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KNEE MANIPULATION UNDER ANAESTHESIA (MUA) - DR. PRATEEK JOSHI | KNEE STIFFNESS |
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- Опубліковано 4 бер 2021
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This is a video of Knee MUA done for stiff knee joint after fracture surgery 3 months back.
thanks
regards
Dr. Prateek Joshi
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guys, check out this new MUA video for stiff shoulder joint...!
ua-cam.com/video/yPauS7CDuhE/v-deo.html
Allah apko ilaj karny ka sadaq dunia ki sab sa bari dolat sa nawz da
@@UsmanAli-uc2st thanks 🙏
Sir aapka hospital ka address bhejona sir please
i am based in ahmedabad@@sharimansari9641
@@DrPrateekJoshi sir poora address Dona si
Well, today I learned something new. Thanks doc
Glad to know that 👍👍
Great work
I wouldn't be so afraid of MUA if the person doing it was careful and methodical, like THIS. But most videos I've seen are more along the lines of a bull-in-a-china-shop aggressive approach where the patient comes out of anesthesia in extreme pain, and maybe with a broken leg. I've busted my tail with pt but I'm 6weeks po and just got to 102°, with "help"😳. I have to be back at work on 4/17 (unless I take more time) and I meet with my team on 4/1... And, my job? I drive a forklift. At this point, I can't even climb up onto my vehicle. Prayers appreciated.
yes you are right... it has to be gentle for patient not to have new iatrogenic injury... thanks for sharing your story and appreciating this video... all the best for recovery...keep pushing...
I did MUA after 6 months of knee replacement and now worst than before I pray to Almighty God to heal me miraculously
Sir .i have gone through this procedure in sports injury centre safdarjung in new delhi...and they broke my femur bone while doing this...😢😢 What can be done? @@DrPrateekJoshi
Así es, el tiene poder para hacerlo
I can't watch them. Last pt girl I had almost killed me. I was doing good n road bike all the way up n over finally n she turned me over n pushed towards upper part my body. If I had it to do over I'd somehow got out that position because no mercy. It's gking almost the way up my leg to hip n I swear turned n went across my lower back. I was bad news for almost bad week n had to go to surgeon the next day after this n I gonna bend it near as good. No one will listen to me about what's going on in hip area but I think I know. I have spinal stenios n my bursas I think have just stopped long time ago. I get a steroid injection ever so often. I need help n oh I wasn't getting the therapy in my knee in hospital or rehab
I left rehab on 8 th day n went home n do it w surgeons pt team. But that one girl is from the Amazons I think. She is not touching me again. Help
Very nice Doctor.. Skillful, kind and concern towards patients..Highly Recommended 👍
Thanks 🙏🙏
Sir cost kitna lagega aur kha par hai
@@mukundkumarjha111 contact on 9023004574
Imagine if this procedure was done without anesthesia?
Where are you from sir ?
دكتور هيا الركبه الي فيها التيبس الرجل السليمه هتبقا أطول منها
Ive got pattelar fracture and replacement they put implants and I cant flex it fully is it possible or it work in manipulation under anesthesia? Please answer me
Hi how are you? Doctor, I am a 22-year-old young man. I have trauma from a bullet impact in my leg. That caused stiffness and it seems like I have osteoarthritis. My doctor performed a quadriceplasty on me and sent me to physiotherapy and I can't regain mobility in my leg. I have limitations in extension and flexion. It is possible to recover it after two years.
Great video!!😀from Frederick Maryland cheers 🥂
Thanks for appreciation 🙏
Cheers back from Frederick, MD! I am four weeks post op and can only get to 70° with help so most likely I will be doing this procedure within the next few weeks. The thought of it really freaks me out, hopefully it will go well.
Wow! thanks for showing us how you do that.
thanks. Glad it was helpful to you...
Previsões de ajuda
@Prateek Joshi - Hello Doc, after an accident in 2017, my left knee is left with a range of motion of around 50 degrees...have consulted Dr Chowdhary of Indian Sports injury center who had recommended physiotherapy but even after those sessions, the range of motion could not be established. As you can understand, its been more than 4 years now that the problem persists...do you think it is also because of the scar tissues that ay have got built after the injury. what do you recommend- MUA or Arthroscopy? i would be happy to consult you in Ahmedabad if that's required too!!
Hi...it's difficult to come to conclusion only based on history...I need to see x-rays mri ct etc...
