Manipulation Under Anesthetic May Improve Stiffness Following Total Knee Arthroplasty

Patients who experience stiffness following primary total knee arthroplasty may benefit from manipulation under anesthetic, according to an Ortho Super Site report.

According to a study presented at the British Orthopaedic Association and the Irish Orthopaedic Association Combined Meeting 2011 in Dublin, manipulation under anesthetic may improve range of motion if performed within 12 months of surgery.

The study leader, David Cohen, MD, MPH, said early improvement was good, though long-term results did not maintain. He said physicians may be able to predict those patients who will need MUA based on flexion at discharge or whether the patient is undergoing warfarin therapy.

Dr. Cohen said manipulation is 50 percent maintained in the long-term.

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