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Manipulation Under Anaesthetic After Knee Replacement: What You Need to KnowManipulation under anaesthetic (MUA) is a key procedure used to improve knee mobility after total knee replacement when stiffness limits movement, typically within three months post-surgery. Scar tissue formation and inadequate rehabilitation may cause limited range of motion, making MUA essential to break adhesions and restore function. Although generally safe…Manipulation under anaesthetic (MUA) is a key procedure used to improve knee mobility after total knee replacement when stiffness limits movement, typically within three months post-surgery. Scar tissue formation and inadequate rehabilitation may cause limited range of motion, making MUA essential to break adhesions and restore function. Although generally safe when performed early by experienced teams, MUA carries risks such as joint bleeding, pain, and rare fractures. Successful recovery depends on prompt, intensive physiotherapy and adherence to rehabilitation routines to maintain gains. Preventing the need for MUA involves early mobilization, regular follow-ups, and addressing stiffness signs immediately. Understanding the procedure, risks, and recovery process helps patients and clinicians optimize outcomes after knee replacement surgery.
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How Muscle Balance Prevents ACL Knee Injuries: The Role of Hamstrings and QuadricepsThis article explains the crucial role of muscle balance, control, and coordination in protecting the knee's anterior cruciate ligament (ACL) from injury. ACL tears often result from imbalances between the quadriceps and hamstrings, rather than just muscle weakness alone. Strong quadriceps paired with weak or delayed-activating hamstrings increase stress on…This article explains the crucial role of muscle balance, control, and coordination in protecting the knee's anterior cruciate ligament (ACL) from injury. ACL tears often result from imbalances between the quadriceps and hamstrings, rather than just muscle weakness alone. Strong quadriceps paired with weak or delayed-activating hamstrings increase stress on the ACL during movements like landing or pivoting. The hamstring-to-quadriceps strength ratio is vital for knee stability, ideally maintaining hamstrings at 60-70% of quadriceps strength. Effective prevention and rehabilitation focus on symmetrical strength training, neuromuscular control, proper landing mechanics, and fatigue-resistant conditioning. Personalized assessments enhance recovery and reduce re-injury risk. Overall, balanced, well-coordinated muscles not only protect the ACL but improve joint function and athletic performance.