But in general such chronic stiffness might need surgery based on what's causing restricted movements...
Hi, it's been 6 months since I had an accident an injured my left knee,( patella, femur and hip fracture) they did THR to the hip and put plate to the femur , the two are doing great , the only problem that am remaining with is knee range of motion it's only at 60 degrees after they put a wire at kneecap NOTE they never did TKR they only put a certain wire to the knee cap,so DR.prateek what can be done here is it MUA or TKR....thank you
We usually don't do tkr for patella fracture... I believe due to multiple fractures you couldn't do knee physio properly after surgery...now there are two options if patella fracture was reduced and fixed properly, you can go ahead with mua / arthroscopic adhesiolysis...
I've had accident in 2012. Femur, tibia with fibula broken. I got plates. Tibia got healed but i got infection in femur so it didn't healed no matter how many times a day i got it cleaned and get dressed. So much puss used to leak every day. Doctor decided to operate it again by shaving my femur for 6 cm and got external ilizirov fixators for my whole leg. I was with fixators for a year. After the fixators were removed i couldn't bend my knee at all. I thought it would get better after doing physiotherapy but my knee is not bending more than 30 degrees. Till last month itself I've been taking extreme physiotherapy sessions which included cpm, tens machine and extremely painful manual bending where 2 physiotherapists applied their whole body weight to bend my knee while im in prone position where it will go from 30 to 50 degrees and then back to normal. I did this for 3 months continously but i gave up because there's no change i got fed up with pain.
I want to know if bending under anesthesia will be useful or any surgery that i can get.
Hi... Multiple factors play role in such situation... share your x-rays on 9023004574... I will reply when I am free
Idk if u r still having this problem n I'm no dr by no means but maybe check out the X10 machine. Ty
@@debraschepers9381 yup still have the problem with no improvement.
Sir isme risk bhi hai?
Hello doctor I would greatly appreciate if you could help me I fractured my tibia plateu and raptured some of my knee 5 years ago I have talked to knee surgeon specialist and chiropractor and they said they can’t see why I can’t gain my full range of motion the only thing stopping me is scar tissue , would you recommend this sort of treatment?
Hi... I would like to see your x-rays and current range of movements...can WhatsApp me on +91 9023004574
Hello i ruptured my quadricep tendon in april, didnt get an appointment for 22 days after the op, i asked for anti biotics throughout, and was told my red inflamed knee was fine, anyway turned out i had staph, so next day i was in for a debridement, 4 plaster casts later and 3 months in total since i have bent my leg, i am in a leg brace, and my knee is extremely tight above the knee cap, and i just can get more than 20 degrees range of motion, 12 weeks of it in extension, realistically am i going to need this procedure? And if so i would be concerned about the tendon re-rupturing, thanks.
Oh... that's very unfortunate... May be if you can get atleast 90 degrees with mua, you will feel much better... something has to be done because of you have stiff knee after surgery it defeats the purpose of the surgery... understanding the risks of re rupture ou can think about gentle mua s , may be multiple over period of time...that would be safer...
Hello doctor, I had patella fractured last month and had tension bend wiring surgery. It has been 5 weeks. I can bend my knee up to 90 degrees (with help). Any tips to achieve full ROM faster.
Thanks
Keep pushing... With help of physio ... Should reach full rom by 3 months
I've got a practically locked knee. The current range is only about 75 degrees to 90 degrees. It's been this way for 7 months. The current diagnosis is osteoarthritis. Could MUA help in my case?
Did you have any fracture? Or any surgery? Is MRI done ? What does it show
Hey doc, I am 8 weeks post-op from a an arthroscopy and bone and cartilage reconstruction (I had dislocated and fractured my patella and they put it back together with biocompatible screws). I can’t bend my knee past 55 degrees and my progress has been slow. I fear I have arthrofibrosis. What do you recommend? Cortisone shot? Manipulation under anesthesia? Arthroscopic removal of scar tissue?
Hi... I would suggest Arthroscopy guided adhesiolysis
@@DrPrateekJoshi thanks for your response. The surgeon says he won’t do any work on my knee until at least the 6 month mark. Do you agree with this? Shouldn’t MUA be done within the first few months for best results?
Thanks
Hello, I another video that I watched, the doctor said that MUA should be done in 6-12 weeks and not later than that as it may increase the chances of scare tissues again.
