Knee manipulation under anaesthetic following XXXX : a matched cohort design.

@entity1 @entity85 @entity348
The purpose of this study was to compare clinical outcomes of @entity348 ( @entity348 ) after manipulation under anaesthesia (MUA) for post-operative stiffness with a matched cohort of @entity348 @entity1 who did not requre MUA. In total 72 @entity1 (mean age 59.8 years, 42 to 83) who underwent MUA following @entity348 were identified from our prospective database and compared with a matched cohort of @entity1 who had undergone @entity348 without subsequent MUA. @entity1 were evaluated for range of movement (ROM) and clinical outcome scores (Western Ontario and McMaster Universities Arthritis Index, Short-Form Health Survey, and Knee Society Clinical Rating System) at a mean follow-up of 36.4 months (12 to 120). MUA took place at a mean of nine weeks (5 to 18) after @entity348 . In @entity1 who required MUA, mean @entity85 improved from 10   (0   to 25  ) to 4.4   (0   to 15  ) (p < 0.001), and mean range of flexion improved from 79.8   (65   to 95  ) to 116   (80   to 130  ) (p < 0.001). There were no statistically significant differences in ROM or functional outcome scores at three months, one year, or two years between those who required MUA and those who did not. There were no complications associated with manipulation. At most recent follow-up, @entity1 requiring MUA achieved equivalent ROM and clinical outcome scores when compared with a matched control group. While other studies have focused on ROM after manipulation, the current study adds to current literature by supplementing this with functional outcome scores. Cite this article: Bone Joint J 2015;97-B:1640-4.
