We evaluated the use of manipulation under anesthesia in 5 knees as part of a retrospective study on 72 total knee arthroplasty cases (TKA) with osteoarthritis between September 1995 and May 1999. Manipulation was considered when intensive physiotherapy failed to increase flexion to more than 90° of ter 3 weekspostoperatiuly.
The mean active flexion before manipulation was 67°. The mean final flexion achieved 104°. The mean gain was 37°.
Between the manipulated patients and pativents requiring no manipwlatiow, the following parameters were assessed and compared; age, flexion, JOA, FTA, lateral release, and polyethylene?
The manipulated patients in showed significant changes in FTA and used thick polyethylene.
None of the patients showed supracondylar fracture, avulsion of the patellar tendon, myositis ossificans, and wound breakdown.