What would you suggest?
It depends on primary surgery... If it's a fracture case and there is stiffness then we can do MUA early provided fixation is robust
Hii sir total dg
I had mine done today and wow when I woke up real bad horrible pain
yes its painful... proper analgesia is must to maintain good movements.
Now thats gotta hurt , for a minuet I was watching you push so hard I thought the knee cap was going to pop out 😂🤣😂
Haha...it looks risky...but usually we can avoid complications if it's done with proper technique...!
@@DrPrateekJoshi Can this be done on someone who has had a quad tendon repair? With that much force would it not be risky?
@@WhySoSerious551 yes it can be risky...the repair can get torn!
Sir my femur oblique fracture surgery 4 months completed but my knee was bending only 45 degree of lot of physiotherapy doing my doctor and physiotherapy doctor said MUA is only option
Hi...Mua should help if fracture was fixed adequately...
My patella fracture operation was done 14.09.2022. .After operation my knee Stiffness 40 degree bant .Then Doctor suggest me MUA.. MUA operation done 03.11.2022..Present time my thigh massel are stiffeness.....
Keep doing physio after mua...if fixation is good you should improve... otherwise evaluation should be done why you are not getting back the movements
great man great job ,,Allah apko apna bna la,,,
Thanks
@@DrPrateekJoshi sir mra ak problm ha ka mra knee 6 saal sa band nai hota ,,, doctor na kha ha ka ap ka oprtion ho ga tab 90 degree tak jaye ga ,, sir m kia wo oprate karwa lo??? aska koi side effect ziada to nai ha??? plz sir give me reply thank u ,,,Allah apko aafiat nasbeeb kary khushain da
@@UsmanAli-uc2st you had fracture? Any surgery was done like platting?
@@DrPrateekJoshi g sir , mujhy phly ex fix lga phr nail phr wo b remove ho gya doctor khty hn hadi chipak gai ha ,,, ab opration ka kaha ha ,,
@@DrPrateekJoshi sir i hve totaly 50 degree band of my knee ,, 6 saal ho gye accident ko aur 4 saal sa nail b remove ho gya kue ka mujhy infection ho gai thi ,,, aur bas knee band na hny sa m unfit ho gya ho
Hi sir , I had pcl avulsion fracture. Got my surgery done on 15th Jan.. first three weeks I had extreme pain in IT BAND. So cudnt do much exercise.. not after 6 weeks m stuck at 5-93 degrees.. physio helping towards extension for now.. do I need to go for mua..
if your x-rays are fine, you can still continue with physio for 6 more weeks... if there is no improvement , consider MUA...
Sir Last January I got accident and surgery. The Doctor operated my thigh bone and puts plate. But my knee is not bending already one year passed..Sir how can I bend my knee.. please give me the suggestion... thank you
hello, sorry to hear about your problem... 1 year is a long duration... without knowing x-rays I wont be able to comment accurately... but in general, you may improve after hardware removal + quadricepsplasty or MUA... depending on what's contributing to your stiffness...
Sir I've had an surgery for placing the rod in my left leg as the bone was broken and also the knee has been fractured so after surgery physiotherapy has been started with nrml exercises but after that coming to the bending I'm unable to bear that pain that was so horrible sir and it's been 4 months.is there any possibility to bend my leg sir without such a huge pain
if your fracture has been fixed properly than you can benefit with mua
Person having Knee ffd 30 degree with further flexion up to 120 degree after tkr needs mua of knee?
no... physio should be enough
My knee motion range is near about 125 deggre
Pleaae tel me sir🙏 how long time it will take for the complete
125 is not bad.. keep pushing
Sir nujhe bone tumour tha distal fenur mai plat or cement ki h abhi mera knee ka range, 110 degree hua h ky mua shi rhega ya or physiotherapy krau?
physio should be enough if its more than 100 already
That’s really impressive I am 104 degrees I am over two months my surgeon working with me. I might have to get the same thing . This knee is very stiff my right knee my left knee done very well.. will that help my straighten of the knee too ?
What primary pathology you had and what's procedure thet you have undergone?
@@DrPrateekJoshi I had a full knee replacement surgery done 9 weeks ago trying to get it straightened and bending is hard
@@denisesavannah2023 lack of complete movements after knee replacement can be due to multiple factors...such as improper surgery, inadequate physio, subclinical infection etc... If it's pure stiffness due to slow physio, MUA will help...
