1. Arthrofibrosis After Total Knee Arthroplasty: Pathophysiology, Diagnosis, and Management
- Author
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Ryan, Thompson, David, Novikov, Zlatan, Cizmic, James E, Feng, Kathryn, Fideler, Zain, Sayeed, Morteza, Meftah, Afshin A, Anoushiravani, and Ran, Schwarzkopf
- Subjects
Reoperation ,Knee Joint ,Anti-Inflammatory Agents, Non-Steroidal ,Arthralgia ,Fibrosis ,Arthroscopy ,Postoperative Complications ,Debridement ,Risk Factors ,Activities of Daily Living ,Humans ,Manipulation, Orthopedic ,Joint Diseases ,Range of Motion, Articular ,Arthroplasty, Replacement, Knee ,Physical Therapy Modalities - Abstract
Arthrofibrosis is the pathologic stiffening of a joint caused by an exaggerated inflammatory response. As a common complication following total knee arthroplasty (TKA), this benign-appearing connective tissue hyperplasia can cause significant disability among patients because the concomitant knee pain and restricted range of motion severely hinder postoperative rehabilitation, clinical outcomes, and basic activities of daily living. The most effective management for arthrofibrosis in the setting of TKA is prevention, including preoperative patient education programs, aggressive postoperative physical therapy regimens, and anti-inflammatory medications. Operative treatments include manipulation under anesthesia, arthroscopic debridement, and quadricepsplasty.
- Published
- 2019