Orthopaedic NursingPub Date : 2024-07-01Epub Date: 2024-07-24DOI: 10.1097/NOR.0000000000001042
Tyler M Goodwin, Brett G Brazier, Adam J Cien, Patrick K Riggle, John M Popovich, Phillip C Penny, Jason M Cochran
{"title":"The Effect of Postoperative Sleeping Position on Knee Extension and Range of Motion Following Primary Total Knee Arthroplasty.","authors":"Tyler M Goodwin, Brett G Brazier, Adam J Cien, Patrick K Riggle, John M Popovich, Phillip C Penny, Jason M Cochran","doi":"10.1097/NOR.0000000000001042","DOIUrl":"10.1097/NOR.0000000000001042","url":null,"abstract":"<p><p>Total knee arthroplasty (TKA) is an orthopaedic operation that improves quality of life and reduces pain in patients with disabling arthritis of the knee. One commonly recognized complication is flexion contracture of the knee. Early physical therapy helps prevent flexion contracture and improve range of motion (ROM) postoperatively. This study evaluated postoperative sleeping position and its effect on terminal knee extension and ROM following primary TKA. We hypothesized that patients who slept in the supine position would achieve earlier knee extension and greater ROM when compared to those in the lateral recumbent position. A total of 150 consecutive primary TKAs were performed by a single surgeon (J.M.C.) from April 2014 to December 2014. The data were collected prospectively to determine preoperative ROM, postoperative ROM, and sleeping position. Mean postoperative terminal extension ROM at 1 month was 2.9 degrees in the supine group versus 6.0 degrees (p< .001) in the lateral group. No significant demographic differences between the two groups at baseline were found. Our results demonstrate that sleeping position affects initial postoperative terminal extension, however, not overall ROM. We found a statistically significant difference in extension when comparing patients in the supine versus lateral group. Patients who slept in the lateral position lacked 6 degrees of extension which is greater than the 5 degrees needed for normal gait mechanics. Those in the supine group lacked 2.9 degrees of extension, allowing for normal gait mechanics. This study identifies an easy, effective means of increasing patients initial ability to achieve knee extension and satisfaction following TKA.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 4","pages":"218-222"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 10.1097/NOR.0000000000001031
Elizabeth Ann Carlson
{"title":"Looking at the Pandemic in the Rear View Mirror.","authors":"Elizabeth Ann Carlson","doi":"10.1097/NOR.0000000000001031","DOIUrl":"10.1097/NOR.0000000000001031","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"182-183"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 10.1097/NOR.0000000000001026
Martha Kebeh, Chloe C Dlott, Wei Shao Tung, Daniel H Wiznia
{"title":"Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Mental Health and Housing Status-Part Five of the Movement Is Life Special ONJ Series.","authors":"Martha Kebeh, Chloe C Dlott, Wei Shao Tung, Daniel H Wiznia","doi":"10.1097/NOR.0000000000001026","DOIUrl":"10.1097/NOR.0000000000001026","url":null,"abstract":"<p><p>Mental health and housing status have the potential to impact total joint arthroplasty (TJA) outcomes and are common TJA eligibility criteria that prevent patients from receiving surgery. Our aim was to formulate recommendations for how nurse navigators can assist patients with managing mental health and housing concerns. Through discussions with nurse navigators and a literature search across two databases, we gathered information regarding the optimization of mental health and housing status among TJA patients. We observed a lack of standardized protocols for addressing these concerns and literature supporting an increased focus on mental health and housing status, indicating the potential for greater nurse navigator involvement in developing and implementing protocols. We recommend nurse navigators use screening tools to identify mental health and housing concerns and offer the suggested resources to support patients in an effort to improve postoperative outcomes and decrease surgical risks.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"132-140"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}