Hey... I've a patient that has a range of 90 after about 8 months ..can I do this for him without him being under anesthesia
need to know clinical details xrays to comment...and this procedure has to be done under anesthesia...as the name says manipulation under anesthesia...
Hi sir
I have undergone a surgery for removal of bone tumor from my distal femur region of right knee. Extended curettage surgery was done followed by using bone cement and plating. Currently I am at 90 degrees range of motion after 45 days. Also if i rest the range of motion decrease because of stiffness is this okay or should I be worried?
hi, send xrays on 9023004574
Hi how are you now? I had the same treatment. I am stuck at 90-degree after 3 months. What should i do? I do pt every day but results are lack luster
Hello Dr. Is 100 degrees after 13 weeks multiligament ACL MCL PCL surgery a bad ROM ? Would you recommend MUA at this point. I have difficulty walking and stiffness. My PT says multiligament patients can't aim for full flexion, is that true?
No it's fine..keep doing physio
You should aim for full recovery if surgery is done well...mua only after 3 months
@@DrPrateekJoshi thank u for replying. Is MUA preferred as 1st step or I can aim for lysis of adhesion?
I wish my dr would’ve done a MUA on me bcuz I’m at roughly 100 after a year and a half after TKR and I’m in pain everyday…I wish there was something I could do to fix this…not happy with my surgery , suggestions?
hi, there are multiple factors leading to stiffness after tkr. treatment should be directed towards the factor causing the stiffness
I had quadricepsplasty done 4 months back... The initial injury was a distal femur fracture... which was fixed but with stiff knee... then I had arthroscopic arthrolysis... but no luck... then I had quadricepsplasty... I am still at 85 degree.. Do you recommend MUA to me?
Hi...share your injury x-rays and post op x-rays on 9023004574
Ok.. thanks for reply
Hallo sir my knee stiff
Hi doctor . Please do reply me . I had met with an accident two months ago and it’s a distal femur comminuted fracture . It’s been three months post surgery my knee can be only bend till 40 degree can’t achieve more than that with the help physiotherapist I’m bending my knee . Can I go with the above procedure knee manipulation. It’s has been done with a plate rod supported with six screws
Ok...I need to see x-rays ... But if it's well reduced fixation than there should not be any reason for stiffness for so long unless physio was not done adequately...
If xray is showing good reduction than either MUA or arthroscopic+- open surgery to release adhesion is recommended...
I would suggest you wait till 3 months after surgery before going for MUA...
Sure doctor .
Thank u so much
Hello Doctor.. My mom underwent the TKR surgery for one knee end of May, and after 3 mon due to stiffness and limited range of motion was advised MUA. but due to the fear of pain she opted out and now has only 30 % range of motion.. Is it advisable to get a MUA done now after 6 months.. She is 65 (diabetic). kindly advise .
ok, need to rule out other causes of stiffness such as implant malposition, infection etc... if all ok can get MUA done now
Sir, I meet with accident and had femur bone fracture, rod is inserted and now been 4 months to it, my knee bending is stuck at 35° active and 50° passively, should I opt for MUA?
yes it might help. if xray is good
Hello sir I have patella surgery 3 months now my knee can't fully bend. A month of physiotherapy has improved a little. Sir now should I do MUA?. MuA will be any problem? I am a Bangladeshi
yes can help
Hello dr.
I had a tear in the posterior horn meniscus and i got that repaired about 3 months ago and i can barely reach 100 degress and the stiffness is so strong do recommend MUA in this case ? will it affect the meniscus repaired.
Thank You
hi, mua can damage meniscus repair ... can consider arthroscopic adhesiolysis instead...
I have blood clotting issues that may make any arthroscopic interference hard right now, so do I go with mua or do i continue physiotherapy even if it will take longer?
Thanks again
@@youseftaha9511 continue physio for 1 more month than consider mua
Sir pls help me sir pls 🙏🙏🙏 🙏 my surgery in 17. 2. 2021 ko huva tha sir mera pattela fracture aur femur head fracture huva he plate laagi he sir pls 🙏🙏 help me hum mua karsakte he kya pls replay sir pls 🙏🙏
how much is your range of motion at present?
Hello sir I had an acl surgery last 2 years and am still not able to flex my knee can this solve it
mua or arthroscopic adhesiolysis can help
Y polk.no pudo doblar asta atra
Hello, I am a Chiropractor student. I would like to get my MUA certification. How can I get it and where?
hi, not sure about any existence of certification for this procedure.
