Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis
Background: Arthrofibrosis is a postoperative complication of intra-articular knee surgery that can be difficult to treat. Evidence suggests that maximizing knee range of motion may improve outcomes in patients with arthrofibrosis who undergo arthroscopic debridement. Hypothesis: Patients who achiev...
Published in: | Sports Health: A Multidisciplinary Approach |
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crsagepubl:10.1177/1941738110379088 2024-10-13T14:10:39+00:00 Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis Biggs-Kinzer, Angie Murphy, Brian Shelbourne, K. Donald Urch, Scott 2010 http://dx.doi.org/10.1177/1941738110379088 https://journals.sagepub.com/doi/pdf/10.1177/1941738110379088 https://journals.sagepub.com/doi/full-xml/10.1177/1941738110379088 en eng SAGE Publications https://journals.sagepub.com/page/policies/text-and-data-mining-license Sports Health: A Multidisciplinary Approach volume 2, issue 5, page 417-423 ISSN 1941-7381 1941-0921 journal-article 2010 crsagepubl https://doi.org/10.1177/1941738110379088 2024-10-01T04:11:48Z Background: Arthrofibrosis is a postoperative complication of intra-articular knee surgery that can be difficult to treat. Evidence suggests that maximizing knee range of motion may improve outcomes in patients with arthrofibrosis who undergo arthroscopic debridement. Hypothesis: Patients who achieve greater knee range of motion will have better subjective scores. Study Design: Retrospective case series analysis. Methods: A review of records was performed for 33 patients with arthrofibrosis who underwent knee arthroscopy and scar resection coupled with perioperative rehabilitation to maximize knee range of motion. Patient demographics and preoperative and postoperative range of motion measurements were extracted from the records. The International Knee Documentation Committee (IKDC) Subjective Knee Form was administered to assess pain, activity, and knee function. Patients performed a preoperative and postoperative rehabilitation program utilizing a knee extension device to maximize knee extension. Results: According to the IKDC range of motion criteria, 27 of 33 patients achieved normal knee extension, and 14 of 33 achieved normal knee flexion at a mean of 8.6 months after surgery. Patients with normal knee motion had a mean IKDC Subjective Knee Form score of 72.6 ± 13.6, which was significantly higher than patients who did not achieve normal motion ( P = .04). Overall, mean IKDC Subjective Knee Form scores improved from 45.3 ± 16.7 preoperatively to 67.1 ± 18.0 postoperatively ( P < .01) at a mean of 14.7 months after surgery. Conclusions: Perioperative rehabilitation that emphasizes restoration of normal knee range of motion appears to improve outcomes in patients with arthrofibrosis who undergo arthroscopic scar resection. In support of our hypothesis, patients who achieved greater knee range of motion had better subjective knee scores. Article in Journal/Newspaper SCAR SAGE Publications Sports Health: A Multidisciplinary Approach 2 5 417 423 |
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Background: Arthrofibrosis is a postoperative complication of intra-articular knee surgery that can be difficult to treat. Evidence suggests that maximizing knee range of motion may improve outcomes in patients with arthrofibrosis who undergo arthroscopic debridement. Hypothesis: Patients who achieve greater knee range of motion will have better subjective scores. Study Design: Retrospective case series analysis. Methods: A review of records was performed for 33 patients with arthrofibrosis who underwent knee arthroscopy and scar resection coupled with perioperative rehabilitation to maximize knee range of motion. Patient demographics and preoperative and postoperative range of motion measurements were extracted from the records. The International Knee Documentation Committee (IKDC) Subjective Knee Form was administered to assess pain, activity, and knee function. Patients performed a preoperative and postoperative rehabilitation program utilizing a knee extension device to maximize knee extension. Results: According to the IKDC range of motion criteria, 27 of 33 patients achieved normal knee extension, and 14 of 33 achieved normal knee flexion at a mean of 8.6 months after surgery. Patients with normal knee motion had a mean IKDC Subjective Knee Form score of 72.6 ± 13.6, which was significantly higher than patients who did not achieve normal motion ( P = .04). Overall, mean IKDC Subjective Knee Form scores improved from 45.3 ± 16.7 preoperatively to 67.1 ± 18.0 postoperatively ( P < .01) at a mean of 14.7 months after surgery. Conclusions: Perioperative rehabilitation that emphasizes restoration of normal knee range of motion appears to improve outcomes in patients with arthrofibrosis who undergo arthroscopic scar resection. In support of our hypothesis, patients who achieved greater knee range of motion had better subjective knee scores. |
format |
Article in Journal/Newspaper |
author |
Biggs-Kinzer, Angie Murphy, Brian Shelbourne, K. Donald Urch, Scott |
spellingShingle |
Biggs-Kinzer, Angie Murphy, Brian Shelbourne, K. Donald Urch, Scott Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis |
author_facet |
Biggs-Kinzer, Angie Murphy, Brian Shelbourne, K. Donald Urch, Scott |
author_sort |
Biggs-Kinzer, Angie |
title |
Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis |
title_short |
Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis |
title_full |
Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis |
title_fullStr |
Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis |
title_full_unstemmed |
Perioperative Rehabilitation Using a Knee Extension Device and Arthroscopic Debridement in the Treatment of Arthrofibrosis |
title_sort |
perioperative rehabilitation using a knee extension device and arthroscopic debridement in the treatment of arthrofibrosis |
publisher |
SAGE Publications |
publishDate |
2010 |
url |
http://dx.doi.org/10.1177/1941738110379088 https://journals.sagepub.com/doi/pdf/10.1177/1941738110379088 https://journals.sagepub.com/doi/full-xml/10.1177/1941738110379088 |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
Sports Health: A Multidisciplinary Approach volume 2, issue 5, page 417-423 ISSN 1941-7381 1941-0921 |
op_rights |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1941738110379088 |
container_title |
Sports Health: A Multidisciplinary Approach |
container_volume |
2 |
container_issue |
5 |
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417 |
op_container_end_page |
423 |
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