Document Detail

Early and late manipulation improve flexion after total knee arthroplasty.
MedLine Citation:
PMID:  17823017     Owner:  NLM     Status:  MEDLINE    
Manipulations have been considered effective only in the early postoperative period. From a total joint registry containing 9640 primary total knee arthroplasties (TKAs), 195 patients who underwent manipulation under anesthesia (MUA) were identified. A total of 102 had MUA within 90 days (early), and 93 more than 90 days (late) after TKA. Average pain (10-point scale), satisfaction (10-point scale), flexion (degrees), and extension (degrees) were recorded before and after MUA. Flexion was significantly improved after MUA for both groups: early MUA from 68.4 degrees (+/-17.2 degrees ) to 101.4 degrees (+/-16.15 degrees ), P < .001; late MUA from 81.0 degrees (+/-13.3 degrees ) to 98.0 degrees (+/-18.0 degrees ), P = .001. Pain decreased significantly with early MUA from 4.92 (+/-2.25) to 3.34 (+/-2.67) and with late MUA from 4.51 (+/-2.62) to 3.44 (+/-2.78), P = .048. Extension improved only in the early MUA group from 7.15 (+/-10.1) to 2.50 (+/-4.98). Satisfaction scores were not improved. Both early and late manipulation can improve TKA pain and flexion.
Robert S Namba; Maria Inacio
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Publication Detail:
Type:  Journal Article     Date:  2007-07-26
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  22     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-07     Completed Date:  2008-01-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  58-61     Citation Subset:  IM    
Department of Orthopedic Surgery, Kaiser Permanente, Orange County, Anaheim, California 92807, USA.
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MeSH Terms
Arthroplasty, Replacement, Knee*
Knee / physiology*
Manipulation, Orthopedic*
Middle Aged
Pain, Postoperative
Patient Satisfaction
Postoperative Care
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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