The Surgical Treatment of Arthrofibrosis of the Knee

@article{Cosgarea1994TheST,
  title={The Surgical Treatment of Arthrofibrosis of the Knee},
  author={Andrew J. Cosgarea and Kenneth E. Dehaven and James E. Lovelock},
  journal={The American Journal of Sports Medicine},
  year={1994},
  volume={22},
  pages={184 - 191}
}
Sixty-one lysis of adhesion procedures were performed for arthrofibrosis of the knee between 1981 and 1990. In 43 cases (37 patients) the etiology was prior knee ligament surgery. Ten cases had sustained fractures about the knee and eight had miscellaneous etiologies. Six patients required a second lysis of adhesion pro cedure. A retrospective analysis of the 43 ligament pa tients was undertaken to evaluate the results of surgical treatment. All 43 cases were available for followup at an… Expand
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References

SHOWING 1-10 OF 15 REFERENCES
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
Acute anterior cruciate ligament reconstruction. Analysis of complications.
TLDR
One hundred fifty-six patients treated with intraarticular anterior cruciate ligament (ACL) reconstruction were analyzed and it was found that developing fibroarthrosis postoperatively did not affect a patient's long-term clinical result when properly recognized and promptly treated. Expand
Arthrofibrosis in acute anterior cruciate ligament reconstruction
TLDR
The evidence suggests that delaying reconstructive surgery at least 3 weeks from time of acute ACL injury will result in earlier return of strength and, more importantly, a significantly decreased inci dence of arthrofibrosis. 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 treatment of postoperative knee fibroarthrosis.
TLDR
Patients with severely limited knee motion following open knee surgery were treated by percutaneous release of adhesions under arthroscopic control, and the mean passive flexion was increased from 70 degrees preoperation to 115 degrees at final evaluation after all arthropscopic procedures. Expand
Loss of Motion after Anterior Cruciate Ligament Reconstruction
TLDR
It is concluded that arthroscopic debridement is useful for patients who develop LOM after ACL reconstruction, and is associated with females and the type of graft (patella tendon>semitendinosus). 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
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
Observations on patellar height after proximal tibial osteotomy.
TLDR
Sixty-six knees that had had a proximal tibial osteotomy were evaluated and there was no correlation between the postoperative height of the patella and the need for subsequent revision to a total knee replacement. Expand
The early diagnosis and treatment of developmental patella infera syndrome.
TLDR
To establish normal right to left patellar, vertical-height ratios, lateral roentgenograms were obtained in 202 normal knees and showed that although essentially no difference existed between right and left sides, large variations existed in the ratios from one individual to another, indicating developmental patella infera. Expand
...
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