Open Debridement and Soft Tissue Release as a Salvage Procedure for the Severely Arthrofibrotic Knee

@article{Millett1999OpenDA,
  title={Open Debridement and Soft Tissue Release as a Salvage Procedure for the Severely Arthrofibrotic Knee},
  author={Peter J. Millett and Riley J Williams and Thomas L. Wickiewicz},
  journal={The American Journal of Sports Medicine},
  year={1999},
  volume={27},
  pages={552 - 561}
}
Postoperative loss of knee motion is a well-recognized phenomenon. [...] Key Method Eight knees (eight patients) were identified retrospectively. There were four men and four women; mean age was 29 years. All had severely restricted motion with extensive intraarticular and periarticular fibrosis. Range of motion averaged 62.5° preoperatively (flexion 81°, loss of extension 18.8°). Patients underwent open debridement and soft tissue release to restore motion. There were no complications. Motion improved to an…Expand
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References

SHOWING 1-10 OF 26 REFERENCES
The Surgical Treatment of Arthrofibrosis of the Knee
TLDR
Patients requiring surgical treat ment for arthrofibrosis after knee ligament surgery achieved excellent motion gains, but functional out come scores were compromised and radiographic find ings were concerning. Expand
Outpatient Surgical Management of Arthrofibrosis After Anterior Cruciate Ligament Surgery
TLDR
A consecutive series of nine patients who were referred to us because of arthrofibrosis after intraarticular anterior cruciate ligament reconstruction using autogenous patellar ten don or semitendinosus graft are presented. Expand
The role of arthroscopy in the treatment of postoperative fibroarthrosis of the knee joint.
TLDR
This study suggests that arthroscopic intraarticular release of adhesions is efficacious in the management of arthrofibrosis of the knee subsequent to previous open operative procedures. Expand
Arthroscopic management of postoperative arthrofibrosis of the knee joint: indication, technique, and results.
  • W. Klein, N. Shah, A. Gassen
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 1994
TLDR
It is felt that arthroscopic fibroarthrolysis is of benefit to the patients with postoperative joint stiffness even after a prolonged period. Expand
Classification and Management of Arthrofibrosis of the Knee after Anterior Cruciate Ligament Reconstruction
TLDR
Improvement was found for the mean stiffness, self-evaluation, functional activity, and Noyes knee scores in all groups of patients with disabling knee arthrofibrosis. Expand
The role of arthroscopy in the treatment of postoperative fibroarthrosis of the knee joint.
  • J. Parisien
  • Medicine
  • Clinical orthopaedics and related research
  • 1988
TLDR
This study suggests that arthroscopic intraarticular release of adhesions is efficacious in the management of arthrofibrosis of the knee subsequent to previous open operative procedures. Expand
Arthroscopic treatment of symptomatic extension block complicating anterior cruciate ligament reconstruction
TLDR
The evidence from this study indicates that an intraarticular block to full knee extension is associated with definite sympathy and disability and when this problem fails to respond to nonoperative treatment, significant improvement can be obtained by arthroscopic excision of the impinging tissue followed by an aggressive rehabilitation program. Expand
Operative mobilization of stiff knees after surgical treatment of knee injuries and posttraumatic conditions.
  • P. Benum
  • Medicine
  • Acta orthopaedica Scandinavica
  • 1982
TLDR
An extensive capsulotomy may be indicated in relatively young patients even in cases with flexion up to 90 degrees, since stiffness and adhesions of the posteromedial part of the capsule prevented normal internal rotation of the tibia during attempts at maximal flexion. Expand
The early treatment of motion complications after reconstruction of the anterior cruciate ligament.
TLDR
Of 207 knees, 189 (91%) regained a full range of motion of 0 degrees-135 degrees and did not regain motion as rapidly as the others and were placed in an early postoperative phased treatment program. Expand
Effect of surgical timing on recovery and associated injuries after anterior cruciate ligament reconstruction
TLDR
It was shown that surgery done within 6 months of injury does not jeopardize the knee, and recovery after acute anterior cruciate ligament reconstruction is significantly slower than after subacute or chronic recon struction. Expand
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1
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