Home
 »  Education_Center
 »  Therapies
 »  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

My Miracle Worker - Pflexx Knee Exerciser
By AaronCunns11
more more Blogs RSS

ACL reconstruction 1 year ago, new symptoms today
By kneefail2000

Posted: Aug 1, 2014
Hello, I had my ACL reconstructed 1 year ago on august 23rd 2013. I did all the rehab and was feeling great up until last week. I played soccer and lifted weights (squats, leg extension, hamstring ...

more more Forums Create a Topic

Knee Exam
Dan Smith performs a full knee examination. ...
more more Featured Videos

 
Dr. Robert Klapper

Dr. Robert Klapper:

Preventing Knee Surgery
  more
  more Heroes
  nominate a Hero
  Hero policy