Arthroscopic treatment of symptomatic extension block complicating anterior cruciate ligament reconstruction

@article{Fisher1993ArthroscopicTO,
  title={Arthroscopic treatment of symptomatic extension block complicating anterior cruciate ligament reconstruction},
  author={Steven E. Fisher and K. Donald Shelbourne},
  journal={The American Journal of Sports Medicine},
  year={1993},
  volume={21},
  pages={558 - 564}
}
Arthrofibrosis resulting in loss of knee extension com promises the results of anterior cruciate ligament re constructions. We designed a study to clarify the symp toms and to evaluate the results of arthroscopic treat ment of this complication. Forty-two patients in a series of 959 consecutive open anterior cruciate ligament reconstructions required further surgical treatment for relief of symptoms related to loss of extension. Arthro scopic examination of these knees confirmed the pres ence… Expand
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References

SHOWING 1-10 OF 29 REFERENCES
Arthroscopic evaluation of anterior cruciate ligament reconstructions.
TLDR
Fourteen patients who underwent anterior cruciate ligament reconstruction, using fascia lata or patellar tendon, were examined arthroscopic at a mean time of 16 months following surgery, and the generally poor quality of the reconstructed tissue and the articular cartilage lesions were found. Expand
Cyclops syndrome: loss of extension following intra-articular anterior cruciate ligament reconstruction.
  • D. Jackson, R. Schaefer
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 1990
TLDR
13 patients after intra-articular ACL reconstruction using a patella tendon autograft developed a similar symptom complex, and in addition to postoperative loss of full extension, there was an audible and palpable clunk with terminal extension. Expand
Arthroscopic evaluation of anterior cruciate ligament reconstruction using a free patellar tendon autograft. A prospective, randomized study.
  • D. Kohn
  • Medicine
  • Clinical orthopaedics and related research
  • 1990
TLDR
It is indicated that, in the majority of patients, reconstruction of the anterior cruciate ligament using a free patellar tendon autograft will not result in an arthroscopically normal substitute for the anterior cruiser ligament. Expand
Results of knee manipulations after anterior cruciate ligament reconstructions
TLDR
Overall, manipulations were a safe and effective method for improving both flexion and extension in 86% of the knees that had restricted motion after ACL reconstructions. Expand
Early knee motion after open and arthroscopic anterior cruciate ligament reconstruction
TLDR
It is concluded that traditional rehabilitation protocols are often ineffective in prevent ing the significant quadriceps muscle atrophy that may occur within the first few days of surgery. Expand
Limitation of motion following anterior cruciate ligament reconstruction
TLDR
The authors suggest that it is prudent to avoid im mediate reconstructive surgery on the basis of knee stiffness, as the stiff knee requires early aggressive management with a manipulation and or arthroscopic arthrolysis. Expand
Accelerated rehabilitation after anterior cruciate ligament reconstruction
TLDR
Evidence indicates that in this population of patients who underwent intraarticular ACL patellar tendon-bone graft reconstruction, the accelerated rehabilitation program has been more effective than the initial program in reducing limitations of motion and loss of strength while maintaining stability and preventing an terior knee pain. Expand
Infrapatellar Contracture Syndrome
TLDR
It is concluded that appropriate procedures can substantially increase the range of motion in patients with infrapatellar contracture syndrome, and the outcome, as determined by subjective knee function scores, is only fair. Expand
Patellofemoral problems after anterior cruciate ligament reconstruction
TLDR
It is likely that a causal relationship is present in which flexion contracture causes patello femoral irritability and that both of these factors, alone or in combination, result in quadriceps weakness, and it is crucial that postoperative rehabilitation programs place a major emphasis on the avoidance of flexioncontracture. Expand
Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction.
TLDR
In thirty-three normal cadaver knees from adults, the average length of the anterior cruciate ligament was 31 +/- 3 millimeters and the angle between the ligament and the long axis of the femur was 28 +/- 4 degrees. Expand
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