Clinical Applications and Results
In 1978, Dr. Salter began to apply CPM to humans following procedures such as:
- ORIF of intra-articular
- metaphyseal
- diaphyseal fractures
- surgical release of extra-articular joint contractures
- arthrotomy and incision with drainage for acute septic arthritis
- synovectomy
- biologic resurfacing
- ligamentous repair
- reconstruction
- tendon repair
- tibial osteotomy
- total joint replacement.
Results from these clinical applications include:
- CPM is well tolerated
- maintenance of an increased ROM
- normal wound healing
- absence of complications
- shortened period of hospitalization and rehabilitation.
Additional clinical studies have been done over the past 20+ years that continue to support these findings. In 2004, a review of Fourteen of these clinical trials was published with the overall results supporting the use of CPM to the post-operative rehabilitiation process. The use of CPM increased active knee flexion, decreased the length of stay in a hospital and decreased the need for post-operative manipulation.
