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

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dc.contributor.authorFranulic, N.
dc.contributor.authorLaso, J.
dc.contributor.authorDel Pino, C.
dc.contributor.authorBrito, C.
dc.contributor.authorOlivieri, R.
dc.contributor.authorGaggero, N.
dc.date.accessioned2024-09-10T18:54:41Z
dc.date.available2024-09-10T18:54:41Z
dc.date.issued2024-07-10
dc.descriptionTEXTO COMPLETO EN INGLÉS
dc.description.abstractObjective 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.
dc.description.urihttps://www-sciencedirect-com.recursosbiblioteca.unab.cl/science/article/pii/S1888441524001231
dc.identifier.citationRevista Española de Cirugía Ortopédica y Traumatología, Available online 10 July 2024
dc.identifier.doihttps://doi.org/10.1016/j.recot.2024.07.008
dc.identifier.issn1888-4415
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/60046
dc.language.isoen
dc.publisherSociedad Española de Cirugía Ortopédica y Traumatología
dc.subjectKnee arthrofibrosis
dc.subjectPost-traumatic
dc.subjectArthroscopic fibroarthrolysis
dc.subjectManipulation under anesthesia
dc.titleArthroscopic 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
dc.title.alternativeLa fibroartrolísis artroscópica y movilización bajo anestesia es un método simple, reproducible y satisfactorio para el tratamiento de pacientes con artrofibrosis postraumática severa de la rodilla
dc.typeArtículo
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