Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee

Objective To evaluate the range of motion (ROM) of the knee in patients with severe post-traumatic knee arthrofibrosis after being treated with arthroscopic fibroarthrolysis (AFA) and manipulation under anesthesia (MUA). Methods Case series of patients with severe post-traumatic knee arthrofibrosis who underwent AFL + MUA in a national referral center. The primary outcome to be assessed was ROM before and after surgery and then at 3-month intervals until a minimum follow-up of one year was completed. Results 51 patients were included. The main injuries preceding the stiffness were tibial plateau fracture (37.3%), distal femur fracture (27.5%), and femoral shaft fracture (15.7%). Forty-five patients had severe flexion deficits with a median preoperative flexion of 70°. Intraoperative flexion significantly improved to 110°. Significant loss of flexion was observed at 3 and 6 months, however, patients regained ROM in the 9 and 12-month follow-ups. At discharge, 80% of the patients achieved flexion of 90° or more. There were 4 intraoperative complications and 3 reinterventions were performed. Conclusion AFA + MUA can help patients with severe post-traumatic knee arthrofibrosis to recover ROM in most cases. However, this procedure is not without risks and complications, therefore, careful consideration should be given to its indication and execution.

Notas

TEXTO COMPLETO EN INGLÉS

Palabras clave

Knee arthrofibrosis, Post-traumatic, Arthroscopic fibroarthrolysis, Manipulation under anesthesia

Citación

Revista Española de Cirugía Ortopédica y Traumatología, Available online 10 July 2024

DOI

https://doi.org/10.1016/j.recot.2024.07.008

URI

https://repositorio.unab.cl/handle/ria/60046

Colecciones

FCR - Artículos de Revista

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