PURPOSE: Prognostic factors associated with Manipulation under anesthesia (MUA) failure remain unknown. METHODS: A systematic review of the literature was performed to identify studies that reported prognostic factors associated with MUA for postoperative stiffness. RESULTS: 7 studies analyzing prognostic factors associated with MUA outcomes were included. Several studies note pre-MUA ROM to be a significant prognostic factor affecting post-MUA ROM at final follow-up. Knees with <70° of flexion pre-MUA had less final flexion arc than those with >70°. CONCLUSIONS: The strongest prognostic factor for decreased ROM after MUA is severe pre-MUA stiffness.
PURPOSE: Prognostic factors associated with Manipulation under anesthesia (MUA) failure remain unknown. METHODS: A systematic review of the literature was performed to identify studies that reported prognostic factors associated with MUA for postoperative stiffness. RESULTS: 7 studies analyzing prognostic factors associated with MUA outcomes were included. Several studies note pre-MUA ROM to be a significant prognostic factor affecting post-MUA ROM at final follow-up. Knees with <70° of flexion pre-MUA had less final flexion arc than those with >70°. CONCLUSIONS: The strongest prognostic factor for decreased ROM after MUA is severe pre-MUA stiffness.
Entities:
Keywords:
Manipulation under anesthesia; Prognostic factors; Review; Stiffness; Total knee arthroplasty
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