Name of the Procedure:

Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)

Summary

This procedure involves the manual adjustment or manipulation of the knee joint while the patient is under general anesthesia. In some cases, traction or other fixation devices are used to aid in the realignment or stabilization of the joint.

Purpose

The procedure is typically performed to improve joint mobility, reduce pain, and correct deformities. It can also address issues such as stiffness or restricted range of motion resulting from conditions like arthritis or after knee surgery.

Indications

• Severe knee stiffness or restricted range of motion
• Painful joint motion
• Inadequate results from physical therapy or other conservative treatments
• Post-operative knee adhesions or scar tissue formation

Preparation

• Fasting for at least 6-8 hours before the procedure
• Adjustments in medications as directed by the physician
• Pre-procedure diagnostic tests such as X-rays or MRI scans to assess the condition of the knee

Procedure Description

1. Patient is placed under general anesthesia.
2. The surgeon manually manipulates the knee joint to break up adhesions or scar tissue.
3. Traction or other fixation devices may be temporarily applied to aid in realigning the joint.
4. The knee is moved through its full range of motion to ensure improved flexibility.
5. Once the manipulation is complete, the patient is brought out of anesthesia.

Duration

Approximately 30-60 minutes.

Setting

Typically performed in a hospital operating room or a surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurse
• Operating room technician

Risks and Complications

• Pain and swelling post-procedure
• Bleeding or hematoma
• Infection
• Fractures or damage to the knee joint
• Nerve or blood vessel injury

Benefits

• Improved knee mobility and flexibility
• Reduced pain and stiffness
• Enhanced function and quality of life

Recovery

• Initial rest and ice application to reduce swelling
• Pain management with medications as prescribed
• Physical therapy to maintain and improve joint mobility
• Follow-up appointments to monitor progress
• Expected recovery within a few weeks with gradual return to normal activities

Alternatives

• Continued physical therapy
• Medications or injections for pain and inflammation
• Arthroscopic surgery for severe cases
• The choice of alternatives depends on the severity of symptoms and the patient's overall health.

Patient Experience

• The patient will be under general anesthesia and will not feel pain during the procedure.
• Post-procedure, there may be discomfort and swelling, which can be managed with pain relief measures.
• Physical therapy will be essential for optimal recovery and maintaining joint mobility.