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.
The course consists of:range of motion ?
- the articulating surfaces
- the extensor mechanism
- the infrapatellar fat pad
- cruciate ligaments, femoral notch and menisci
- flexion loss and the all-important soft tissue spaces
- extension loss
- 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'
- Adhesions inside the joint spaces
- Exuberant fibrosis affecting joint structures and obliteration of synovial pouches
- Scar tissue contraction and consequences outside the joint
- arthroscopic Lysis of Adhesions and Removal of Scar Tissues
- in-patient Physical Therapy Program
- 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
- intervene early when ROM progress ceases