The effect of anticoagulation on the restoration of range of motion after total knee arthroplasty

A C Keays; Marjon Mason; Susan L Keays; P A Newcombe

doi:10.1054/arth.2003.50024

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The effect of anticoagulation on the restoration of range of motion after total knee arthroplasty

Journal article

Peer reviewed

The effect of anticoagulation on the restoration of range of motion after total knee arthroplasty

A C Keays, Marjon Mason, Susan L Keays and P A Newcombe

Journal of Arthroplasty, Vol.18(2), pp.180-185

2003

DOI: https://doi.org/10.1054/arth.2003.50024

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Abstract

Clinical Sciences

knee arthroplasty

enoxaparin

asprin

Anticoagulation used for thromboembolic prophylaxis following total knee arthroplasty (TKA) could interfere with movement. This study compares the effect of 2 anticoagulants, enoxaparin and aspirin, on restoration of range of motion (ROM) after TKA. Two groups of 75 consecutive patients, matched for age, arthritic severity, and preoperative ROM, underwent TKA. Flexion and extension milestone measures were recorded daily. Results show a highly statistically significant difference (P&.001) between the 2 groups when comparing the days on which these milestones were achieved. Group 1 (enoxaparin) reached 90°, 100° and 110° of flexion in 8.4, 10.4, and 12.4 days, respectively. Group 2 (aspirin) reached the same goals in 6.8, 8.5, and 10.6 days, respectively. At 15 months after surgery, no statistically significant difference in flexion was seen between the groups (122° vs 121°). Enoxaparin delayed the return of early but not long-term flexion after TKA.

Details

Title: The effect of anticoagulation on the restoration of range of motion after total knee arthroplasty
Authors: A C Keays (Author) - Nambour Selangor Hospital
Marjon Mason (Author) - Nambour Selangor Hospital
Susan L Keays (Author) - University of Queensland
P A Newcombe (Author) - University of Queensland
Publication details: Journal of Arthroplasty, Vol.18(2), pp.180-185
Publisher: Churchill Livingstone
Date published: 2003
DOI: 10.1054/arth.2003.50024
ISSN: 0883-5403
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449721102621
Output Type: Journal article

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