Hi. is it important being able to bend your knee without any efforts? i am 45 days post mpfl reconstruction and i can bend my knee 110 degrees with warming up and struggling but while resting i can bend it only 30 degrees or less. is there a problem?
Hi...progress may vary from person to person...but ideally by 2-3 months you should achieve complete range of movements without any stiffness...all the best
@@DrPrateekJoshi Thank you for the response. Very helpful.
Can we hear cracking sound when adhesion is broken?
yes
Hi, what is to be done if mua doesn't work.?
we need to know what's reason for stiffness...and address it. sometimes arthroscopy works, sometimes another open surgery works
Hi doctor, I had surgery to my femur to fix a deformity of the femur and it’s been 4 months and still can’t bend to 90 degrees and doctor said it should it hurts a lot please tell me what I can do.
hi...send your x-rays on 9023004574.. I will reply when I am free
After an MUA, do you get more range of motion when you aren't under the anesthesia? All I've been told is that there would be a lot of sourness.
hi, usually range of motion reduces in comparison to what's achieved under anesthesia, but with persistent efforts it can match what has been achieved under anesthesia ... yes there will be some pain and swelling which should go down with time...
Any long term side effects from MUA WITH ARTHOSCOPIC?
Mua is a blind procedure , arthroscopic is done under vision...
Boa tarde estou com fibrose só tenho 40 graus
La artrolisis es una opción buena
Hello sir! I had both acl amd mcl surgery 1 year ago but my knee flection was upto 50 degrees only when i try to flex it it is too paining and i feel too stiffness in my knee so please suggest some medicine or exercises
Hi. Usually after multi ligament surgery by three months you should get complete range of motion. If at 1 year you still don't have complete moment then something has to be done... X-ray and MRI should be done to know what is the status of repair. if everything is fine in that then arthroscopic surgery /mua may help.
Sir! Can i visit your clinic please send me the adress as soon as possible i visit your clinic and tell the fee also
@@KiranKumar-lx9mj contact on 9023004574
I was wondering, can you opt for a MUA if you want faster progress? Can I request for this to be done ? I am at 110 degrees, but can I do this to hit 135? I am 10 weeks post op.
Its best if we get movements with com and physio...mua is to be used only if movements are not achieved by 3-4 months.
@@DrPrateekJoshi why did my doc do MUA on me on week 3 post ACL op?
@@browneyedS replied on your other comment
Sir do saal hogaye h mera pair mornhi permanent stiff hogaya h mujhe Kya krna chahiye plzz mujhe batayen..
need to know reason based on examination and investigation than plan treatment
Hi Dr i femure biological reconstraction and my po almost a year and 3 months my knee flexion is 95 active and 115 passive should i opt for MUA for full RoM?
Did you get full rom?
I gone for acl mcl surgery my knee bending upto 95degree shell I go for knee manipulation under anesthesia
When did you underwent the surgery?
Can this be done on someone with elhers danlos syndrome after having a mpfl with allograft and tto surgery? My son is having that surgery and I'm so nervous about range of motion loss as he's only 16. Thanks.
The surgeon is having him not start pt until 4 weeks post op because of the eds and he wants him in the brace the whole time. That's why I'm so concerned he will have issues with range of motion starting pt so far out.
Hi... It can be done at 3 months if he is not able to gain movements...but usually will not be needed... Maybe physio can be started bit early if surgeon is confident after the surgery
@@DrPrateekJoshi thank you!! I hope his goes well and he will be able to be a normal teen again! He loves soccer. But last year his kneecap started dislocating and now he has subluxations multiple times a day, pain and can't really even run anymore. I really hope this surgery works and he heals with no complications! I do hope the surgeon can start physio sooner than 4 weeks but i understand why he said may need to go slow.
@@Jen_385 best wishes ... Keep me updated...
I'm a 20 year old male. I had a femur fracture 1 year ago. My knee mobility is 90 degree. Can manipulation under anaesthesia is possible for me?
yes can help
Doctor where is your hospital??
