Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Clinical and healthcare resource utilization outcomes following revision knee arthroplasty with and without a gradually reducing radius revision knee system.

Current medical research and opinion·2026

Same author

Quarterly Trends in Total Knee Arthroplasty Utilization in the United States: Insurance Cost Sharing Drives Seasonal Variation.

The Journal of arthroplasty·2026

Same author

Effect of Season on Patient-reported Outcomes and Discharge Disposition in Total Hip and Knee Arthroplasty.

The Journal of the American Academy of Orthopaedic Surgeons·2026

Same author

Evaluating generative AI responses at the 3-month timepoint following total knee arthroplasty.

The Knee·2026

Same author

The Impact of Spinal Anesthetic Dose on Length-of-Stay in Primary Total Knee Arthroplasty.

The Journal of arthroplasty·2026

Same author

Musculoskeletal Quality Collaborative improves value-based health care delivery across hospital system.

The American journal of managed care·2026

Same journal

Patient Satisfaction and Outcomes at a Mean 11-Year Follow-Up Following Total Hip Arthroplasty with Subtrochanteric Osteotomy for Dislocated Hips After Schanz Osteotomy.

The Journal of arthroplasty·2026

Same journal

Comparative Analysis of Periprosthetic Joint Infection Rates After Total Hip Arthroplasty Across Facility Types: A Single Institution Study.

The Journal of arthroplasty·2026

Same journal

Preoperative Pneumonia and Its Association With Periprosthetic Joint Infection and Postoperative Complications After Total Hip and Knee Arthroplasty.

The Journal of arthroplasty·2026

Same journal

Conversion Total Hip Arthroplasty Following Prior Internal Fixation: A Comparison with Primary and Revision Total Hip Arthroplasty.

The Journal of arthroplasty·2026

Same journal

The Relationship Between Patient Satisfaction and the Degree of Valgus Deformity in Lateral Unicompartmental Knee Arthroplasty at a Mean 3-Year Follow-Up.

The Journal of arthroplasty·2026

Same journal

Kneeling After Total Knee Arthroplasty: Does Resurfacing the Patella Affect the Ability to Kneel?

The Journal of arthroplasty·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Jun 12, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Time-Driven Activity-Based Cost Analysis to Decrease Financial Burden of Manipulation Under Anesthesia After Total

Gloria S Coden¹, Hannah I Travers¹, John C Mazzocco²

¹New England Baptist Hospital, Department of Orthopaedic Surgery, Boston, Massachusetts.

The Journal of Arthroplasty

|May 22, 2025

Summary

This summary is machine-generated.

Manipulation under anesthesia (MUA) after total knee arthroplasty (TKA) incurs significant hospital costs, primarily from personnel. Understanding these costs is crucial for managing reimbursement policies, especially as most MUAs fall within the TKA global payment period.

Keywords:

manipulation under anesthesia procedure costs reimbursement time-driven activity-based costing total knee arthroplasty

More Related Videos

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Knee Arthrocentesis in Adults

Knee Arthrocentesis in Adults

Published on: February 25, 2022

Related Experiment Videos

Last Updated: Jun 12, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Knee Arthrocentesis in Adults

Knee Arthrocentesis in Adults

Published on: February 25, 2022

Area of Science:

Orthopaedic Surgery
Health Economics
Cost Analysis

Background:

Total knee arthroplasty (TKA) is highly successful, but stiffness can reduce patient satisfaction.
Manipulation under anesthesia (MUA) is a common treatment for post-TKA stiffness.
Understanding the hospital costs associated with MUA is essential due to potential patient cost implications.

Purpose of the Study:

To accurately determine the hospital costs of Manipulation under anesthesia (MUA) following Total Knee Arthroplasty (TKA).
To utilize time-driven activity-based costing (TDABC) for precise cost calculation.
To compare MUA costs with hospital reimbursement.

Main Methods:

Retrospective review of financial data for 510 MUAs post-TKA (2015-2023).
Inclusion of patient demographics, TKA history, length of stay, and discharge disposition to identify cost-related risk factors.
Calculation of MUA costs using TDABC, encompassing personnel and supply expenses.

Main Results:

The average total hospital cost for an MUA was $1,749.72.
Personnel costs constituted 71.4% of the total MUA expenses.
Commercial insurance was linked to higher MUA costs; patient factors like age or BMI were not significant cost predictors. Mean hospital reimbursement was $1,909.18, yielding a mean revenue of $159.46.

Conclusions:

MUAs represent a substantial hospital cost, driven by preoperative testing and personnel.
Most MUAs occur within the 90-day TKA global payment period.
These findings are critical for informing hospital reimbursement strategies for MUA procedures.