Clinical trial NCT02928835: Effects of Dynamic Splinting on Knee Flexion Angle After Total Knee Arthroplasty: A Randomized Controlled Trial
Official title: Effects of Dynamic Splinting on Knee Flexion Angle After Total Knee Arthroplasty: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Acquired Fixed Flexion Deformity of the Knee (Disorder)
Keywords: Total knee arthroplasty
Knee flexion
Dynamic orthosis
Lead sponsor: Universidade Norte do Paraná
Sponsor class: OTHER
Collaborators: name: Hopital du Sacre-Coeur de Montreal
First posted: 2016-10-10
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: To evaluate the effects of a knee flexion Dynasplint orthosis on knee flexion angle after a total knee arthroplasty. Sixty participants, who underwent a total knee arthroplasty, were randomly assigned in two groups: control group and Dynasplint group.

Detailed description: Post-surgical rehabilitation interventions following total knee arthroplasty consist mainly of stretching exercises to improve flexibility and prevent soft tissue fibroses around the joint, thus, avoiding contractures and providing increases in the range of motion at the knee joint. Although knee manipulation and open arthrolysis may improve range of motion after total knee arthroplasty , the results have been variable and additional procedures are frequently necessary. Studies demonstrated the effectiveness of dynamic orthoses in reducing joint contractures after orthopedic surgeries in various joints that require a long rehabilitation period. Therefore, the purpose of the present study was to evaluate the effects of the knee flexion Dynasplint orthosis (KFD) on the length of rehabilitation and range of knee flexion angle after total knee arthroplasty.

Eligibility criteria: Inclusion Criteria:

Patients enrolled will have been schedule to receive first prosthesis of the knee:

Arthritis of the knee, dominated with pain Painful, deformed, and/or unstable knees secondary to degenerative or inflammatory conditions

Exclusion Criteria:

Fractures Knee sepsis Osteomyelitis or any orthopedic infection Psoriasis Knee joint neuropathy Previous Stroke or Brain Injury Significant pathology acquired secondary to the surgery

Primary outcomes:
measure: The knee flexion angle was assessed in supine position with a universal goniometer
timeFrame: Change from baseline knee flexion angle at 6 months
Secondary outcomes:
measure: Measures of knee function.
timeFrame: Change from baseline knee flexion angle at 6 months
measure: Measures for quality of life
timeFrame: Change from baseline knee flexion angle at 6 months
Other outcomes:
Locations:
city: Montreal
country: Canada
facility: Hôpital Jean-Talon
state: Quebec
Study officials:
affiliation: Universidade Norte do Paraná
name: Eros De Oliveira Jr, PhD
role: PRINCIPAL_INVESTIGATOR
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