Publications by authors named "Mikko T Rantasalo"

Article Synopsis
  • Manipulation under anesthesia (MUA) is used to treat stiffness after total knee arthroplasty (TKA) when other treatments have failed, but factors affecting its outcomes are not well-studied.
  • A study involving 391 TKA patients identified 39 who required MUA; these patients were younger and consumed more opioids post-surgery compared to those who didn't need MUA.
  • After 1 year, while MUA led to significant improvements in range of motion, the total range was still less favorable compared to non-MUA patients; however, patient-reported outcome measures showed no significant difference between the two groups.
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Background: Persistent postsurgical pain after total knee arthroplasty is a common problem and a major reason for patient dissatisfaction. This secondary analysis aimed to investigate the effects of anesthesia (spinal vs. general) and tourniquet use on persistent pain after total knee arthroplasty.

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Introduction: Total knee arthroplasty is a highly effective treatment for end-stage knee osteoarthritis, and it is usually performed under spinal or general anaesthesia with or without a surgical tourniquet. Some debate about the preferred mode of anaesthesia regarding patient outcomes remains. The aim of this study, which compares general and spinal anaesthesia with and without a tourniquet on the outcomes of total knee arthroplasty, is to determine the optimal type of anaesthesia regimen and assess the effect of a tourniquet on the patient's recovery following total knee arthroplasty.

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