A less invasive procedure for posttraumatic knee stiffness

Abstract

The range of motion increased significantly in all patients. Flexion improved from a mean of 51° preoperation to a mean of 100° at discharge, and the average extension loss improved from 10° to 3° (p < 0.000). The average knee score, according to the Hospital for Special Surgery system, improved from 62 points preoperatively to 77 points at discharge, and 91 points at final follow-up (p < 0.000). All the patients were satisfied with the final ROM gain.

Inflammatory cytokine expression in the quadriceps of rats with posttraumatic knee stiffness: A preliminary study

“…However, few studies have examined the molecular pathways that regulate skeletal muscles around the injured joint and that play important roles in the pathophysiology of joint contracture and stiffness [1,12]. The skeletal muscle is crucial for the successful rehabilitative management of posttraumatic knee stiffness clinically [1].…”

“…Most studies have indicated that arthrogenic factors, particularly the joint capsule, play an important role in developing joint stiffness. However, according to the co-authors' experience, the muscles around the joint are clinically critical to developing posttraumatic joint stiffness and to rehabilitative managing this stiffness [1].…”

“…Given the importance of the knee extensor muscles in terms of daily function and the role of proinflammatory cytokines in the pathogenesis of posttraumatic knee stiffness (PTKS) [1,2], investigating cytokine expression in knee extensor muscles may provide new insights into the molecular regulation of muscle function in patients with PTKS.…”

A mini-invasive technique for severe arthrofibrosis of the knee: A technical note

“…Although several modified approaches to quadricepsplasty [9][10][11][12] with limited exposure have been described, most cannot avoid transverse incisions in the quadriceps, with risk of extension lag. We have previously reported success with percutaneous approaches involving needle puncture of the quadriceps [13,14].…”

A mini-invasive procedure for treating arthrofibrosis of the knee

“… 1 , 6 , 7 , 8 , 9 , 10 Additionally, although a number of new treatment techniques exist, their outcomes remain suboptimal. 11 , 12 , 13 Thus, there is no consensus regarding the ideal treatment strategy has been reached. The purpose of this study was to introduce a mini-invasive operative technique and to report the treatment outcomes of 17 consecutively treated severely arthrofibrotic knees.…”