How to Treat the Stiff Total Knee Arthroplasty?: A Systematic Review

Fitzsimmons, Sean; Vazquez, Edward A.; Bronson, Michael J.

doi:10.1007/s11999-010-1230-y

Cited by 155 publications

(170 citation statements)

References 29 publications

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“…Complications and adverse events can identify potential problems with patient selection, surgical procedures, clinical pathways, followup care, and joint implants [24]. Standardized reporting of complications for surgical procedures can help clinicians improve patient selection, surgical technique, quality of care, patient safety, and patient outcomes [8,22]. Furthermore, standardized reporting of complications and adverse events can improve comparative studies of surgical procedures and surgical implants [4,9,27].…”

Section: Introductionmentioning

confidence: 99%

Complications of Total Knee Arthroplasty: Standardized List and Definitions of The Knee Society

Healy

Valle

Iorio

et al. 2013

Clinical Orthopaedics &Amp; Related Research

289

162

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Section: Introductionmentioning

confidence: 99%

Complications of Total Knee Arthroplasty: Standardized List and Definitions of The Knee Society

Healy

Valle

Iorio

et al. 2013

Clinical Orthopaedics &Amp; Related Research

289

162

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“…A number of studies reported successful improvement in ROM ranging from 26°to 44° [8][9][10][11] following MUA. In a review article, Fitzsimmons et al [12] reported that gained ROM by MUA ranges from 30°to 47° [12]. However, the majority of studies reported overall ROM gain following manipulation procedure, but limited information is available regarding successful ROM recovery achieving flexion ≥ 90° [9,13].…”

Section: Introductionmentioning

confidence: 99%

How often is functional range of motion obtained by manipulation for stiff total knee arthroplasty?

Choi

Siliski

Malchau

et al. 2014

International Orthopaedics (SICOT)

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Purpose To evaluate how often manipulation under anesthesia (MUA) can achieve functional flexion ≥ 90 degrees and identify predictor for successful outcome of MUA for stiff total knee arthroplasty (TKA). Methods Demographic data, range of motion, and surgical and anesthetic information of 143 MUAs were retrospectively analyzed from 2000 to 2011.Results One-hundred thirty-six out of 143 patients (95 %) improved mean range of motion (ROM) from pre-MUA 62±17°to final ROM 101±21°(p<0.001). Flexion ≥ 90 degrees was achieved in 74% (106/143) of patients. Regional anesthesia was identified as predictor of successful MUA outcome (p=0.007, OR: 8.5, 95 % CI: 1.2-66.7). Conclusions Although the proportion of patients regaining flexion ≥ 90 degrees following MUA was less than those patients with simple overall ROM increase, the functional flexion ≥ 90 degrees was achieved in the vast majority of patients with stiff TKA following MUA.

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“…Arthrofibrosis can be potentiated by diabetes mellitus, lack of physical therapy, and immobilization [42]. Treatment for arthrofibrosis may include physical therapy with active-assisted and passive range of motion exercises, manipulation under anesthesia (MUA), arthroscopic or open lysis of adhesions, and/or quadricepsplasty [43,44].…”

Section: Range Of Motionmentioning

confidence: 99%

Rehabilitation of Lower Extremity Trauma: a Review of Principles and Military Perspective on Future Directions

et al. 2015

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The rehabilitation of individuals with lower extremity injury is a common but complex problem for the surgical and rehabilitative teams. Basic science tenets of fracture and soft tissue reconstruction and healing guide postoperative weight-bearing and range of motion protocols. In addition to the physiological complications associated with the injury severity, patient outcomes are often influenced by other factors such as patient compliance, pain, depression, and the negative effects of immobility. As a result, novel rehabilitative protocols to include early weight bearing, continuous passive motion, psychosocial intervention, and multimodal pain management are becoming more popular to facilitate rehabilitation and improved patient outcomes. Further supporting the need for this shift in paradigm thinking are outcome studies of both civilian and military trauma patients that demonstrate the negative impact that psychological, social, and economical factors have on outcomes. This report highlights the experience that our team has had in instituting comprehensive rehabilitation strategies to treat injured service members with complex lower extremity trauma from combat.

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How to Treat the Stiff Total Knee Arthroplasty?: A Systematic Review

Abstract: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Cited by 155 publications

References 29 publications

Complications of Total Knee Arthroplasty: Standardized List and Definitions of The Knee Society

Complications of Total Knee Arthroplasty: Standardized List and Definitions of The Knee Society

How often is functional range of motion obtained by manipulation for stiff total knee arthroplasty?

Rehabilitation of Lower Extremity Trauma: a Review of Principles and Military Perspective on Future Directions

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