Total knee arthroplasty (TKA) is one of the most successful orthopaedic procedures that alleviates pain and restores function in patients with degenerative knee joint diseases. Arthrofibrosis, abnormal scarring in which dense fibrous tissue prevents normal range of motion, develops in ~3-10% of TKA patients. No prophylactic intervention is available and treatment is restricted to aggressive phy...

BackgroundTotal knee arthroplasty (TKA) is a successful treatment for patients with late stage osteoarthritis, yet arthrofibrosis remains consistent cause of TKA failure. Dupuytren’s, Ledderhose and Peyronie’s Diseases are related conditions increased fibroblast proliferation. The aim this study was to identify whether an association exists between these following TKA.MethodsPatient records wer...

Albeit multifactorial, patient satisfaction is predominantly driven by postoperative pain and function. Unfortunately, approximately 20% of total knee arthroplasty (TKA) recipients are dissatisfied with the outcome of their surgery. Objective balancing of the soft tissue envelope may contribute to significant decrease in pain and increase in function when compared with traditional subjective me...

Postoperative loss of knee motion is a well-recognized phenomenon. This paper reports our results with open debridement and soft tissue release as a salvage procedure in the treatment of patients with severe arthrofibrosis on whom arthroscopic surgical techniques had failed. Eight knees (eight patients) were identified retrospectively. There were four men and four women; mean age was 29 years. ...

Intra-articular fibrosis, which includes a family of disorders such as anterior interval scarring, posterior capsular contracture, a tight lateral retinaculum, as well as arthrofibrosis, may lead to alterations in joint biomechanics and can result in pain. 1, 2, 3 Specific releases for each region of fibrosis, along with characteristic physical examination findings, have been described. Familia...

It is estimated that in the United States, there are approximately 100,000 primary anterior cruciate ligament (ACL) reconstructions performed yearly. Despite a success rate of 92-98%, ACL reconstruction is not without potential complications, including post-operative infection [1]. Reports of septic arthritis after ACL reconstruction are rare in the literature; with infection rates ranging from...

Infection after anterior cruciate ligament reconstruction can have devastating consequences, including potential graft loss, arthrofibrosis, chondral destruction or chondrolysis, and secondary osteoarthritis. Early detection aggressive management are imperative to improve the chances of infection eradication, retention, decrease risk loss. One must a high index suspicion not shy away from worki...

This retrospective study reports the evaluation of the surgical treatment of arthrofibrosis of the knee joint. Patients (n = 53) developed arthrofibrosis due to different index operations and various causes. Based on severe preoperative disability, patients of our series can be considered as difficult to treat. Our management concept suggests a step by step, pathology-oriented treatment: if nec...

Arthrofibrosis is a major obstacle to restoring joint function after trauma. The objective of this study was to evaluate montelukast, forskolin, and triamcinolone as possible means of prophylaxis against the formation of arthrofibrosis. Forty-eight rats underwent surgical knee trauma with post-operative immobilization in full flexion. The treatment groups were: control (CTL), oral montelukast (...