THE EFFECT OF POSITIONING AND PNF-EXERCISE TO POSTOPERATIVE BLEEDING AFTER HIP REPLACEMENT
Author(s)
Gombos G1, Steinhausz V1, Bajsz V1, Sió E1, Turcsanyi K1, Molics B2, Boncz I2, Schmidt B11University of Pécs, Zalaegerszeg, Hungary, 2University of Pécs, Pécs, Hungary
OBJECTIVES: Postoperative positioning has beneficial effects on postoperative blood-saving, HGB and HTC reduction after knee replacement, and reduces the complications of transfusion. METHODS: Total of 96 people with hip replacement (age 69±20) were included in 4 groups who were treated on Orthopaedic Department in Zala County Hospital in 2012. I.a.group: traditional way of physiotherapy following the hospital protocol (not upraised lower limb) I.b.group: the same to I.a., supplemented with one special exercise from PNF-method (irradiation, effecting the operated side; repeat it 5-15 times/hour during the first 3 day) II.a.group: placed the lower limb in 30o hip and knee flexion + traditional physiotherapy, II.b.group: same to II.a, supplemented with the special PNF exercise. The postoperative blood volume (after 6, 24, 48, 72 hours) and HGB, HTC (pre- and postop.24h) were measured. Data were analysed by Wilcoxon-tests applying SPSS statistic software. RESULTS: The 30ohip and knee flexion increased the postoperative bleeding (mean(ml)±SD 506.3±193.4 vs 570.8±222.4) with 12% after 6 hours, but the difference was not significant (p=0,1494). The applied specific PNF exercise increased the volume of the 6 hours postoperative bleeding with 5.6% (mean(ml)±SD 514,16±215,7 vs 543,05±202,0); in 72 hours 5.3% (mean(ml)±SD 1080,55±327,6 vs 1138,44±368,4); but the difference was not significant (p=0,519 vs 0,4298). There were not significant differences between the four groups regarding the postoperative bleeding from all aspects. HGB and HTC reduction were near similar in all groups; the differences were not significant among the groups. CONCLUSIONS: This study proved that the 30o hip and knee flexion slightly increased the postoperative bleeding but it’s not a significant level, so it’s not suggested for blood-saving. PNF exercise has slightly increased the postoperative bleeding but it is also not a significant level. Maybe PNF exercise increases mildly the elimination of the produced wound fluid.
Conference/Value in Health Info
2012-11, ISPOR Europe 2012, Berlin, Germany
Value in Health, Vol. 15, No. 7 (November 2012)
Code
PHS1
Topic
Epidemiology & Public Health
Topic Subcategory
Safety & Pharmacoepidemiology
Disease
Musculoskeletal Disorders