Home
 »  Education_Center
 »  Treatments
 »  Manipulation
EDUCATION CENTER: Therapies

Manipulation

Overview
Also known as Manipulation Under Anesthesia or MUA.

If the knee joint lacks mobility or is completely frozen a few weeks after surgery, a doctor may call for a manipulation, in which the patient is placed under a general anesthetic and the doctor forces the knee joint to move, breaking apart any scar tissue that has formed.

Detailed Description
Specialist
Orthopedic surgeon

Procedure
Before the procedure: testing of range of motion, application of general anesthetic.

During the procedure: Manipulation is one of the more primitive—but sometimes necessary—procedures in knee rehabilitation. After putting the patient under, the doctor proceeds to pull, bend, twist, and otherwise mobilize the knee joint to break up any scar tissue that has formed. More recently, doctors have been using an arthroscope before the procedure to remove any evident scar tissue before performing the manipulation, which increases its effectiveness and lessens the risks. The need for manipulations has decreased since the advent of the Continuous Passive Motion machine, which inhibits the ability of scar tissue to form.

After the procedure: physical therapy, testing of range of motion.

Timing
Generally two to three weeks after surgery, as needed.

Complications/Risks

  • In patients with completely frozen knees, whose bones may have weakened, manipulation raises the risk of breakage in the femur or tibia.
  • Blood clots
  • Nerve or blood vessel injury during surgery
  • Hemarthrosis, or blood inside the joint
  • Soreness

Last updated: 26-Oct-01


RSS

Knee Joint Replacement Surgery- Precise Solution in India
By rayenneel
more more Blogs RSS

Medial Release??
By rich0312

Posted: Feb 25, 2015
 Hi i had surgery and following the surgery I noted that the form said my surgeon completed a medial release. i have since had my MPFL repaired and a TTT. i have a video of the operation and i ...

more more Forums Create a Topic

Total Knee Replacement
Minimally Invasive Total Knee Replacement
Learn about the total knee replacement surgery and rehab proceess from ...
more more Featured Videos

 
Dr. Robert Klapper

Dr. Robert Klapper:

Preventing Knee Surgery
  more
  more Heroes
  nominate a Hero
  Hero policy