Retrospective cohort study from a high-volume TKA center examining outcomes of manipulation under anesthesia (MUA) in patients failing to achieve ≥90° knee flexion postoperatively. Asks whether manipulation produces durable flexion gains and whether preoperative factors predict who will need it.
When a post-TKA patient hasn't hit 90° of flexion by 8 weeks, MUA is a validated option — and you shouldn't feel rushed to do it before 12 weeks, since later manipulation works just as well.
Flag younger patients with severe preoperative pain and stiff preop knees as your highest-risk group for needing it.
Retrospective cohort study from a high-volume TKA center examining outcomes of manipulation under anesthesia (MUA) in patients failing to achieve ≥90° knee flexion postoperatively. Asks whether manipulation produces durable flexion gains and whether preoperative factors predict who will need it.
When a post-TKA patient hasn't hit 90° of flexion by 8 weeks, MUA is a validated option — and you shouldn't feel rushed to do it before 12 weeks, since later manipulation works just as well.
Flag younger patients with severe preoperative pain and stiff preop knees as your highest-risk group for needing it.