Ahmedabad - 9023004574
Sir My Knee is also stiff after distal femur fracture
mua might help
Hello doc, I underwent acl reconstruction surgery and it's been 5 months now, my range is stuck till 105° would you recommend this method for improving rom ?
it can give results but there is risk of damaging newly reconstructed ACL too. I would advice for arthroscopic adhesiolysis in your case
@@DrPrateekJoshi Could MUA damage the newly reconstructed ACL?? My doc MUA me on week 3 of ACL and MCL Post-op. Could you please explain why did he did it? Or explain why he shouldn't have done it?
@@browneyedS replied on your other comment
Hello sir Mera accident 4 sep 2021 ho hua nd operation 7 sep ko distal end of femur #communited sir abhi 6 week ho gye h non weight bearing me ho nd 70° rom h surgeon ne manipulation under local anesthesia karne ko Bola h sir due to sever pain I can not bend my leg please reply me
Share your x-rays on 9023004574
@@DrPrateekJoshi thank you so much sir given your valuable time
@@DrPrateekJoshi thank you so much sir given your valuable time
@@priyankasingh9158 welcome
Sir same my problem how to unlock joint 😢😢
There are multiple factors which decide ultimate treatment that can be provided for your problem
Sir I had two surgery in the short term i can't bend my knee upto 120 can I eligible for MUA
depends on multiple factors...if you have good fixation to begin with, and fracture has united well but you have stiffness , mua will help
Where are you from?
ahmedabad
Sir.. recently i got accident and got injury to my left leg and tibea bone was fracture. During 56 days my left leg keep the external fixater. After removing of external fixater doctor was suggested to do physiotherapy. During two moths i take physiotherapy. Result is knee bending was 90 to 95 degrees. Please suggest can i take MUA for total bending of leg...
if fracture has healed well than MUA can help
How much cost for MUA
Approx cost of MUA treatment
Sir
Sir clenic kha hai aap ka
Ahmedabad
There are any side effects of MUA .when should we go for MUA.
Side effect is fracture or ligament injury due to procedure itself...
We usually go with mua to facilitate movements if patient is not able to achieve with physio even at 6weeks to 12 weeks...depends from case to case...
Sir I went through QUADRICEPSPLASTIC SERGERY FOR KNEE STIFF
Rgt now on CPM go 85 degree , sir can I achieve position atleast sit on chair and comfort zone plz suggest
hi, it all depends how much movement you got on table just after surgery...
@@DrPrateekJoshi
Sir at operation moment 100 degree doctore shown
But today still same condition like before operation
Sir plz I want to talk plz
Rgt now only 55 to 60 degree turn real
Can do WhatsApp consult on 9023004574
Sir mua k baad deep knee bending m pain kam hota h?
And mua k kitne din baad excercise start kr skte h kya
mua ke immediately baad physio start kar deni chahiye. pain reahega thoda time
Please reply doc!!
I beg you🙏🏾🙏🏾
I had gone my acl surgery and meniscus repair surgery
Its been 2 months and 6 days of post surgery and im able to bend 75 degree.
Do i require MUA?
try to achieve full movements in next 1 month...if you cant than should evaluate and decide
@@DrPrateekJoshi thanks doc for the reply.
You made to start my friday on a happy note.
Yesterday i took it till 90*
It was painful though, but felt great.
Again thanks for your reply
Have a wonderful day ahead.!
🙌🏽🙌🏽
@@mraganksharma1570 all the best
Hi there, please help. I had mua left elbow fasciotomy orthopedic surgeon said I need to wait at least 1 month in order to start physio therapy. My hand does not come straight down it pains badly. Will this heal with time, and will I get my complete range of motion back? Please advise
HI, WHY WAS MUA and fasciotomy was done in your case ?
@@DrPrateekJoshi hi cause I fell down. Compound left elbow injury post fall. That was the diagnosis...
@@GentleMusic123 any surgery was done plating ?
@Dr. Prateek Joshi- Ortho 1. Diagnosis: Compound left elbow injury post fall.
2. 21/02/2023. Op performed: I&D Fasciotomy, washout left elbow, mua reduction, external fixation pop.
3: 01:03:2023 op performed washout and debridement, closure Fasciotomy wound ×2, elbow joint cleaning, closure pin sites ×4 Mua left elbow.
4. 07;03:2023 op performed Washout and debridement wound closure.
There is everything that was done for me I had an external fixator on my hand its removed now
@@GentleMusic123 ok MUA doesnt give much results if fracture is comminuted and intra articular and its uniting in dispalced manner... elbow joint is notorious for becoming stiff sooner than other joints. if fracture is healing in anatomical position than you may have good recovery
Is this local anaesthesia or complete?
