Diagnosis and treatment of Arthrofibrosis

superowl71 · Post by **superowl71** » Sat Apr 20, 2024 4:29 pm

Oct. '21 I was involved in a bike accident resulted in a Tibial Plateau Fracture (Schatzker 5/6) and a Tibial Fracture. After 10 days a surgery which lasted for 5-6 hours due to bone fragments. A long period followed of intense physio therapy with active and passive mobilization to extend the ROM. In Oct.'22 osteosynthesis removed due to an outbreak of one screw. Again pain and reduction of ROM. Arthroscopy performed in Jan. '23 to check on internal damage and to remove a floating bone fragment. Afterwards a lot of pain and further reduction of ROM. Aug. '23 a total knee joint. Still painful and nog progression in ROM. Dec. '23 stretching the knee under anesthesia. No result, same ROM, same pain. From Jan. '24 multi disciplinary therapy in a rehab center. Bending is a bit improved. stretching is still limited to 22 degrees.

Does anyone have contacts in Europe with specialists regarding AF and what is a typical way of diagnosing. I've spoken with Dr. Domanski (Germany) and Dr. Rosenberger (Austria) and both opt for a different way of diagnosing and treatment.

Can anyone give some guidance on their experience when it comes to conducting a diagnosis and a treatment?

Thank you.

superowl71 · Post by **superowl71** » Sun Apr 21, 2024 7:16 pm

superowl71 wrote: ↑Sat Apr 20, 2024 4:29 pm Oct. '21 I was involved in a bike accident resulting in a Tibial Plateau Fracture (Schatzker 6) and a Tibial Fracture. After 10 days a surgery followed which lasted for 5-6 hours due to bone fragments. A long period followed of intense physiotherapy with active and passive mobilization in order to extend the ROM. In Oct.'22 osteosynthesis was removed due to an outbreak of one screw. Unfortunately the pain persisted and a reduction of ROM. Next an Arthroscopy was performed in Jan. '23 to check on internal damage and to remove a floating bone fragment. Afterwards an increase of pain and further reduction of ROM. Aug. '23 a TKP surgery. After months the pain wass still unbearable and no progression in ROM. Dec. '23 the knee was stretched under anesthesia. Surprisingly again no result, same ROM, same pain. From Jan. '24 started with a multi disciplinary therapy in a rehab center. Bending is a bit improved but stretching is still limited to 22 degrees.

Does anyone have contacts in Europe with specialists regarding AF and in general what is a typical way of diagnosing? I've spoken with Dr. Domanski (Germany) and Dr. Rosenberger (Austria) and both opt for a different way of diagnosing and treatment.

If someone has experience, are you willing to share your experience when it comes to diagnosing and treatment?

Thank you.

superowl71 · Post by **superowl71** » Sun Apr 21, 2024 9:09 pm

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Re: Diagnosis and treatment of Arthrofibrosis
by superowl71 » Sun Apr 21, 2024 8:16 pm

superowl71 wrote: ↑Sat Apr 20, 2024 5:29 pm
Oct. '21 I was involved in a bike accident resulting in a Tibial Plateau Fracture (Schatzker 6) and a Tibial Fracture. After 10 days a surgery followed which lasted for 5-6 hours due to bone fragments. A long period followed of intense physiotherapy with active and passive mobilization in order to extend the ROM. In Oct.'22 osteosynthesis was removed due to an outbreak of one screw. Unfortunately the pain persisted and a reduction of ROM. Next an Arthroscopy was performed in Jan. '23 to check on internal damage and to remove a floating bone fragment. Afterwards an increase of pain and further reduction of ROM. Aug. '23 a TKP surgery. After months the pain wass still unbearable and no progression in ROM. Dec. '23 the knee was stretched under anesthesia. Surprisingly again no result, same ROM, same pain. From Jan. '24 started with a multi disciplinary therapy in a rehab center. Bending is a bit improved but stretching is still limited to 22 degrees.

Does anyone have contacts in Europe with specialists regarding AF and in general what is a typical way of diagnosing? I've spoken with Dr. Domanski (Germany) and Dr. Rosenberger (Austria) and both opt for a different way of diagnosing and treatment.

If someone has experience, are you willing to share your experience when it comes to diagnosing and treatment?

Thank you.

DogfacedGirl · Post by **DogfacedGirl** » Mon Apr 22, 2024 3:00 am

Hi,
One of the most experienced groups dealing with arthrofibrosis in Europe is the European Knee Arthrofibrosis Center. You can contact them on [email protected]
They can do telehealth and they are understand the scientific evidence regarding arthrofibrosis pathology.
Your knee will be difficult to treat and you will need the best experts you can find.

All the very best,
Kay

superowl71 · Post by **superowl71** » Mon Apr 22, 2024 7:35 am

Hi,

Thanks, I will contact them.

Regards

entrancecobbler · Post by **entrancecobbler** » Tue Apr 23, 2024 3:22 am

DogfacedGirl wrote: ↑Mon Apr 22, 2024 3:00 am Hi,
One of the most experienced groups dealing with arthrofibrosis in Europe is the European Knee Arthrofibrosis Center. You can contact them on [email protected]tunnel rush
They can do telehealth and they are understand the scientific evidence regarding arthrofibrosis pathology.
Your knee will be difficult to treat and you will need the best experts you can find.

All the very best,
Kay

My brother was once treated for rheumatoid arthritis here. The results achieved were truly beyond expectations.