Home  |  Login  |  Signup
National Journal of Clinical Orthopaedics
  • Printed Journal
  • Indexed Journal
  • Refereed Journal
  • Peer Reviewed Journal

National Journal of Clinical Orthopaedics

2020, Vol. 4 Issue 4, Part A
Efficacy of arthroscopic arthrofibrolysis for stiff knee
Author(s): Dr. Hiren Bhalala, Dr. Abhishek Jaroli, Dr. Gajanan Dhaked and Dr. Harish Rajpurohit
Abstract: Treatment of stiff, arthrofibrotic knee is challenging for the orthopedic surgeon, physiotherapist and for the patient. Various treatment modalities exist from conservative physical therapy, manipulation under anesthesia to surgical management with variable outcome. Our study aims to analyze the outcome of such knees with arthroscopic arthrofibrolysis and also its co relation to etiology and interval between treatments. Our study is analysis of 22 case of stiff knee which were treated with arthroscopic arthrofibrolysis. Analysis was done by using modified Blauth and Jager scoring system. As per Modified Blauth and Jager Scoring, 14 cases (63.6%) had grade IV decrease in range of motion preoperatively, 8 cases (36.4%) had grade III (severe) and none were in grade II (moderate) or grade I (mild). Out of 14 patients who had preoperative Score of IV, 10 improved to Score III and 4 had score II postoperatively at 6 months, which was significant (P<0.001). Similarly, all 8 patients who had preoperative score of III has significant improvement to score II postoperatively at 6 months (P<0.001). All patients had a range of flexion limited to less than 700 preoperatively. The mean flexion was 34.770 ± 21.700 preoperatively, improved to 86.360 ± 19.470 post-operatively at 6 month. 15 out of 22 patients (68.18%) had a range of flexion 900 and above postoperatively at 6 months, with mean gain in flexion 51.5910 (P<0.001). In our experience arthroscopic treatment of fibroarthrosis in the knee joint is a successful procedure. The goal of arthroscopic fibroarthrolysis is primarily to provide functional range of motion. However, our experience showed that the function of the joint can be improved even in cases with complex pathologies and after a prolonged interval between treatments.
Pages: 44-48  |  294 Views  8 Downloads
How to cite this article:
Dr. Hiren Bhalala, Dr. Abhishek Jaroli, Dr. Gajanan Dhaked, Dr. Harish Rajpurohit. Efficacy of arthroscopic arthrofibrolysis for stiff knee. Nat J Clin Orthop 2020;4(4):44-48 DOI: https://doi.org/10.33545/orthor.2020.v4.i4a.268
National Journal of Clinical Orthopaedics