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Introduction Manipulation under anesthesia (MUA) is a standard treatment for arthrofibrosis after total knee arthroplasty (TKA), with reported rates of 1.5-6%. Customized TKA may have better outcomes by matching individual patient anatomy. However, a previous study reported an unacceptably high rate of MUA for customized TKAs. This study reports the incidence of MUA in a large cohort of second generation customized TKAs. Methods:Data was collected prospectively on 360 2nd generation ConforMISdoi:10.15438/rr.8.1.210 fatcat:o22tzauk4fdell3bnvrmvadtqy