Loss of Extension After Reconstruction of the Anterior Cruciate Ligament

Current Concepts for Rehabilitation and Return to Sport After Knee Articular Cartilage Repair in the Athlete

“…Arthrofibrosis is a common cause of knee motion loss after knee surgery. 142,163 Patients with limited knee motion due to arthrofibrosis often complain of anterior knee pain, swelling after prolonged positions or activity, quadriceps weakness, and joint stiffness, which can result in decreased tolerance to stand, walk, or run, and difficulty returning to previous levels of activity. 112,140,159,161 Additionally, increases in patellofemoral contact pressure have been documented in knees with quadriceps or patellar tendon adhesions.…”

What We Should Know Before Using Tissue Engineering Techniques to Repair Injured Tendons: A Developmental Biology Perspective

“…2,75 Although some of the surgical treatments for tendon/ligament injures, such as autografts for anterior cruciate ligaments, show high success rates, the patients often experience chronic pain and other side effects after surgery such as early onset osteoarthritis. 77,78 In particular, investigators have begun to question the recent use of growth factors in clinics to treat tendinopathies and to improve tendon healing. In order to develop more effective treatment options for tendon injuries, we need to learn more about the natural healing process of tendon, and in particular the degree to which it mimics the tendon's normal development.…”

Case Series Utilizing Drop-out Casting for the Treatment of Knee Joint Extension Motion Loss Following Anterior Cruciate Ligament Reconstruction

“…14,26 One of the most common causes of knee motion loss following ACLR is arthrofibrosis. 27,32,33 Arthrofibrosis is a global diffuse development of scar tissue or fibrous adhesions that forms within a joint due to an excessive inflammatory response to a stimulus. 20,27 An inappropriate response to cytokines can stimulate a fibrous response in the suprapatellar pouch, and medial and lateral gutters, as well as in the anterior compartment and posterior capsule.…”

“…27,32,33 Arthrofibrosis is a global diffuse development of scar tissue or fibrous adhesions that forms within a joint due to an excessive inflammatory response to a stimulus. 20,27 An inappropriate response to cytokines can stimulate a fibrous response in the suprapatellar pouch, and medial and lateral gutters, as well as in the anterior compartment and posterior capsule. 20 This intra-articular scar tissue can restrict both joint flexion K nee motion loss following anterior cruciate ligament reconstruction (ACLR), especially extension loss, can be a disabling problem.…”