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Alternative technique for knee manipulation under anesthesia.

Kelli S Baum1, Tianyi D Luo1, Shea Comadoll1

  • 1Wake Forest Baptist Hospital, Winston-Salem, NC, USA.

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|December 21, 2018
PubMed
Summary
This summary is machine-generated.

Total knee arthroplasty can lead to stiffness. A new manipulation under anesthesia (MUA) technique improved knee flexion significantly in 78 patients, with no major complications reported.

Keywords:
ArthrofibrosisManipulation under anesthesiaPost operative stiffnessTotal knee complicationsTotal knee manipulation

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total knee arthroplasty (TKA) is effective for knee osteoarthrosis.
  • Arthrofibrosis or loss of motion affects ~5% of TKA patients.
  • Manipulation under anesthesia (MUA) is indicated for limited postoperative knee flexion.

Purpose of the Study:

  • To describe a novel technique for manipulation under anesthesia (MUA).
  • To evaluate the efficacy and safety of this MUA technique in TKA patients.

Main Methods:

  • A retrospective review of 78 patients undergoing a novel MUA technique.
  • Assessment of knee flexion before and after MUA.
  • Documentation of any major complications.

Main Results:

  • Average knee flexion improved from 80.0° to 115.4° post-MUA.
  • No major complications such as fracture or extensor mechanism injury were reported.
  • The novel MUA technique demonstrated significant improvement in range of motion.

Conclusions:

  • The described novel MUA technique is a safe and effective option for TKA patients with arthrofibrosis.
  • This technique offers a promising solution for restoring knee motion post-arthroplasty.
  • Further research may validate this approach in larger patient cohorts.