General anesthesia
Does a MUA guarantee more range of motion and what are the effects of putting the knee through such trauma?
There is no guarantee in any surgical treatment...
Trauma is indirect adhesiolysis (breaking adhesions)...
If done carefully normal structures are not damaged much ...
If normal structures are under risk than an arthroscopic adhesiolysis+- quadriceps procedure should be done...
@@DrPrateekJoshihola doctor. Como le va? Y como se sabría si las estructuras normales estarian en riesgo? Mañana me hacen lo que hizo usted en el video. Desde ya. Muchisimas gracias
I had an MUA today despite the slow gradual improvements in my ROM. But my ROM has dropped today is this normal?
There are multiple factors at play....if fixation is accurate than MUA will give good results...it's important to do aggressive physio after mua for some time to maintain the movements gained during mua
@@DrPrateekJoshi even on my first day of MUA is it possible to bend more than pre-MUA?
@@browneyedS result gained during MUA inside ot is the maximum one usually gets
Sir aur hamra knee bend sirf 20 30 degrees hi mudrahe cussed jada karte he to bhot pain hora he pls help me sir 🙏🙏
knee MUA works if your fractures have united in correct position... if there is problem in fixation than knee MUA might not give long lasting results, it may even harm the joint.
Iska phle kittna band hotta tha
60-70
Accha mera bhe nhi hotta ha 40 hotta ha
Me also after 3 months of my tibial plateau surgery my knee stuck up at 90 degree 😢 😢 😢 help me bhai what can i do
If your reduction of fracture was acceptable and you don't have any mechanical block to complete range of motion of knee than you can benefit with MUA
@@DrPrateekJoshi i have hardware plate and screw to my tibial plateau.. 😢 Its hard to sleep without knee Bending 😢
I doctor I had acl reconstruction surgery 50 days back doctor advised to go for physio after 30days of surgery after 20 days of physio I achieved only 50degree rom can i get full rom please give your opinion
Try physio till 3- 4 months if you don't get full movements,consider other options such as MUA or arthroscopic adhesiolysis
Ok thanks doctor
@@DrPrateekJoshi doc please help me cause it's freaking me out how my doc did MUA on me on only 3rd week of post ACL op. I'm scared that he might have damaged my ACL.. can MUA be done this quick??
@@browneyedS hi, i can't comment on your Dr. 'S treatment as he must have done it in your best interest...but in my practice, stiffness after ACL Reconstruction occurs if for some reason physio is not done properly...i usually wait till 3 months before intervention and in ACL reconstructed knee I would do arthroscopic adhesiolysis...as its done under vision. Less chance of injury
Hi sir as you said I tried physio upto 4 months but i got only 70 degree Rom on 6 th Jan I under went arthroscopic Adehesiloys at Hyderabad in the operation theater doctor showed a video that i got full ROM but after anesthesia gone in CPM i got only 120 degree but by my own I'm getting 110 degree bend please suggest me how to get full ROM as in the operation theater
sir please please please reply me. i have with lot lot of struggle achieved 100 degrees flexion. i have heard my physiotherapist say that after 90 degrees it is very easy to bend knee. is it true? please please reply me.
Should be but Can't generalize...keep trying...keep consulting your doctor for need of any intervention
@@DrPrateekJoshi i think i achieved 115° today. will it be easy now? my friend said it is very easy at end stage.. is it true.. please please please reply me ):
@@raheela351 Yes, keep trying
Sir mera 2.5 sal se knee band h kuch possibility h mudne ka
Need to know clinical details x-rays ct scan if done...etc to comment...
Sorry for late sir, thanks for the reply sir dhai sal se abhi bhi mera surgery chal raha hai abhi femur ka lrs surgery hua h
Sir एक्सरे ka photo nhi bhej pa rahe h u tube se CT scan hua nhi hai
@@ratneshkumaryadav2814 send on 9023004574
Sr mera knee 125 deg band ho jata h.. Accdnt ko 6 years ho gye qa ye ab fully band ho skta h.. Plz plz plz reply me sr.. Plzzz
if your knee is bending upto 125 degrees, thats a good range of motion... did you have fracture or ligament injury?
