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

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

• References

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