Arthroscopic treatment of the arthrofibrotic knee.
The management of motion loss of the knee is challenging. A clear understanding of the pathoanatomic causes of motion loss is necessary to establish a careful and rational approach to treatment. Early recognition and physical therapy are effective for the majority of patients, but when these conservative measures fail, operative intervention is indicated. The purpose of this article is to outline a comprehensive approach to the arthroscopic evaluation and treatment of the arthrofibrotic knee. This technique is designed to allow the surgeon to systematically address the numerous causes of motion loss of the knee.
Kim
David H
DH
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Gill
Thomas J
TJ
Millett
Peter J
PJ
D001182:Arthroscopy / Q000379:methods*; D003286:Contracture / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D003646:Debridement / Q000379:methods; D005355:Fibrosis / Q000601:surgery; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D016059:Range of Motion, Articular; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery