.1674-4152.003567

  • Sixth Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou, Zhejiang 313000, China

Funds:

 2023KY1179

  • Received Date: 2024-03-06
    Available Online: 2024-07-22
    Abstract
  •   Objective  To investigate the effect of postoperative flexion position maintenance time on Hb, Range of motion (ROM) and visual analogue scale (VAS) in patients undergoing total knee arthroplasty (TKA), and to analyze the effect of position maintenance time on postoperative complications.  Methods  A total of 110 TKA patients admitted to the First People's Hospital of Huzhou from March to November 2023 were selected as the study subjects. TKA patients were divided into 6 h group, 24 h group and 48 h group according to the time of postural maintenance. The swelling degree and subcutaneous ecchymosis area of the three groups were compared at 7 days after operation. The postoperative blood loss was compared among the three groups. The postoperative knee joint activity and pain level were compared among the three groups.  Results  The level of Hb in 48 h group was higher than that in 6 h group and 24 h group at 3 d and 5 d after operation (P < 0.05). The ROM of 5 d and 7 d in 48 h group were higher than those in 6 h group and 24 h group, and the VAS scores were lower than those in 6 h group and 24 h group (P < 0.05). Bivariate correlation Tau-b (K) analysis showed that the duration of flexion position was positively correlated with Hb and ROM (r=0.519, 0.491, P < 0.001), and the duration of flexion position was negatively correlated with VAS (r=-0.494, P < 0.001). There was no significant difference in the incidence of complications among the three groups [48 h group: 5.41%(2/37); 24 h group: 8.11%(3/37); 6 h group: 13.89%(5/36), P>0.05].  Conclusion  Forty-eight hours of flexion position maintenance can promote the recovery of knee joint function, reduce blood loss and relieve postoperative pain in TKA patients. At the same time, the position maintenance time is positively correlated with Hb, ROM and VAS.

     

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