{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:52:27Z","timestamp":1787021547915,"version":"build-2736575974"},"reference-count":28,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"12","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p>The purpose of this study was to compare clinical outcomes of total knee arthroplasty (TKA) after manipulation under anaesthesia (MUA) for post-operative stiffness with a matched cohort of TKA patients who did not requre MUA.<\/jats:p>\n                  <jats:p>In total 72 patients (mean age 59.8 years, 42 to 83) who underwent MUA following TKA were identified from our prospective database and compared with a matched cohort of patients who had undergone TKA without subsequent MUA. Patients 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 TKA. In patients who required MUA, mean flexion deformity improved from 10\u00b0 (0\u00b0 to 25\u00b0) to 4.4\u00b0 (0\u00b0 to 15\u00b0) (p &lt; 0.001), and mean range of flexion improved from 79.8\u00b0 (65\u00b0 to 95\u00b0) to 116\u00b0 (80\u00b0 to 130\u00b0) (p &lt; 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.<\/jats:p>\n                  <jats:p>At most recent follow-up, patients 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.<\/jats:p>\n                  <jats:p>Cite this article: Bone Joint J 2015;97-B:1640\u20134.<\/jats:p>","DOI":"10.1302\/0301-620x.97b12.35767","type":"journal-article","created":{"date-parts":[[2015,12,4]],"date-time":"2015-12-04T04:37:37Z","timestamp":1449203857000},"page":"1640-1644","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":26,"title":["Knee manipulation under anaesthetic following total knee arthroplasty"],"prefix":"10.1302","volume":"97-B","author":[{"given":"I.","family":"Dzaja","sequence":"first","affiliation":[{"name":"McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. M.","family":"Vasarhelyi","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A 5A5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. A.","family":"Lanting","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A 5A5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. D.","family":"Naudie","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A 5A5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. L.","family":"Howard","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A 5A5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Somerville","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6K 3B5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. W.","family":"McCalden","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A 5A5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. J.","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Western University, London Health Sciences Centre , 339 Windermere Road, London, Ontario, N6A 5A5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/52.1.34"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01022"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700606"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200509001-00009"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.22250"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.06.004"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000093002.90435.56"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.03.013"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2002.32105"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.03.014"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1186\/1755-1536-2-5"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B1.0810027"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163030-00005"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2005.10.001"},{"key":"r15","first-page":"1833","volume":"15","author":"Bellamy N","year":"1988","journal-title":"J Rheumatol"},{"key":"r16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/00003086-198911000-00004","volume":"248","author":"Insall JN","year":"1989","journal-title":"Clin Orthop"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00205"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2011.05.009"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.02.010"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1308\/003588409X359321"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2591-1"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-12-184"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00899"},{"key":"r25","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1097\/00003086-198509000-00015","volume":"198","author":"Ivey M","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"r26","first-page":"233","volume":"244","author":"Rand JA","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199601000-00016"},{"key":"r28","doi-asserted-by":"crossref","first-page":"643","DOI":"10.3928\/0147-7447-19900601-08","volume":"13","author":"Shoji H","year":"1990","journal-title":"Orthopedics"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B12.35767","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.97B12.35767","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B12.35767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T03:39:07Z","timestamp":1653709147000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.97B12.35767"}},"subtitle":["a matched cohort design"],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":28,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1302\/0301-620X.97B12.35767"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.97b12.35767","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]},"assertion":[{"value":"2015-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}