Procedural manipulation under anesthesia for joint adhesion after trauma of knee operation: report of 21 cases

doi:10.3969/j.issn.1674-8115.2021.04.010

JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE) ›› 2021, Vol. 41 ›› Issue (4): 479-482.doi: 10.3969/j.issn.1674-8115.2021.04.010

• Clinical research • Previous Articles Next Articles

Procedural manipulation under anesthesia for joint adhesion after trauma of knee operation: report of 21 cases

Xin JIANG¹^,²(), Ying HE¹(), Bin CAI¹^,², Shuai FAN¹^,², Xiao-yan LI¹, Zhi-bin KANG¹

^1.Department of Rehabilitation Medicine, Fengcheng Hospital of Fengxian District, Shanghai 201411, China
^2.Department of Rehabilitation Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Received:2020-05-18 Online:2021-04-28 Published:2021-05-14
Contact: Ying HE E-mail:jiangxinkylie@163.com;18918265660@189.com
Supported by:
National Key R&D Program of China(2018YFF0300504);Construction Plan of Clinical Diagnosis and Treatment Center of Fengxian District in Shanghai(fxlczlzx-a-201706);Shanghai Fengxian District Social Science and Technology Development Fund(20181901)

Abstract

Abstract: Objective

· To investigate the clinical efficacy and safety of procedural manipulation under anesthesia (MUA) for joint adhesion after trauma of knee operation.

Methods

· Twenty one patients with joint adhesion after trauma of knee operation (including 6 cases after reconstruction and/or repair of multiple ligament injury of knee joint, 9 cases after internal fixation of fracture around the knee joint, and 6 cases after operation of patellar dislocation) were treated with procedural MUA. The knee flexion angle was evaluated before, during and after procedural MUA (2, 12 and 24 weeks) with joint protractor. The pain degree was evaluated by visual analogue scale (VAS) within 2 weeks after procedural MUA. The possible complications were recorded during and after procedural MUA.

Results

·Before, during and after procedural MUA (2, 12 and 24 weeks), the average knee flexion angle was 73.8°, 119.3°, 101.7°, 122.5° and 127.4°. Compared with preoperative, the average knee flexion angle increased 53.6° after procedural MUA (24 weeks). VAS evaluation results showed that the VAS score of patients in active state was more than 4 points only 1?3 days after operation. No complications occurred during and after the operation.

Conclusion

· Procedural MUA is relatively safe and effective in the treatment of joint adhesion after trauma of knee operation.

Key words: joint adhesion, trauma of knee, manipulation under anesthesia (MUA)

CLC Number:

R493

Xin JIANG, Ying HE, Bin CAI, Shuai FAN, Xiao-yan LI, Zhi-bin KANG. Procedural manipulation under anesthesia for joint adhesion after trauma of knee operation: report of 21 cases[J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2021, 41(4): 479-482.

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References 19

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Item	Before procedural MUA	During procedural MUA	After procedural MUA
Item	Before procedural MUA	During procedural MUA	2 d	2 weeks	12 weeks	24 weeks
Average knee flexion angle	73.8°±14.4°	119.3°±5.3°^①	90.8°±5.8°^①②	101.7°±9.1°^①②	122.5°±11.9°^①	127.4°±11.6°^①

Item	Before procedural MUA	During procedural MUA	After procedural MUA
Item	Before procedural MUA	During procedural MUA	2 d	2 weeks	12 weeks	24 weeks
Average knee flexion angle	73.8°±14.4°	119.3°±5.3°^①	90.8°±5.8°^①②	101.7°±9.1°^①②	122.5°±11.9°^①	127.4°±11.6°^①

Procedural manipulation under anesthesia for joint adhesion after trauma of knee operation: report of 21 cases

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