Home physiotherapy with vs. without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty

• Published in: Arthroplasty 2021-03, Vol.3 (1), p.10-10, Article 10
• Main Authors: Londhe, Sanjay Bhalchandra, Shah, Ravi Vinod, Doshi, Amit Pankaj, Londhe, Shubhankar Sanjay, Subhedar, Kavita, Iyengar, Krishnan, Mukkannavar, Prashant
• Format: Article
• Language: English
• Subjects: Age; Ankle; Gait; Hypotheses; Joint replacement surgery; Joint surgery; Manipulation under anaesthesia; Pain; Patients; Postoperative physiotherapy; Standard deviation; Stiff knee; Supervision; Total knee arthroplasty
• ISSN: 2524-7948; 2524-7948
• DOI: 10.1186/s42836-020-00063-3

The aim of this retrospective cohort study was to compare home physiotherapy with or without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty. A total of 900 patients (including 810 females and 90 males) who had undergone total knee arthroplasty were divided into group A (n = 300) and group B (n = 600). Patients in group A had home physiotherapy on their own after discharge from hospital. The physiotherapist did not visit them at home. Patients in group B received home physiotherapy under supervision of physiotherapist for 6 weeks after discharge from hospital. Patients' age, range of motion of the knee, and forgotten joint score-12 were assessed. A p  0.05). Preoperatively, the mean range of motion of the knee in group A and B was 95.8° ± 18.1° and 95.4° ± 17.8°, respectively (p > 0.05). The mean forgotten joint score-12 of group A and B were 11.90 ± 11.3 and 11.72 ± 12.1 (p > 0.05), respectively. Six weeks after total knee arthroplasty, the mean ROM of the knee in group A and B was 109.7° ± 22.3° and 121° ± 21.5°, respectively (p  0.05). The rate of manipulation under anaesthesia was 3% in group A and 0.2% in group B (p