ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Predictors of outcome after manipulation under anaesthesia in patients with a stiff total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Acquired Idiopathic Stiffness After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.The Journal of bone and joint surgery. American volume · 2019Pooled it
- Prospective clinical trial analyzing serum mast cell tryptase levels and arthrofibrosis rates after total knee arthroplasty.Bone & joint research · 2025Article
- Risk factors for failure of manipulation under anesthesia after total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Early manipulation under anaesthesia for stiffness following total knee arthroplasty is associated with a greater gain in knee flexion.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Manipulation under anesthesia: to do or not to do, that is the question.Acta orthopaedica · 2022Article
- Manipulation under anesthesia after total knee arthroplasty: a retrospective study of 145 patients.Acta orthopaedica · 2022Article
- Patients undergoing manipulation after total knee arthroplasty are at higher risk of revision within 2 years.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Quantification of intra-articular fibrosis in patients with stiff knee arthroplasties using metal-reduction MRI.The bone & joint journal · 2020Article
- Anti-fibrotic effects of the antihistamine ketotifen in a rabbit model of arthrofibrosis.Bone & joint research · 2020Article
- Recovery of knee range of motion after total knee arthroplasty in the first postoperative weeks: poor recovery can be detected early.Musculoskeletal surgery · 2019Article
- Manipulation under anesthesia after primary knee arthroplasty in Sweden: incidence, patient characteristics and risk of revision.Acta orthopaedica · 2019Article
- The stiff total knee arthroplasty: causes, treatment modalities and results.EFORT open reviews · 2019Review
- Improved clinical outcomes after revision arthroplasty with a hinged implant for severely stiff total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Increased symptoms of stiffness 1 year after total knee arthroplasty are associated with a worse functional outcome and lower rate of patient satisfaction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- [Open arthrolysis for stiff knee after primary total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Article
- All-arthroscopic release for treating severe knee extension contractures could improve the knee range of motion and the mid-term functional outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Manipulation under anesthesia following total knee arthroplasty: a comprehensive review of literature.Musculoskeletal surgery · 2018Review
- Outcomes indicators and a risk classification system for spinal manipulation under anesthesia: a narrative review and proposal.Chiropractic & manual therapies · 2018Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFlexion in a stiff total knee arthroplasty (TKA) can be improved by manipulation under anaesthesia (MUA). Although this intervention usually results in an improvement in range of motion, the expected result is not always achieved. The purpose of this study is to determine which factors affect range of motion after manipulation in patients with a stiff total knee.
methodsAfter exclusion (n = 22), the data of 158 patients (138 knees) with a stiff knee after TKA who received a manipulation under anaesthesia between 2004 and 2014 were retrospectively analysed. Pre-, peri- and post-operative variables were identified and examined for their influence on flexion after the manipulation using Kruskal-Wallis and Mann-Whitney U tests and Spearman correlations.
resultsAfter MUA, a mean improvement in flexion of 30.3° was observed at the final follow-up. Preoperative TKA flexion, design of TKA and interval between TKA procedure and MUA were positive associated with an increase in flexion after MUA. MUA performed 12 weeks or more after TKA procedure deteriorated the outcome.
conclusionsThree factors, pre-TKA flexion type of prosthesis and interval between TKA procedure and manipulation under anaesthesia, were found to have impact on flexion after TKA and MUA were identified. Results are expected to be inferior in patients with low flexion before TKA procedure or with a long interval (>12 weeks) between the TKA procedure and the manipulation under anaesthesia. LEVEL OF EVIDENCE: IV.
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