Effect of repeated manipulation on range of motion in patients with stiff total knee arthroplasty

Orthopedics
Ho-Rim ChoiYoung-Min Kwon

Abstract

Although manipulation under anesthesia (MUA) has been considered effective first-line treatment for stiff total knee arthroplasty (TKA), there is no consensus regarding the usefulness of repeated MUA. The purpose of this study was to investigate the usefulness of repeated MUA performed for patients in whom satisfactory range of motion (ROM) was not achieved by MUA. The authors retrospectively reviewed 15 patients who underwent repeated MUA after failure of initial MUA for stiff TKA. Demographic and ROM data were collected. A final ROM of less than 90° was considered a failed manipulation (failure group) and a final ROM of 90° or more was considered a successful manipulation (success group). Average pre-repeated MUA ROM (72.3°±19.5°) immediately improved to 112.3°±9.7° (P<.001) in the operating room, and final ROM was 89.6°±23.9°, an overall gain of 17.3° (P=.04). However, despite this overall ROM increase, a successful final ROM (90° or more) was achieved in approximately half of patients (7 of 13; 54%). There were no significant differences in demographics between the success and failure groups, except that there was significantly less pre-TKA ROM in the failure group (P=.02). There were no complications related to either the ...Continue Reading

References

Mar 6, 1999·The Journal of Bone and Joint Surgery. British Volume·C N EslerP J Gregg
Jun 13, 2001·The Journal of Arthroplasty·P E Scranton
Jun 18, 2002·The Journal of Arthroplasty·William J Maloney
Feb 3, 2007·The Journal of Bone and Joint Surgery. American Volume·E Michael KeatingMichael E Berend
Oct 11, 2007·The Journal of Arthroplasty·Robert S Namba, Maria Inacio
Dec 24, 2008·Annals of the Royal College of Surgeons of England·Riazuddin MohammedNaveed Ahmed
Aug 12, 2009·The Knee·Richard A Rubinstein, Alex DeHaan
Feb 1, 2011·The Journal of Arthroplasty·Naomi E GadinskyGeoffrey H Westrich
Sep 13, 2012·Clinical Orthopaedics and Related Research·Harpreet S BawaVictor M Goldberg

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Citations

Apr 4, 2018·JBJS Reviews·Erik ZachwiejaNeil Sheth
Jul 19, 2019·The Journal of Bone and Joint Surgery. American Volume·Meagan E TibboMatthew P Abdel
Nov 23, 2019·EFORT Open Reviews·E Carlos Rodríguez-Merchán
Mar 5, 2021·Journal of Orthopaedic Translation·Sara K AspinallDaniel T P Fong

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