Arthroscopic Arthrolysis for Arthrofibrosis of the Knee after Total Knee Replacement

Abstract

Arthroscopic management can be beneficial for patients suffering from arthrofibrosis following total knee replacement. Pain and KSS clinical scores can markedly improve.

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

“…It proves to be a safe, reliable and effective method of treatment [2,20,21]. The rehabilitation is also found to be easier and much quicker.…”

“…The treatments for arthrofibrosis include physiotherapy, aggressive pain management, manipulation under anesthesia, arthroscopic release, and open sugical release [1]. The arthroscopic approach is a less invasive approach that has been advocated for both focal, discrete lesions as well as for more global arthrofibrosis [2]. Quadriceps contracture and atrophy usually accompany arthrofibrosis since the intra-articular adhesions prevent normal range of motion and constrain the extensor mechanism [3].…”

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“…Athroscopicarthrolysis have been successfully used in treating patients with knee contracture after knee trauma, knee osteoarthritis, movement disorders and total knee arthroplasties (TKA) [27][28][29][30][31]. Good pain relief was generally reported after arthroscopic synovectomy and arthroscopic removal of the loose bodies.…”

Novel Protocol for Knee Mobilization Under Femoral and Sciatic Nerve Blocks for Postoperative Knee Stiffness

“…A rthrofibrosis of the knee is a complication of total knee arthroplasty (TKA) and knee ligament surgery, leading to frustration for both patient and surgeon. 1 Arthrofibrosis is defined as abnormal scarring of the joint, wherein the formation of dense fibrous tissue prevents full range of motion (ROM). 1 According to the current literature, the incidence of knee stiffness after TKA ranges between 1.8% and 23.0%, depending on the definition of stiffness.…”

“…1 Arthrofibrosis is defined as abnormal scarring of the joint, wherein the formation of dense fibrous tissue prevents full range of motion (ROM). 1 According to the current literature, the incidence of knee stiffness after TKA ranges between 1.8% and 23.0%, depending on the definition of stiffness. [2][3][4] Small flexion deficits typically do not alter gait, although most people notice unilateral loss of flexion.…”