Clinical, objective, and functional outcomes of manipulation under anesthesia to treat knee stiffness following total knee arthroplasty

Kimona Issa, Bhaveen H. Kapadia, Mark Kester, Harpal S Khanuja, Ronald E. Delanois, Michael A. Mont

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to determine the clinical outcomes of manipulation under anesthesia (MUA) in a cohort who had developed knee stiffness following total knee arthroplasty (TKA). One-hundred and forty-five TKAs in 134 patients who had undergone MUA were compared to the remaining 1973 TKAs in 1671 patients who did not develop this condition. At a mean follow-up of 51 months (range, 24 to 85. months), the mean gains in flexion in the MUA cohort were 33° (range, 5° to 65°). The final range-of-motion in the MUA cohort was lower than the comparison cohort (114° versus 125°) however, this would meet the required flexion for activities of daily living. There were no differences in the Knee Society objective and functional scores between the two cohorts. It is encouraging that MUA cohort outcomes were comparable to outcomes of patients who did not develop knee stiffness.

Original languageEnglish (US)
Pages (from-to)548-552
Number of pages5
JournalJournal of Arthroplasty
Volume29
Issue number3
DOIs
StatePublished - Mar 2014

Fingerprint

Knee Replacement Arthroplasties
Knee
Anesthesia
Activities of Daily Living
Articular Range of Motion

Keywords

  • Arthrofibrosis
  • Flexion
  • Knee stiffness
  • Manipulation under anesthesia
  • Range-of-motion
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Clinical, objective, and functional outcomes of manipulation under anesthesia to treat knee stiffness following total knee arthroplasty. / Issa, Kimona; Kapadia, Bhaveen H.; Kester, Mark; Khanuja, Harpal S; Delanois, Ronald E.; Mont, Michael A.

In: Journal of Arthroplasty, Vol. 29, No. 3, 03.2014, p. 548-552.

Research output: Contribution to journalArticle

Issa, Kimona ; Kapadia, Bhaveen H. ; Kester, Mark ; Khanuja, Harpal S ; Delanois, Ronald E. ; Mont, Michael A. / Clinical, objective, and functional outcomes of manipulation under anesthesia to treat knee stiffness following total knee arthroplasty. In: Journal of Arthroplasty. 2014 ; Vol. 29, No. 3. pp. 548-552.
@article{7be314cb41994054b514d49a67d09c0c,
title = "Clinical, objective, and functional outcomes of manipulation under anesthesia to treat knee stiffness following total knee arthroplasty",
abstract = "The purpose of this study was to determine the clinical outcomes of manipulation under anesthesia (MUA) in a cohort who had developed knee stiffness following total knee arthroplasty (TKA). One-hundred and forty-five TKAs in 134 patients who had undergone MUA were compared to the remaining 1973 TKAs in 1671 patients who did not develop this condition. At a mean follow-up of 51 months (range, 24 to 85. months), the mean gains in flexion in the MUA cohort were 33° (range, 5° to 65°). The final range-of-motion in the MUA cohort was lower than the comparison cohort (114° versus 125°) however, this would meet the required flexion for activities of daily living. There were no differences in the Knee Society objective and functional scores between the two cohorts. It is encouraging that MUA cohort outcomes were comparable to outcomes of patients who did not develop knee stiffness.",
keywords = "Arthrofibrosis, Flexion, Knee stiffness, Manipulation under anesthesia, Range-of-motion, Total knee arthroplasty",
author = "Kimona Issa and Kapadia, {Bhaveen H.} and Mark Kester and Khanuja, {Harpal S} and Delanois, {Ronald E.} and Mont, {Michael A.}",
year = "2014",
month = "3",
doi = "10.1016/j.arth.2013.07.046",
language = "English (US)",
volume = "29",
pages = "548--552",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "3",

}

TY - JOUR

T1 - Clinical, objective, and functional outcomes of manipulation under anesthesia to treat knee stiffness following total knee arthroplasty

AU - Issa, Kimona

AU - Kapadia, Bhaveen H.

AU - Kester, Mark

AU - Khanuja, Harpal S

AU - Delanois, Ronald E.

AU - Mont, Michael A.

PY - 2014/3

Y1 - 2014/3

N2 - The purpose of this study was to determine the clinical outcomes of manipulation under anesthesia (MUA) in a cohort who had developed knee stiffness following total knee arthroplasty (TKA). One-hundred and forty-five TKAs in 134 patients who had undergone MUA were compared to the remaining 1973 TKAs in 1671 patients who did not develop this condition. At a mean follow-up of 51 months (range, 24 to 85. months), the mean gains in flexion in the MUA cohort were 33° (range, 5° to 65°). The final range-of-motion in the MUA cohort was lower than the comparison cohort (114° versus 125°) however, this would meet the required flexion for activities of daily living. There were no differences in the Knee Society objective and functional scores between the two cohorts. It is encouraging that MUA cohort outcomes were comparable to outcomes of patients who did not develop knee stiffness.

AB - The purpose of this study was to determine the clinical outcomes of manipulation under anesthesia (MUA) in a cohort who had developed knee stiffness following total knee arthroplasty (TKA). One-hundred and forty-five TKAs in 134 patients who had undergone MUA were compared to the remaining 1973 TKAs in 1671 patients who did not develop this condition. At a mean follow-up of 51 months (range, 24 to 85. months), the mean gains in flexion in the MUA cohort were 33° (range, 5° to 65°). The final range-of-motion in the MUA cohort was lower than the comparison cohort (114° versus 125°) however, this would meet the required flexion for activities of daily living. There were no differences in the Knee Society objective and functional scores between the two cohorts. It is encouraging that MUA cohort outcomes were comparable to outcomes of patients who did not develop knee stiffness.

KW - Arthrofibrosis

KW - Flexion

KW - Knee stiffness

KW - Manipulation under anesthesia

KW - Range-of-motion

KW - Total knee arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=84893822187&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893822187&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2013.07.046

DO - 10.1016/j.arth.2013.07.046

M3 - Article

C2 - 24011781

AN - SCOPUS:84893822187

VL - 29

SP - 548

EP - 552

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 3

ER -