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J Knee Surg 2015; 28(05): 425-427
DOI: 10.1055/s-0035-1549024
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Standardized Protocol for the Treatment of Early Postoperative Stiffness following Total Knee Arthroplasty

Steven Werner
1   Department of Adult Reconstruction, The CORE Institute, Sun City West, Arizona
,
Marc Jacofsky
2   Department of Research, The CORE Institute, Sun City West, Arizona
,
Sarah Kocisky
3   Department of Quality, The CORE Institute, Sun City West, Arizona
,
David Jacofsky
1   Department of Adult Reconstruction, The CORE Institute, Sun City West, Arizona
› Author Affiliations
Further Information

Publication History

11 December 2014

02 January 2015

Publication Date:
01 June 2015 (online)

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Abstract

Manipulation under anesthesia (MUA) and continuous passive motion (CPM) are commonly used to optimize range of motion (ROM) for the treatment of early stiffness following total knee arthroplasty (TKA). The addition of systemic glucocorticoid as an adjunct to a standardized protocol of MUA and aggressive CPM treatment is outlined. Results demonstrate an average postoperative increase in knee ROM of 45 degrees in 78 TKAs at 10 weeks from MUA procedure with no complications reported.

Keywords

total knee arthroplasty - arthrofibrosis - stiffness - manipulation under anesthesia - glucocorticoid - methylprednisolone
 

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