We have located links that may give you full text access.
A mini-invasive procedure for treating arthrofibrosis of the knee.
Acta Orthopaedica et Traumatologica Turcica 2016 August
OBJECTIVE: The aim of this study was to introduce the results of a novel mini-invasive operative technique comprising mini-incision release, "pie-crusting" lengthening of the quadriceps extensor, and arthroscopic lysis in severe arthrofibrotic knees.
METHODS: From 2010 to 2014, 17 patients (12 males and 5 females with a mean age of 44 years (range, 19-62 years)) with severely arthrofibrotic knees were treated with this operative technique. The mean follow-up duration was 23 months. The knee range of motion (ROM) was assessed with a goniometer. The functional outcomes were evaluated according to the Hospital for Special Surgery (HSS) score and Judet's criteria.
RESULTS: The ROM significantly improved from 29.7° (range, 7°-56°) preoperatively to 127° (range, 120°-136°) at the final follow-up in all patients (p < 0.001). According to Judet's criteria, all patients achieved excellent results (ROM>100°). The HSS score was improved from 70 points (range, 60-85 points) preoperatively to 91 points (range, 84-98 points) (p < 0.001) at the final follow-up. No extension lag, skin necrosis, quadriceps weakness, wound dehiscence or quadriceps tendon rupture occurred.
CONCLUSIONS: Mini-invasive quadricepsplasty-associated arthroscopic lysis and manipulation of the knee in flexion is simple and easy and should be considered as a legitimate treatment for arthrofibrosis of the knee.
METHODS: From 2010 to 2014, 17 patients (12 males and 5 females with a mean age of 44 years (range, 19-62 years)) with severely arthrofibrotic knees were treated with this operative technique. The mean follow-up duration was 23 months. The knee range of motion (ROM) was assessed with a goniometer. The functional outcomes were evaluated according to the Hospital for Special Surgery (HSS) score and Judet's criteria.
RESULTS: The ROM significantly improved from 29.7° (range, 7°-56°) preoperatively to 127° (range, 120°-136°) at the final follow-up in all patients (p < 0.001). According to Judet's criteria, all patients achieved excellent results (ROM>100°). The HSS score was improved from 70 points (range, 60-85 points) preoperatively to 91 points (range, 84-98 points) (p < 0.001) at the final follow-up. No extension lag, skin necrosis, quadriceps weakness, wound dehiscence or quadriceps tendon rupture occurred.
CONCLUSIONS: Mini-invasive quadricepsplasty-associated arthroscopic lysis and manipulation of the knee in flexion is simple and easy and should be considered as a legitimate treatment for arthrofibrosis of the knee.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app