Arthrofibrosis means internal scarring of the joint, with possible consequent stiffness - 'arthro' means 'joint' and 'fibrosis' means 'scarring'. 

Arthrofibrosis of the knee is a complication of injury or surgery where an excessive scar tissue response leads to painful restriction of knee motion, with early adhesions and later scar tissue forming within the joint and soft tissue spaces, and persisting despite routine rehabilitation exercises and stretches. The term may involve flexion loss, extension loss or both. The kneecap (patella) may be pulled into an abnormally low position (patella baja)

normal knee, before onset of arthrofibrosis sites of arthrofibrosis in the knee Advanced arthrofibrosis of the knee
Side view of section through a normal knee, where there are no adhesions locking up movement. Adhesions developing in the suprapatellar pouch, posterior capsule and anterior interval. Matured scar tissue has contracted, closing the important spaces that normally allow movement, and pulling the kneecap right down.
Synonyms: 
Adhesions
Internal scarring
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An 'interpretation' of a medical article published in the medical journals in 2011, discussing what it is that triggers soft tissues around a knee replacement to transform into bony tissue.

An 'interpretation' of a 2011 publishing discussing how important it is to have a flexible approach when dealing with internal scarring after cruciate ligament surgery.

An 'interpretation' of a 2010 paper which is interesting, although the technique failed to prevent the recurrence of arthrofibrosis.

Arthrofibrosis after patellar injury or surgery

A brief explanation of arthrofibrosis in relation to the kneecap.

What triggers arthrofibrosis?

Part 4 of a course by Dr Frank Noyes on Arthrofibrosis

Arthrofibrosis

A very popular and comprehensive coverage of the topic of arthrofibrosis (internal scarring in the knee joint) from Dr Frank Noyes of the Cincinnati Sportsmedicine and Orthopaedic Center.

Pages

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CLINICAL PUBLICATIONS

Open debridement and soft tissue release as a salvage procedure for the severely arthrofibrotic knee.. Millett PJ, Williams RJ 3rd, Wickiewicz TL. Am J Sports Med. 1999 Sep-Oct;27(5):552-61.

The role of capsular distention in the arthroscopic management of arthrofibrosis of the knee: A technical consideration. Millett PJ, Steadman JR. Arthroscopy. 2001 Sep;17(7):E31.

Treatment of Knee Arthrofibrosis and Quadriceps Insufficiency after Patellar Tendon Repair: A Case Report Including Use of the Graston Technique. Black D. Int J Ther Massage Bodywork. 2010; 3(2): 14–21.


See also


doctor

Who's Who in Arthrofibrosis Surgery?


Arthrofibrosis and patella baja - ebook


How to perform Patellar Mobilisations - ebook


Cornerstones of early knee rehabilitation - ebook


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Kindle eBook - Authors: Frank Noyes & Sue Barber-Westin

Knee Arthrofibrosis: Everything You Need to Know to Recognize, Treat, and Prevent Loss of Knee Motion After Injury or Surgery

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