Prognostic factors that predict failure of manipulation under anesthesia for the stiff total knee arthroplasty: A systematic review

被引：6
作者：
Gu, Alex [1 ,2 ]
Michalak, Adam J. [1 ]
Cohen, Jordan S. [1 ]
Stepan, Jeffrey G. [2 ]
Almeida, Neil D. [1 ]
McLawhorn, Alexander S. [2 ]
Sculco, Peter K. [2 ]
机构：
[1] George Washington Sch Med & Hlth Sci, Dept Med, 2300 Eye St, Washington, DC 20037 USA
[2] Hosp Special Surg, Complex Joint Reconstruct Ctr, 535 E 70th St, New York, NY 10021 USA
来源：
JOURNAL OF ORTHOPAEDICS | 2018年 / 15卷 / 03期
关键词：
Manipulation under anesthesia; Stiffness; Total knee arthroplasty; Review; Prognostic factors;
D O I：
10.1016/j.jor.2018.08.003
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Purpose: Prognostic factors associated with Manipulation under anesthesia (MUA) failure remain unknown. Methods: A systematic review of the literature was performed to identify studies that reported prognostic factors associated with MUA for postoperative stiffness. Results: 7 studies analyzing prognostic factors associated with MUA outcomes were included. Several studies note pre-MUA ROM to be a significant prognostic factor affecting post-MUA ROM at final follow-up. Knees with < 70 degrees of flexion pre-MUA had less final flexion arc than those with > 70 degrees. Conclusions: The strongest prognostic factor for decreased ROM after MUA is severe pre-MUA stiffness.
引用
收藏
页码：842 / 846
页数：5
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