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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Who's Who in arthrofibrosis surgery?

A list maintained by bulletin board member 'missmyknee' of surgeons with a special interest in arthrofibrosis of the knee.

Arthrofibrosis Rehab Tutorials

Mr Dirk Kokmeyer, physiotherapist at the Steadman Hawkins Clinic in Vail, Colorado presents a set of specialist tutorials on rehabilitation of knee patients with arthrofibrosis.

An 'interpretation' of an article from 2007 discussing problem that interfere with joint function after knee replacement.

Dr Peter Millett chats about his experience with infrapatellar contracture syndrome and the importance of recognising it early before the shortening of the patellar tendon becomes irreversible.

Dr Peter Millett discusses why knee surgeons need to be aware that arthrofibrotic scarring can occur in this area because of the position of their arthroscopic portals (cuts).

An explanation of the need to calm the arthrofibrotic knee when new surgery is indicated.

Dr Peter Millett chats about arthrofibrosis, and why patients with established arthrofibrosis need to seek out a surgeon who is expert in this potentially devastating complication.

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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