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Excellent and good results treating stiffness with early and late manipulation after unrestricted caliper-verified kinematically aligned TKA
Please always quote using this URN: urn:nbn:de:bvb:20-opus-262094
- Manipulation under anesthesia (MUA) for stiffness within 6 to 12 weeks after mechanically aligned total knee arthroplasty (TKA) generally yields better outcome scores than an MUA performed later. However, the timing of MUA after unrestricted, caliper-verified, kinematically aligned (KA) TKA remains uncertain. A retrospective review identified 82 of 3558 (2.3%) KA TKA patients treated with an MUA between 2010 and 2017. Thirty patients treated with an MUA within 3 months of the TKA (i.e., early) and 24 in the late group (i.e., >3 months) returnedManipulation under anesthesia (MUA) for stiffness within 6 to 12 weeks after mechanically aligned total knee arthroplasty (TKA) generally yields better outcome scores than an MUA performed later. However, the timing of MUA after unrestricted, caliper-verified, kinematically aligned (KA) TKA remains uncertain. A retrospective review identified 82 of 3558 (2.3%) KA TKA patients treated with an MUA between 2010 and 2017. Thirty patients treated with an MUA within 3 months of the TKA (i.e., early) and 24 in the late group (i.e., >3 months) returned a questionnaire after a mean of 6 years and 5 years, respectively. Mean outcome scores for the early vs. late group were 78 vs. 62 for the Forgotten Joint Score (FJS) (p = 0.023) and 42 vs. 39 for the Oxford Knee Score (OKS) (p = 0.037). Subjectively, the early vs. late group responses indicated that 83% vs. 67% walked without a limp, 73% vs. 54% had normal extension, and 43% vs. 25% had normal flexion. An MUA within 3 months after unrestricted KA TKA provided excellent FJS and OKS at final follow-up relative to a late MUA. A late MUA performed after 3 months is worth consideration because of the good FJS and OKS scores, albeit with a risk of a persistent limp and limitation in knee extension and flexion.…
Author: | Adithya Shekhar, Stephen M. Howell, Alexander J. Nedopil, Maury L. Hull |
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URN: | urn:nbn:de:bvb:20-opus-262094 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Lehrstuhl für Orthopädie |
Language: | English |
Parent Title (English): | Journal of Personalized Medicine |
ISSN: | 2075-4426 |
Year of Completion: | 2022 |
Volume: | 12 |
Issue: | 2 |
Article Number: | 304 |
Source: | Journal of Personalized Medicine (2022) 12:2, 304. https://doi.org/10.3390/jpm12020304 |
DOI: | https://doi.org/10.3390/jpm12020304 |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Tag: | Oxford knee score; forgotten joint score; implant survival; reoperation; revision |
Release Date: | 2023/05/03 |
Date of first Publication: | 2022/02/18 |
Licence (German): | CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International |