Document Detail

A new treatment strategy for severe arthrofibrosis of the knee. Surgical technique.
MedLine Citation:
PMID:  17332128     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To reduce the morbidity of traditional quadricepsplasty for the treatment of severe arthrofibrosis of the knee, we instituted a treatment regimen consisting of an initial extra-articular mini-invasive quadricepsplasty and subsequent intra-articular arthroscopic lysis of adhesions during the same anesthesia session. The purpose of the present study was to determine the results of this technique. METHODS: From 1998 to 2001, twenty-two patients with severely arthrofibrotic knees were managed with this operative technique. The mean age of the patients at the time of the operation was thirty-seven years. After a mean duration of follow-up of forty-four months (minimum, twenty-four months), all patients were evaluated according to the criteria of Judet and The Hospital for Special Surgery knee-rating system. RESULTS: The average maximum degree of flexion increased from 27 degrees preoperatively to 115 degrees at the time of the most recent follow-up (p < 0.001). According to the criteria of Judet, the result was excellent for sixteen knees, good for five, and fair for one. The average Hospital for Special Surgery knee score improved from 74 points preoperatively to 94 points at the time of the most recent follow-up (p < 0.001). A superficial wound infection occurred in one patient. Only one patient had a persistent 15 degrees extension lag. CONCLUSIONS: This mini-invasive operation for the severely arthrofibrotic knee can be used to increase the range of motion and enhance functional outcome.
Jian-Hua Wang; Jin-Zhong Zhao; Yao-Hua He
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  89 Suppl 2 Pt.1     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-02     Completed Date:  2007-04-13     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  93-102     Citation Subset:  AIM; IM    
Department of Orthopaedic Surgery, Shanghai Jiao Tong University Sixth People's Hospital, 600 YiShan Road, Shanghai 200233, People's Republic of China.
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MeSH Terms
Follow-Up Studies
Joint Diseases / surgery
Knee Joint* / physiopathology
Range of Motion, Articular
Surgical Procedures, Minimally Invasive / methods*
Tissue Adhesions / surgery

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