The Role of Early Routine Manipulation in Total Knee Arthroplasty

ABSTRACT

PURPOSE: The aim of this study was to determine the role of routine manipulation on increasing angle of great flexion(AGF) after total knee arthroplasty (TKA) in early postoperative period. MATERIALS AND METHODS: We analysed the AGF of the both knees 1 year after total knee arthroplasties in 59 patients who had a bilateral procedures and in whom only one knee was manipulated routinely at 2 weeks after TKA. RESULTS: The average AGF was 124.6 degree (85~145) on routine manipulated knee and 125.3 degree (90~145) on non-manipulated side 1 year after TKAs. Therefore, there was no statistical significance in AGFs between both sides(p=0.384). Among 59 patients, the AGF was same on both knees in 32 patients, greater AGF on manipulated knee in 12 patients and greater AGF on non-manipulated TKA side CONCLUSION: The routine manipulation has no positive role on increasing AGF after total knee arthroplasty in early postoperative period.