دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible and satisfsactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee.
المؤلفون: Franulic N; Traumatólogo Equipo Rodilla - Hospital del Trabajador ACHS, Santiago, Chile; Traumatólogo Equipo Rodilla - Hospital Militar de Santiago, Santiago, Chile; Profesor Asistente Extraordinario de la Universidad de los Andes, Chile; Hospital del Trabajador ACHS - Ramón Carnicer 185, Providencia, Santiago, Chile. Electronic address: nicofranulic02@gmail.com., Laso J; Traumatólogo Equipo Rodilla - Hospital del Trabajador ACHS, Santiago, Chile; Traumatólogo Equipo Rodilla - Hospital Barros Luco Trudeau, Santiago, Chile; Hospital del Trabajador ACHS - Ramón Carnicer 185, Providencia, Santiago, Chile., Pino CD; Traumatología General - Universidad Andrés Bello, Chile; Hospital del Trabajador ACHS - Ramón Carnicer 185, Providencia, Santiago, Chile., Brito C; Traumatología General - Universidad de los Andes, Chile; Hospital del Trabajador ACHS - Ramón Carnicer 185, Providencia, Santiago, Chile., Olivieri R; Traumatólogo Equipo Rodilla - Hospital del Trabajador ACHS, Santiago, Chile; Hospital del Trabajador ACHS - Ramón Carnicer 185, Providencia, Santiago, Chile., Gaggero N; Traumatólogo Equipo Rodilla - Hospital del Trabajador ACHS, Santiago, Chile; Hospital del Trabajador ACHS - Ramón Carnicer 185, Providencia, Santiago, Chile.
المصدر: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2024 Jul 10. Date of Electronic Publication: 2024 Jul 10.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier Doyma Country of Publication: Spain NLM ID: 101477399 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1988-8856 (Electronic) Linking ISSN: 18884415 NLM ISO Abbreviation: Rev Esp Cir Ortop Traumatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Barcelona : Elsevier Doyma
مستخلص: 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 70º. Intraoperative flexion significantly improved to 110º. 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 90º 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.
(Copyright © 2024. Publicado por Elsevier España, S.L.U.)
فهرسة مساهمة: Keywords: arthroscopic fibroarthrolysis; artrofibrosis de rodilla; fibroartrolísis artroscópica; knee arthrofibrosis; manipulation under anesthesia; movilización bajo anestesia; post traumática; post-traumatic
تواريخ الأحداث: Date Created: 20240712 Latest Revision: 20240712
رمز التحديث: 20240713
DOI: 10.1016/j.recot.2024.07.008
PMID: 38997005
قاعدة البيانات: MEDLINE
الوصف
تدمد:1988-8856
DOI:10.1016/j.recot.2024.07.008