title: 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.
authors.affiliation: Department of Adult Reconstruction, The CORE Institute, Sun City West, Arizona.
authors.forename: Steven
authors.initials: S
authors.lastname: Werner
authors.affiliation: Department of Research, The CORE Institute, Sun City West, Arizona.
authors.forename: Marc
authors.initials: M
authors.lastname: Jacofsky
authors.affiliation: Department of Quality, The CORE Institute, Sun City West, Arizona.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kocisky
authors.affiliation: Department of Adult Reconstruction, The CORE Institute, Sun City West, Arizona.
authors.forename: David
authors.initials: D
authors.lastname: Jacofsky
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000534:rehabilitation*; D002985:Clinical Protocols; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008776:Methylprednisolone Hemisuccinate / Q000627:therapeutic use*; D015915:Motion Therapy, Continuous Passive; D020370:Osteoarthritis, Knee / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D008776:Methylprednisolone Hemisuccinate