medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2000, Number 2

<< Back Next >>

Acta Ortop Mex 2000; 14 (2)

Arthrofibrosis of the knee: epidemiology and arthroscopic surgical treatment

González AD, Salazar PR, Rocabdo VO, Axotla BVM

Language: Spanish
References: 30
Page: 185-190
PDF size: 116.52 Kb.


ABSTRACT

Arthrofibrosis of the knee was found in 24 patients aged in average 36.4 ayears (17 to 62) as a result either of cruciate ligament plasty, long-lasting rest, infection, inspecific synovitis, distal femoral or proximal tibial fractures and other causes. Patients were treated by gentle manipulation under anesthesia without effective result. Then arthroscopy for release of intra-articular adhesions was carried out through 2 standard infero-medial and infero-lateral portals and in most cases a third supra-lateral approach for release of the supra-patelar recess. An exercise program and early weight-bearing was encouraged in mild cases while in sereve the continous pasive motion device and cryotherapy was applied for the first 10 days followed by active excercises of the knee. Results demonstrated an improvement from 4 to 30 degrees after artroscopic release and excercise treatment in severe cases of arthrofibrosis.


REFERENCES

  1. Aglietti P, Buzzi Pier, Giroa. Artroscopically assisted semitendinosus and gracilis tendon graftin reconstruction for acute anterior cruciate ligament injuries in athletes. Am J Sport Medicine 1996; 244(6): 726-731.

  2. Aglietti P, Buzzi R et al. Patello-femoral problems after anterior cruciate ligament reconstruction. Clin Orthop 1993; 288: 195-204.

  3. Bertram Zarins, Cugat. Principios de artroscopía y cirugía artroscópica. 1993: 224-227.

  4. Campbell Cirugía Ortopédica 8ª edi. 1993: 1741-42.

  5. Cosgarea AJ, De Haven KE, Lovelock JE. The surgical treatment of artrofibrosis of the knee. Am J Sports Med 1994; 22: 184-191.

  6. Cosgarea AJ, Sebastiannelli WJ, De Haven KE. Prevention of arthofibrosis. After anterior cruciate ligament reconstruction using the central third patellar tendon autograf. Am J Sport Med 1995; 23: 87-92.

  7. Didrah DR, Giles R, Scuderi, Scott, Insall JN. The efficacy of artroscopy following total the J Artroscopic and RS 1997; 13(2): 166.

  8. Enneking WF, Jorowitz M.

  9. Evans TB, Eggers EN, Butler JK. Total experimental imnmobilicativa remobilization of rat knee Joints, Journal Bone Joint Surg. 424; 137-758, 140.

  10. Graf B, Uhr F. Complications of intra-articular anterior cruciate ligament reconstruction. Clin Sports Med 1988; 7: 835-848.

  11. Graham HK, Salter RB. The effects of continuous passive motiev (CPM) immediately after surgical release of stiff elbow, a prospective study. JB Joint Surg 1989; 71B: 874.

  12. Hall ME. Cartilage changes after experimental immobilization of the knee joint in the young rat. Journal Bone Joint Surg 1963; 45A: 35-44.

  13. Harner CD, Irrgang JJ, Paul J et al. Loss of motion after anterior cruciate ligament reconstruction. Am J Sports Med 1992; 20: 499-506.

  14. Insall JN. Cirugía de la rodilla. Segunda edición 1994: 497-521.

  15. Klein WS, Gassen A. Arthroscopic management of postoperative arthrofibrosis of the knee joint indication, technique and results arthroscopy 1994; 10: 591-597.

  16. Lobernhoffer HP, Busch V, Gerich TG. Role of posterior capsulotomy for the treatment of extension deficits of the knee. Knee Surg-Sports Traumatol Arthrosc 1996; 4(A): 237-41.

  17. Mariani PP, Ferretti A, Conteduca F et al. Arthroscopic treatment of flexion deformity after. ACL reconstruction. Arthroscopic 1992; 8: 517-521.

  18. Noyes FR, Barber-Weetin SD. Reconstruction of the anterior and posterior cruciate ligament after knee dislocation. Use of early protected postoperative motion to decrease arthrofibrosis. Am J Sport Med 1997; 25(6): 769-78.

  19. Orfaly RM, Mc Conkey JP, Regen WD. The fate of meniscal tears after anterior cruciate ligament reconstruction. Clin J Sport Med 1998: 812-102-5.

  20. Parisien JS. The role of arthroscopic in the treatment of postoperative fibroarthrosis of the knee. Joint Clin Orthop 1988; 229: 185-192.

  21. Paulos LE, Rosengorg TD et al. Infrapatellar contracture syndrome. An unrecognized acute of knee stiffness with patella entropment and patella infer am. J Sports Med 1987; 15: 331-341.

  22. Peters A, Hennrssey R, Bordon RM, Galante JO. Revision total knee arthroplasty with a cemented posterior-silabilized or constrained prosthosis a minima 3 year and average 5 year follow up study. J Arthtoplasty 1997; 12(8): 896-903.

  23. Richmound JE, Al Assal M. Arthroscopic management of arthofibrosis of the knee, including infrapatellar contracture syndrome. Arthroscopy 1991; 7: 144-147.

  24. SgaglioneNA, Schwartz RE. Arthroscopically assisted reconstruction of the anterior cruciate ligament: initial clinical experience and minimal 2 year follow up comparing endoscopic transtibial and 2 insición techniques. Arthroscopic 1997; 13(2): 156-65.

  25. Shelbovine DV, Patel, Dougle. Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction. Am Orthop Sport Med 1996; 24: 857-862.

  26. Sehlbovine KD, Johnson GE. Outpatient surgical management of arthrofibrosis after anterior cruciate ligament surgery. Am J Sport Med 1994; 22: 192-97.

  27. Sperner G, Seewald P, Hanburger A, Koleer A. Arthroscopic replacement of the anterior cruciate ligament with a double semitendinosus tendon. Jufallehring 1996; 99(11): 869-74.

  28. Sprague NF. Arthroscopic debridement for degenerative knee. Joint Disease Clin Orthop 1981; 160: 118.

  29. Stendman JR, Burns TP, Peloza J et al. Surgical treatment of arthrofibrosis of the knee. J Orthop Techniques 1993; 1: 119-127.

  30. Weber D, Friedrich NF, Nidecker, Moder W. Deep posterior knee pain caused by a ganglion of the popliteus tendon-a case report. Knee sur-sports-traumatol-Arthrose 1996; 44(3): 157-9.




2020     |     www.medigraphic.com