Extensive arthroscopic release of the stiff total knee to improve range of motion after arthrofibrosis

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Reif, Heather
Day, David
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Reif, Heather, Day, David B. , (2008) . Extensive arthroscopic release of the stiff total knee to improve range of motion after arthrofibrosis . In Proceedings: 4th Annual Symposium: Graduate Research and Scholarly Projects. Wichita, KS: Wichita State University, p.

A retrospective chart review was conducted on patients that had undergone a total knee arthroplasty (TKA) done by the same orthopedic surgeon and subsequently were referred to a different surgeon who performed a diagnostic arthroscopy for debridement of soft tissue problems following the replacement. Twelve patients met criteria for inclusion in the study; however 6 patients were subsequently excluded. All of the hardware used in the first surgery was of appropriate size and position and no revision of hardware was necessary. All of the patients considered for this study suffered from arthrofibrosis following the TKA, resulting in decreased range of motion (ROM) and stiffness. The debridement included lysis of adhesions, release of the lateral retinaculum, fat pad revision, and a synovectomy. Some patients also required manipulation under anesthesia during the arthroscopy. Following the debridement, all patients were referred to physical therapy (PT) to continue increasing ROM and to prevent the formation of additional scar tissue lesions. The mean ROM for pre-operative extension improved from 24 o to a postoperative ROM 3.66o. The average improvement of extension was 25.33 o. The mean improvement in ROM for flexion improved from 88.33 o to 106 o. The average improvement in flexion was 17.66 o. Overall all patients were satisfied with the results. All patients had improvements in range of motion and decreased pain ratings.

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Paper presented to the 4th Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held at the Hughes Metropolitan Complex, Wichita State University, April 25, 2008.
Research completed at the Department of Physician Assistant, College of Health Professions
Wichita State University. Graduate School.
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