@@DrPrateekJoshi a big thankyou for you reply sr.. Really thankyou so so much.... N yes.. Accdnt huaa tha 4 surgeries huii femur fracture tha... Or tibiae fracture bi.. Rodd daali thi pure pair m... 1 and half years tk completely bed pr hi thi.. Jb uthi tb pair bilkul sidha tha.. Ab 125 huaa h bhut mushquil se..phir exercise bnd krdi... Ab phir shuru krna chati hu quki cds ke physical ke liye fit hona h mujhe plz sr btaiye.. Time bhut km h mere pass
@@suruchisingh5628 oh.. you have worked hard for gaining ROM upto 125 degrees...congratulations... for further bending you should be able to achieve by rigorous physio...if you dont find much results, you can think about MUA or procedure (open/arthroscopic) to release adhesions...all the best...
@@DrPrateekJoshi thankyou so much sr.. God Bless you 😊
@@DrPrateekJoshi sorry sr one last qus...aap kis hospital m mil skenge agr m MUA krvana chahu to?
Doctor MUA aur Arthroscopy surgery ke cost ky hain aur ky ye har cities me available hai?
Hi, cost varies from city to city from doctor to doctor ... Only mua is a day care procedure so it should be lot cheaper than arthroscopy...
Mostly in all major cities there are specialists who can perform these procedures
Fir bhi ek general cost?
Actually sir mre surgery ko 7-8 weeks hogaye , open wound tha is wjh se starting me physiotherapy nahi kr skta tha
Abhi 7-8 weeks tak koi bending nahi hui thi
Abhi physiotherapy kr rha to utna kuch results nahi dikra
Is case me mujhe kya krna chahiye?
was there any fracture? ligament injury?
Yes sir , femur me fracture tha aur patela me bhi little bit , compound fracture tha
Dr sahab ye Safe hai MUA... Karna please reply... 🙏🙏
If done carefully in rightly indicated cases it can give good results...
@@DrPrateekJoshi ... Thanks🙏🙇 Dr sahab.. my knee plate SERJURY.. Before 3. Months. My knee Not bend... Only.. 30.40. Degree band.. My Dr told 💬me.. MUA... 🙏🙏🙏🙏
@@Stocksbeginners ok.. if plating is done properly MUA will certainly help... other option is arthroscopy surgery where applicable
@@DrPrateekJoshi ... Ok Thanku Dr sir.. I Appreciate💕.... Your working.....
@@DrPrateekJoshi ... Namastey Dr saheb.. MUA..kitne Din baad dobara kara sakte hai... 85 Degree Tu ho gya hai....
sir mera bhi leg nhi bend ho rha ...2 month ho gye chot lge or 1 month ho gya plaster bhi cut hue
What fracture you had ..? Mri done?
@@DrPrateekJoshi knee fracture ...sir
@@aradhanaupadhyay1255 need to see x-rays to understand what you need
Sir ye MUA
Surgery k baad knee band ni hota toh krate h ?
Yes
@@DrPrateekJoshi toh sir mera knee may be 90° h ya isse km h shyd thora
6 mahine ho chuke h acl surgery ko mujhe krana chahiye ye ?
@@kissugautam agar physio se puri movement nahi aayi aur koi reason stiffness ka na ho to karna chahiye
@@DrPrateekJoshi stiffness hi btayi thi doctor ne 2 mahine phle physio therapy chl rhi h itna kuch ni h improvement 😕 bilkul thoda hi h
@@DrPrateekJoshi sir plz reply kr do 😞😞
That should be painful, why is he not shouting….. my knee can bend to about 100 degrees, I had tibia surgery
Patient is in general anesthesia...so no pain...even after procedure pain is minimal...
@@DrPrateekJoshi just woke up from the procedure, indeed the pain is minimal!
@@DrPrateekJoshi the pain was extreme when I woke up from the anesthesia. Is there a chance that he did something wrong?
Cos he’s been knocked TF out before the procedure I think I would prefer to be cos I hate people touching my knees
@@browneyedS Sorry to know you had to experience the sort of pain you did. Was it at least worth it? Did you achieve an increase in range?
Hello sir I have patella surgery 3 months now my knee can't fully bend. A month of physiotherapy has improved a little. Sir now should I do MUA?. MuA will be any problem? I am a Bangladeshi
If fracture has United well then MUA can help
Whatsapp number can be given. I would show you the extent of my fracture
Whatsapp number can be given. I would show you the extent of my fracture