ArticleAnnals of translational medicine2015
Timing of manipulation under anaesthesia for stiffness after total knee arthroplasty.
Article in Annals of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- No clinical advantage with customized individually made implants over conventional off-the-shelf implants in total knee arthroplasty: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Time-sensitive ambulatory orthopaedic soft-tissue surgery paradigms during the COVID-19 pandemic.International orthopaedics · 2020Pooled it
- Isolated Polyethylene Exchange in Revision Total Knee Arthroplasty: A Review of Indications and Outcomes.Journal of clinical medicine · 2025Review
- Article
- Cementless Compared to Cemented Total Knee Arthroplasty is Associated With More Revisions Within 1 Year of Index Surgery.Arthroplasty today · 2023Article
- Intra-articular celecoxib improves knee extension regardless of surgical release in a rabbit model of arthrofibrosis.Bone & joint research · 2022Article
- Management of Stiffness following Total Knee Arthroplasty: International Survey on Surgeon Preferences.SICOT-J · 2021Article
- Manipulation under Anaesthesia for Patient Reported Stiffness after Total Knee Arthroplasty in an Asian Population.Malaysian orthopaedic journal · 2020Article
- The stiff total knee arthroplasty: causes, treatment modalities and results.EFORT open reviews · 2019Review
- The effect of a preoperative education class on the rate of manipulation under anesthesia after total knee arthroplasty in a veterans population.Arthroplasty today · 2018Article
- Reply to Editorial by Mamarelis et al.Annals of translational medicine · 2016Article
- Continuous Femoral Nerve Block Reduces the Need for Manipulation Following Total Knee Arthroplasty.JB & JS open accessArticle
- Efficacy of Knee Arthroplasty on the Outcomes of Knee Osteoarthritis in Iranian Elderly Individuals.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Stiffness following total knee arthroplasty (TKA) is a debilitating condition for the patient with limitation of functional outcome. There are various causes of stiffness, which can be classified as pre-operative, per-operative and post-operative. Arthrofibrosis is one of the causes, which can be managed in different ways, and manipulation under anaesthesia (MUA) is routinely performed as the first line of management. The timing of MUA is often debated. We review the paper by Issa et al., which looks at the effect of timing of manipulation on a stiff TKA. They conclude that early manipulation within 12 weeks of performing the TKA had a higher mean flexion gain (36.5°), higher final range of motion (ROM) (119°) and higher knee society score (89 points) compared to those performed after 12 weeks which were 17°, 95° and 84 points respectively. Other studies have also reinforced the idea that early manipulation within 12 weeks has a better outcome than those performed after 12 weeks. There may still be a benefit of manipulation until 26 weeks after which open arthrolysis may be needed to improve ROM.
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Registered trials
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