Abstract
A loss of range of motion, commonly defined as stiffness, is a relatively common complication after knee surgery or traumatic injury [1]. The high incidence of postoperative knee stiffness observable in the past reduced significantly with improvement of surgical techniques and rehabilitation protocols [2]. Any symptomatic loss of knee flexion or extension compared with the opposite normal knee should be considered and treated as knee stiffness. In order to address conservative or surgical therapy, the cause, the type and the degree of stiffness must be identified and staged.
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Kim DH, Gill TJ, Millett PJ. Arthroscopic treatment of the arthrofibrotic knee. Arthroscopy. 2004;20 suppl 2:187–94.
Austin JC, Phornphutkul C, Wojtys EM. Loss of knee extension after anterior cruciate ligament reconstruction: effects of knee position and graft tensioning. J Bone Joint Surg Am. 2007;89(7):1565–74.
Harner CD, Irrgang JJ, Paul J, et al. Loss of motion after anterior cruciate ligament reconstruction. Am J Sports Med. 1992;20:499–506.
Said S, Christiansen SE, Faunoe P, et al. Outcome of surgical treatment of arthrofibrosis following ligament reconstruction. 2011. Knee Surg Sports Traumatol Arthrosc. 2011;19(10):1704–8.
Jackson DW, Schaefer RK. Cyclops syndrome. Loss of extension following intra-articular anterior cruciate ligament reconstruction. Arthroscopy. 1990;6:171–8.
Paulos LE, Rosemberg TD, Drawbert J. Infrapatellar contracture syndrome: an unrecognized cause of knee stiffness with patella entrapment and patella infera. Am J Sports Med. 1987;15:331–41.
Caton J, Deschamps G, Chambat P, et al. Patella infera. A propos of 128 cases. Rev Chir Orthop Reparatrice Appar Mot. 1982;68(5):317–25.
Dejour D, Ferrua P, Ntagiopoulos PG, et al. The introduction of a new MRI index to evaluate sagittal patellofemoral engagement. Orthop Traumatol Surg Res. 2013;99(8 suppl):S391–8.
Shelbourne KD, Patel DV. Treatment of limited motion after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 1999;7:85–92.
Sprague 3rd NF, O’Connor RL, Fox JM. Arthroscopic treatment of postoperative knee fibroarthrosis. Clin Orthop Relat Res. 1982;166:165–72.
Shelbourne KD, Patel DV, Martini DJ. Classification and management of arthrofibrosis of the knee anterior cruciate ligament reconstruction. Am J Sports Med. 1996;24:857–62.
Cosgarea AJ, DeHaven KE, Lovelock JE. The surgical treatment of arthrofibrosis of the knee. Am J Sports Med. 1994;22(2):184–91.
Shelbourne KD, Johnson GE. Outpatient surgical management of arthrofibrosis after anterior cruciate ligament surgery. Am J Sports Med. 1994;22:192–7.
Bianchi M, Berruto M, Pellegrini A. Il trattamento artroscopico delle rigidità articolari acquisite del ginocchio. Estratto LXXX congresso SIOT. Rome: Antonio Delfino Editore; 1995.
Noyes FR, Berrios-Torres S, Barber-Westin SD, et al. Prevention of permanent arthrofibrosis after anterior cruciate ligament reconstruction alone or combined with associated procedures: a prospective study in 443 knees. Knee Surg Sports Traumatol Arthrosc. 2000;8(4):196–206.
Werner BC, Cancienne JM, Miller MD, et al. Incidence of manipulation under anesthesia or lysis of adhesions after arthroscopic knee surgery. Am J Sports Med. 2015;43(7):1656–61.
Mayr HO, Weig T, Plitz W. Arthrofibrosis following ACL reconstruction: reasons and outcome. Arch Orthop Trauma Surg. 2004;124:518–22.
Chen MR, Dragoo JL. Arthroscopic releases for arthrofibrosis of the knee. J Am Acad Orthop Surg. 2011;19:709–16.
Steadman JR, Dragoo JL, Hines SL, et al. Arthroscopic release for symptomatic scarring of the anterior interval of the knee. Am J Sports Med. 2008;36(9):1763–9.
LaPrade RF, Pedtke AC, Roethle ST. Arthroscopic posteromedial capsular release for knee flexion contractures. Knee Surg Sports Traumatol Arthrosc. 2008;16(5):469–75.
Mariani PP. Arthroscopic release of the posterior compartments in the treatment of extension deficit of the knee. Knee Surg Sports Traumatol Arthrosc. 2010;18(6):736–41.
Pujol N, Boisrenoult P, Beaufils P. Post-traumatic knee stiffness: surgical techniques. Orthop Traumatol Surg Res. 2015;101(1 suppl):S179–86.
Dejour D, Levigne C, Dejour H. Postoperative low patella. Treatment by lengthening of patellar tendon. Rev Chir Orthop Reparatrice Appar Mot. 1995;81(4):286–95.
Caton JH, Dejour D. Tibial tubercle osteotomy in patello-femoral instability and in patellar height abnormality. Int Orthop. 2010;34(2):305–9.
Judet R, Judet J, Lagrange J. Une technique de liberation de l’appariel extenseur dans les raideurs du genou. Mem Acad Chir. 1956;82:944–7.
Oliveira VG, D’Elia LF, Tirico LE, et al. Judet quadricepsplasty in the treatment of posttraumatic knee rigidity: long-term outcomes of 45 cases. J Trauma Acute Care Surg. 2012;72(2):E77–80.
Mahran M, El Batrawy Y, Sala F, et al. Quadricepsplasty: a sustained functional achievement in front of a deteriorated flexion gain. Injury. 2014;45(10):1643–7.
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Berruto, M. et al. (2016). Arthroscopic Treatment of Knee Stiffness. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_30
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DOI: https://doi.org/10.1007/978-3-662-49376-2_30
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