Safety of Early Application of Continuous Passive Motion in Patients after Total Knee Arthroplasty

ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measured 1 h before,during and after CPM on the day and next day of the operation. ResultsThere was no significant difference in the drainage volume before,during and after CPM(P >0.05). ConclusionEarly application of CPM is safe for TKA patients.

Temperature field evolution and heat transfer during continual local induction cladding

The evolution of temperature field of the continual motion induction cladding and the depth of heat affected zone are studied in this study.A three-dimensional finite element model for the point type continual induction cladding is established to investigate temperature distributions of fixed and motion induction cladding modes.The novel inductor is designed for cladding of curved surfaces.The modeling reliability is verified by the temperature measurements.The influence of process parameters on the maximum temperature and the generation and transfer of heat are studied.Quantitative calculation is performed to its melting rate to verify the temperature distribution and microstructures.The results show that a good metallurgical bond can be formed between the cladding layer and substrate.The melting rate gradually falls from the top of the cladding layer to the substrate,and the grain size in the substrate gradually rises.The heat affected zone is relatively small compared to integral heating.

Clinical observation on filiform fire-needling plus continuous passive motion therapy for frozen shoulder

Objective:To observe the clinical efficacy of filiform fire-needling plus continuous passive motion(CPM)therapy for frozen shoulder.Methods:A total of 72 patients were randomized into an observation group and a control group by the random number table method,with 36 cases in each group.Patients in the control group received celecoxib capsule plus CPM,while those in the observation group received filiform fire-needling plus CPM.The whole course of treatment lasted for 2 weeks in both groups.The visual analog scale(VAS),Constant-Murley score(CMS)and range of motion of shoulder joint were measured for therapeutic efficacy evaluation.Results:The total effective rate was 91.7%in the observation group,higher than 72.2%in the control group,and the between-group comparison showed statistical significance(P<0.05).After treatment,the VAS scores in the two groups dropped significantly,the CMS as well as the range of motion including abduction,forward flexion and extension were all increased significantly,and the intra-group comparisons showed statistical significance(all P<0.05).The betweengroup comparisons showed the improvements in these items in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder;it can alleviate pain,improve shoulder function and restore joint range of motion in such patients.