Stiffness of the knee due to scarring in the normally mobile tissues in and around the knee.

Dr Noyes is an authority on this subject and his team in Cincinnati are very experienced in arthrofibrosis management. In this course, Dr Noyes offers us the benefit of his experience.

Structure of the Course

Arthrofibrosis - Introduction

  • defining Arthrofibrosis
  • what makes the knee vulnerable to arthrofibrosis?
  • how common is arthrofibrosis?

The knee - range of motion

Anatomic classification of arthrofibrosis

What triggers arthrofibrosis?

  • normal healing response after joint injury or surgery
  • abnormal healing response in arthrofibrosis

Early signs and symptoms of arthrofibrosis

  • normal Expectations after Surgery or Injury
  • high Index of Suspicion
  • alert Signals
  • objective alerts on serial measurement
  • key Message
  • caveat - 'Remember that a limitation of ROM may have causes other than arthrofibrosis'

Established arthrofibrosis - options for management

  • Adhesions inside the joint spaces
  • Exuberant fibrosis affecting joint structures and obliteration of synovial pouches
  • Scar tissue contraction and consequences outside the joint

Arthroscopic surgery (for arthrofibrosis)

Open debridement and soft tissue release

Rehabilitation After Operative Procedures for Arthrofibrosis

  • in-patient Physical Therapy Program

Surgery for chronic patella infera

Preventing arthrofibrosis

  • magnitude of the injury
  • preoperative issues
  • technical factors at surgery
  • postoperative issues: Restore knee motion and quadriceps muscle function
  • mobilize the kneecap immediately following surgery
  • patient compliance with rehabilitation
  • infection
  • intervene early when ROM progress ceases

The tragedy of arthrofibrosis