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Manipulation Under Anesthesia to Treat Postoperative Stiffness After Total Knee Arthroplasty

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Ace Report Cover
March 2025

Manipulation Under Anesthesia to Treat Postoperative Stiffness After Total Knee Arthroplasty

Vol: 307| Issue: 3| Number:7| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

The Chitranjan S. Ranawat Award: Manipulation Under Anesthesia to Treat Postoperative Stiffness After Total Knee Arthroplasty: A Multicenter Randomized Clinical Trial.

J Arthroplasty. 2024 Aug;39(8S1):S9-S14.e1.

Contributing Authors:
MP Abdel HI Salmons DR Larson MS Austin CL Barnes MP Bolognesi CJ Della Valle DA Dennis KL Garvin JA Geller SJ Incavo Jr Lombardi AV CL Peters R Schwarzkopf PK Sculco BD Springer MW Pagnano DJ Berry

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Synopsis

One hundred twenty-four patients with postoperative stiffness after primary TKA due to osteoarthritis were randomized to receive either MUA with PT alone (n=58) or MUA with PT plus one dose of pre-MUA intravenous dexamethasone (8 mg) and 14 days of oral celecoxib (200 mg) (n=66). The primary outcome of interest was knee ROM at 6 weeks after MUA. Secondary outcomes included knee ROM at 1 year and c...

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