10/17/2019
IMPORTANT TO KNOW:
CPM is indicated to prevent stiffness and to maintain motion obtained at the time of surgery, particularly following joint replacement, synovectomy, contracture release, excision of heterotopic ossification, and fixation of intra-articular fractures. This is particularly true for joints that were stiff preoperatively. It is relatively contraindicated if the soft tissue constraints (ligaments) are insufficient, if the joint is unstable, or if rigid fixation of fractures has not been attained. By following these guidelines and adhering strictly to the principles of CPM use, one will increase the chances of obtaining maximum range of joint motion following trauma or surgery. It would be anticipated that proper application of CPM would, indeed, be cost effective, because it would decrease the need for physical therapy and joint manipulation under anesthesia, and later rehabilitation or surgical intervention to treat stiffness.
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