Examinando por Materia "Artroplastia"
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Ítem Acceso abierto Effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in post-surgical patient(Universidad Privada Norbert Wiener, 2020-02-16) Villar Valer, Liz Evelin; Isla Urco de Nuñez, Wuendy Brecia; Pretell Aguilar, Rosa MaríaObjective: Systematize the evidence on the effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in immediate post-surgical patients. Material and method: The study design is a systematic review consisting of 10 scientific articles that demonstrate the effectiveness in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients, which were obtained from the following database: Epistemonikos, Pubmed, Trandfonline, jors online, Springer, publishers, publishing, Springer. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 100% (n=10/10) are of high quality, 70% (n=7/10) are meta-analysis, 10% (n=1/10) are systematic reviews, the 10% (n = 1/10) are randomized clinical trials and 10% (n = 1/10) are randomized controlled trials. Depending on the country where the research was carried out, 70% correspond to China. (n=7/10), Europe, 10% (n=1/10), Berlin 10% (n=1/10), and the USA 10% (n = 1/10). Results: From the evidence obtained, 100% (n=10/10) (12,13,14,15,16,17,18,19,20,21) demonstrate that lower extremity flexion is effective in Decreased blood loss and improved range of motion after total knee arthroplasty in immediate post-surgical patients. Conclusions: 10 of the 10 articles demonstrate that lower extremity flexion is effective in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients.Ítem Acceso abierto Effectiveness of the position of the knee flexure to improve the rotation and decrease of hidden blood after the arthroplasty in surgical patient(Universidad Privada Norbert Wiener, 2020-12-13) Romero Altamirano, Ana Luisa; Rodriguez Pickman, Marisol Susan; Calsin Pacompia, WilmerObjective: Systematize the evidence on the effectiveness of the knee flexion position to improve rotation and reduce occult blood after arthroplasty in surgical patients. Material and Methods: The study design was a systematic, quantitative review, the population was 27 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a database search: PubMed. To evaluate the articles, the GRADE System was used, which evaluated the quality of evidence and the strength of recommendation. Results: The 10 articles correspond to China 70%, Italy 20%, Iran 10% respectively. In relation to the designs, 70% are randomized controlled trials and 30% are systematic reviews. Conclusion: From the evidence found, 80% (n=08/10) show that the knee flexion position is effective in improving rotation and reducing occult blood after arthroplasty in a surgical patient, because it improved the angle of movement and decreased hospital time. Of the evidence found, it was concluded that in 20% (n=02/10) there was little evidence, therefore the effectiveness of the finding could not be determined.
