PMID- 32296483
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220414
IS  - 1985-2533 (Print)
IS  - 2232-111X (Electronic)
IS  - 1985-2533 (Linking)
VI  - 14
IP  - 1
DP  - 2020 Mar
TI  - Manipulation under Anaesthesia for Patient Reported Stiffness after Total Knee 
      Arthroplasty in an Asian Population.
PG  - 55-60
LID - 10.5704/MOJ.2003.009 [doi]
AB  - INTRODUCTION: Stiffness after Total Knee Arthroplasty (TKA) is a complication 
      that decreases patient satisfaction. Patients in an Asian population have 
      potentially different requirements of knee range of motion. The authors have 
      encountered patients who complain of subjective stiffness post TKA who do not 
      have a severely restricting range of motion (ROM). Some patients have persistent 
      subjective stiffness and undergone Manipulation Under Anaesthesia (MUA). We look 
      at their functional outcomes post MUA. MATERIALS AND METHODS: This is a 
      retrospective study, including 48 patients from a single institution who 
      underwent MUA for stiffness, separated into objective and subjective knee 
      stiffness. Patients with subjective knee stiffness who underwent MUA had failed 
      conservative management. ROM, Oxford Knee Scores (OKS), Knee Society Scores (KSS) 
      and Short Form 36 (SF36) scores were compared at two years post MUA. RESULTS: The 
      demographics of the two patient groups were similar. The time interval between 
      index TKA and MUA was higher in the subjective knee stiffness group. Pre-MUA OKS, 
      KS Function Score, KSS and SF36 scores were similar in both patient subgroups. 
      There was no significant difference in the OKS, KSS or SF36 at two year 
      follow-up. The proportion of patients in each group who achieved the Minimum 
      Clinically Important Difference (MCID) improvement in the scores was also 
      similar. CONCLUSIONS: Patients with subjective knee stiffness can achieve similar 
      functional outcome improvements in Oxford and Knee Society Scores with MUA at two 
      years follow-up.
CI  - (c) 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved.
FAU - Boo, H C
AU  - Boo HC
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
FAU - Yeo, S J
AU  - Yeo SJ
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
FAU - Chong, H C
AU  - Chong HC
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
LA  - eng
PT  - Journal Article
PL  - Malaysia
TA  - Malays Orthop J
JT  - Malaysian orthopaedic journal
JID - 101564672
PMC - PMC7156175
OTO - NOTNLM
OT  - functional outcomes
OT  - knee arthroplasty
OT  - knee stiffness
OT  - manipulation under anaesthesia
EDAT- 2020/04/17 06:00
MHDA- 2020/04/17 06:01
PMCR- 2020/03/01
CRDT- 2020/04/17 06:00
PHST- 2020/04/17 06:00 [entrez]
PHST- 2020/04/17 06:00 [pubmed]
PHST- 2020/04/17 06:01 [medline]
PHST- 2020/03/01 00:00 [pmc-release]
AID - 10.5704/MOJ.2003.009 [doi]
PST - ppublish
SO  - Malays Orthop J. 2020 Mar;14(1):55-60. doi: 10.5704/MOJ.2003.009.