Arthrofibrosis (loss of motion)
Use of Knee Extension Device During Rehabilitation of a Patient with Type 3 Arthrofibrosis after ACL Reconstruction.
Biggs A, Shelbourne KD. North Am J Sports Phys Ther. 2006; 1: 124-131.
…Arthrofibrosis is a frequent complication following rehabilitation of a patient with anterior cruciate ligament (ACL) reconstruction. Although prevention is the best treatment, little information exists within the literature regarding the management and rehabilitation intervention for arthrofibrosis…
Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction.
Shelbourne KD, Patel DV, Martini DF: Am J Sports Med. 1996; 24: 857-862.
Treatment of limited motion after anterior cruciate ligament reconstruction.
Shelbourne KD, Patel DV: Knee Surg Sports Traumatol, Arthrosc. 1999;7:85-92.
Limited motion or arthrofibrosis after anterior cruciate ligament (ACL) reconstruction causes significant pain and functional impairment. Based on physical findings and loss of motion compared with the opposite normal knee, classification systems for the diagnosis and treatment of arthrofibrosis have been developed…
Outpatient surgical management of arthrofibrosis after anterior cruciate ligament surgery.
Shelbourne KD, Johnson GE: Am J Sports Med. 1994;22:192-197.
Arthrofibrosis in acute anterior cruciate ligament reconstruction. The effect of timing of reconstruction and rehabilitation.
Shelbourne KD, Wilckens JH, Mollabashy A, DeCarlo M: Am J Sports Med. 1991;19:332-336.
Arthrofibrosis is a potential complication of acute ACL reconstruction. Arthrofibrosis prevents the patient from regaining full range of motion, particularly the terminal 5 degrees of full extension, postoperatively. We did a retrospective study of 169 acute ACL reconstructions in a population of young athletes (average age, 22 years)…
Arthroscopic treatment of symptomatic extension block complicating anterior cruciate ligament reconstruction.
Shelbourne KD, Fisher SE: Am J Sports Med. 1993;21:558-564, 1993
Static progressive stretch improves range of motion in arthrofibrosis following total knee arthroplasty.
Bonutti PM, Marulanda GA, McGrath MS, Mont MA, Zywiel MG. Knee Surg Sports Traumatol Arthrosc. 2010 Feb;18(2):194-9. doi: 10.1007/s00167-009-0947-1. Epub 2009 Oct 14.
Arthrofibrosis of the knee.
Magit D, Wolff A, Sutton K, Medvecky MJ. J Am Acad Orthop Surg. 2007 Nov;15(11):682-94.
A new treatment strategy for severe arthrofibrosis of the knee. A review of twenty-two cases.
Wang JH, Zhao JZ, He YH. J Bone Joint Surg Am. 2006 Jun;88(6):1245-50.
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…
Arthroscopic treatment of patients with moderate arthrofibrosis after total knee replacement.
Jerosch J, Aldawoudy AM. Knee Surg Sports Traumatol Arthrosc. 2007 Jan;15(1):71-7. Epub 2006 May 19.
Alpha-smooth muscle actin containing contractile fibroblastic cells in human knee arthrofibrosis tissue. Winner of the AGA-DonJoy Award 2003.
Unterhauser FN, Bosch U, Zeichen J, Weiler A. Arch Orthop Trauma Surg. 2004 Nov;124(9):585-91. Epub 2004 Sep 18.
Arthrofibrosis following total knee replacement; does therapeutic warfarin make a difference?
Walton NP, Jahromi I, Dobson PJ, Angel KR, Lewis PL, Campbell DG. Knee. 2005 Apr;12(2):103-6.
Arthrofibrosis following total knee replacement (TKR) is a relatively common complication which results in a reduction in knee range of movement and patient dissatisfaction. A retrospective study examined the relationship between anticoagulation with therapeutic warfarin and rates of arthrofibrosis following TKR…
Arthrofibrosis of the knee following ligament surgery.
DeHaven KE, Cosgarea AJ, Sebastianelli WJ. Instr Course Lect. 2003;52:369-81. Review.
The role of capsular distention in the arthroscopic management of arthrofibrosis of the knee: A technical consideration.
Millett PJ, Steadman JR. Arthroscopy. 2001 Sep;17(7):E31.
Knee arthrofibrosis: prevention and management of a potentially devastating condition.
Eakin CL. Phys Sportsmed. 2001 Mar;29(3):31-42. doi: 10.3810/psm.2001.03.668.
Knee arthrofibrosis, which usually occurs after trauma or surgery, can inhibit joint biomechanics. An elaborate interaction of growth factors and other inflammatory mediators initiates and coordinates this deleterious tissue proliferation. Knowledge of risk factors can aid clinicians in helping patients…
The surgical treatment of arthrofibrosis of the knee.
Cosgarea AJ, DeHaven KE, Lovelock JE. Am J Sports Med. 1994 Mar-Apr;22(2):184-91.
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…
Problems in regaining full extension of the knee after anterior cruciate ligament reconstruction: does arthrofibrosis exist?
Dandy DJ, Edwards DJ. Knee Surg Sports Traumatol Arthrosc. 1994;2(2):76-9.
A total of 194 patients was reviewed after ACL reconstruction using a patellar tendon graft or Leeds-Keio prosthesis supplemented with a MacIntosh lateral substitution. There were five groups of patients: patellar tendon with cast immobilisation in flexion (n = 34); restricted extension but no cast (n = 40);…
Arthroscopic adhesiolysis of the knee joint in arthrofibrosis.
Cohen I, Hendel D, Rzetelny V. Bull Hosp Jt Dis. 1993 Spring;53(1):66-7.
Arthroscopic lysis in knee arthrofibrosis.
Vaquero J, Vidal C, Medina E, Baena J. Arthroscopy. 1993;9(6):691-4.
Arthroscopic management of arthrofibrosis of the knee, including infrapatellar contraction syndrome.
Richmond JC, al Assal M. Arthroscopy. 1991;7(2):144-7.
Infrapatellar contracture syndrome (IPCS) has been defined as a subcategory of arthrofibrosis of the knee following surgery. We present a systematic, wholly arthroscopic surgical approach to this difficult problem. The technique includes assessment of patellar mobility, resection of intraarticular adhesions,…
Motion-limiting arthrofibrosis of the knee: the role of arthroscopic management.
Sprague NF 3rd. Clin Sports Med. 1987 Jul;6(3):537-49. Review.
Arthroscopic treatment of the arthrofibrotic knee.
Kim DH, Gill TJ, Millett PJ. Arthroscopy. 2004 Jul;20 Suppl 2:187-94.
Rehabilitation of the arthrofibrotic knee.
Millett PJ, Johnson B, Carlson J, Krishnan S, Steadman JR. Am J Orthop (Belle Mead NJ). 2003 Nov;32(11):531-8. Review.
This paper describes the postoperative rehabilitation of the arthrofibrotic knee, with specific emphasis on modern rehabilitation techniques. The significance of prevention and early recognition is discussed. The importance of early motion and patellar mobility is emphasized and specific exercises to prevent and…