Table 1.
The setup and outcome regarding various aspects of manipulation in the 6 fast-track departments
| Hvidovre | Farsø | Århus | Vejle | Esbjerg | Holstebro | |
|---|---|---|---|---|---|---|
| First FUa | 12 w | 6 w | 6 w | 4 w | 12 w | 6 w |
| First FU by b | surgeon | physio | physio/surgeon | physio | physio | physio |
| Indication for manipulation by | surgeon | surgeon | surgeon | surgeon | surgeon | surgeon |
| Indication for manipulation | < 90° flexion or unsatisfactory flexion | < 90° flexion or > 5° extension defect | < 90° flexion | unsatisfactory flexion | < 90° flexion | < 90° flexion (90–110° rel) |
| When performed | > 12 w | > 6 w | 8–20 w | pref < 12 w | > 12 w | > 6 w |
| MUA/scopic/open c | MUA + scopic | MUA + scopic | MUA | MUA + scopic | MUA | MUA + open |
| Admitted d | 3 days | 3 days | no/1 day | 1–2 days | 3 days | few days |
| CPM e | 3 days | 3 days | no | rarely | 3 days | few days |
| Inpatient physiotherapy f | ordinary | intense | ordinary | intense | intense | intense |
| Outpatient physiotherapy g | 12 w | 6 w | 6 w | 12 w | yes, varies | individual |
| Follow-up after MUA | 12 w | 8 w | 12 w | 12 w | 8-12 w | 2 w + later |
| Follow-up after MUA by | surgeon | surgeon | surgeon | surgeon/physio | surgeon | physio/surgeon |
| Repeat MUA if needed | yes | rarely | no | yes | yes | rarely |
| Component exchange if no effect h | yes | rarely | yes | yes | rarely | no |
| Prevalence (%) of MUA (95% CI) | 3.3 (2.2–5.0) | 1.2 (1.1–3.4) | 1.7 (0.8–3.3) | 2.0 (1.0–4.2) | 3.0 (1.9–4.6) | 1.0 (0.4–2.4) |
| Days until MUA (median) | 130 | 73 | 81 | 116 | 153 | 105 |
a time of first follow-up after index TKA.
b the staff seeing the patient at first follow-up.
cindicates whether patients were manipulated closed, with arthroscopic assistance or with open surgery.
dindicates whether or not the patient was hospitalized and if so, the number of days.
eindicates whether or not continuous passive motion was used.
f indicates whether standard physiotherapy (as offered following index TKA) or a more intense version was offered.
gthe number of weeks that outpatient physiotherapy was offered following MUA.
hindicates whether or not the department would offer open surgery with exchange of components (downsizing) if one or more initial closed or arthroscopy-assisted attempts had failed.