Arthroscopic lysis in knee arthrofibrosis

Vaquero, Javier; Vidal, Cristina; Medina, Enrique; Baena, José Ángel López

doi:10.1016/s0749-8063(05)80508-0

Cited by 24 publications

(5 citation statements)

References 4 publications

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“…Arthroscopic treatment results in an excellent outcome with good motion and restoration of function. 3–5,17,20,22,25,26,29 In 1982, Sprague et al 26 were among the first authors to describe the arthroscopic treatment of knee fibroarthrosis. Their report details the arthroscopic treatment of 24 patients who had had previous open procedures and had failed nonoperative measures.…”

Section: Treatmentmentioning

confidence: 99%

Motion Loss after Ligament Injuries to the Knee

2001

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This is the second part of a two-part review on motion problems after ligament injuries to the knee. The first part, published in the September/October 2001 issue, discussed normal and abnormal knee motion, terminology, risk factors, and pathoanatomy. The purpose of this article is to review current concepts on prevention and treatment of motion problems, summarizing the recent and pertinent studies that discuss this complicated clinical problem. The first part of this article will discuss the different classification schemes that have been published on motion loss of the knee. Prevention strategies will be discussed next, followed by early recognition. Finally, a discussion of the various treatment options and published results will be presented in detail, together with the authors' nine-step systematic surgical approach to the stiff knee.

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Section: Treatmentmentioning

confidence: 99%

Motion Loss after Ligament Injuries to the Knee

2001

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“…Loss of full knee extension is a disabling condition which may result from trauma, infection, surgical procedures and various other causes. Whereas an acute loss of rangeof-motion due to a localised mechanical reason may be treated by arthroscopic procedures or open anterior debridement with a good success rate [2,5,9,16], it is our experience that chronic flexion contractures lasting for 1 or more years as well as those resulting from generalized arthrofibrosis of the knee without a mechanical block may not improve sufficiently after these treatments. The aim of this study was to establish a safe technique of posterior capsulotomy for the treatment of flexion contractures and to document the effect of capsulotomy as an adjunct procedure in chronic extension deficits of the knee.…”

Section: Introductionmentioning

confidence: 99%

Role of posterior capsulotomy for the treatment of extension deficits of the knee

Lobenhoffer

Bösch

Gerich

1996

Knee Surg, Sports traumatol, Arthroscopy

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Chronic flexion contracture of the knee is difficult to treat, especially in cases with long-standing extension deficits and with generalised arthrofibrosis. We present a technique combining arthroscopic or open anterior debridement with a posterior capsulotomy. This capsulotomy is performed via a posteromedial incision and a posteromedial arthrotomy. All scar tissue is resected, and the entire posterior capsule is detached from its femoral attachment. Of 24 patients treated with arthroscopic arthrolysis and posterior capsulotomy from 1989 to 1993, 21 were reviewed with a mean follow-up of 18 months (range 6-38 months). The mean extension deficit preoperatively was 17 degrees (range 10-30 degrees), and symptoms and persisted from 6 months to 7 years. Extension improved to a mean value of 2 degrees; no patient had more than 5 degrees of extension deficit at follow-up. The knee function improved significantly (Lysholm Score preoperative 62, postoperative 88, Tegner Scale preoperative 2.2, postoperative 4.0). No neurovascular complications were observed, and we conclude that posterior capsulotomy is a safe and efficient adjunct procedure to anterior arthrolysis and is indicated in cases with chronic flexion contracture.

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“…Numerous authors have reported significant improvements of range of motion after lysis of adhesions from 35 o to 68 o . 32,33,34,35 The most common adverse outcome of this procedure is the inability to restore complete range of motion. 32,33,35 Several authors have also noted marked post-operative tenderness in the region of the infrapatellar fat pad, which resolved with non-operative measures.…”

Section: Resultsmentioning

confidence: 99%