| Early and late manipulation improve flexion after total knee arthroplasty. | |
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MedLine Citation:
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PMID: 17823017 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Robert S Namba; Maria Inacio |
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Publication Detail:
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Type: Journal Article Date: 2007-07-26 |
Journal Detail:
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Title: The Journal of arthroplasty Volume: 22 ISSN: 0883-5403 ISO Abbreviation: J Arthroplasty Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-07 Completed Date: 2008-01-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703515 Medline TA: J Arthroplasty Country: United States |
Other Details:
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Languages: eng Pagination: 58-61 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, Kaiser Permanente, Orange County, Anaheim, California 92807, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia Arthroplasty, Replacement, Knee* Female Humans Knee / physiology* Male 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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