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Arthrofibrosis Course

Dr Frank R Noyes

Dr Frank R Noyes

Retired knee surgeon

DR NOYES HAS RETIRED.Previously based at the Cincinnati Sportsmedicine and Orthopaedic Center in the USA, Dr Frank Noyes was one of the world's most prominent figures when it comes to knee surgery. A prolific researcher and writer, he has published hundreds of studies and articles in the world's to…

March 14, 2025

First published by Dr Noyes in 2008, and reviewed August 2023 by Dr Sheila Strover (Clinical Editor)

Arthrofibrosis of the knee is a devastating complication after injury or surgery, but the astute clinician should be able to recognise the warning signs in time to prevent long term issues.

This course explains normal range of knee motion, and the reduced range of motion consequent on 'arthrofibrosis' (internal scarring in the knee joint). Dr Noyes discusses those factors that can precipitate such scarring, and the physiotherapeutic and surgical therapies that may improve the patient's outcome.

  1. Arthrofibrosis Course - Part 1 - Introduction to arthrofibrosis

    Definition of arthrofibrosis, predisposing factors and incidence...

  2. Arthrofibrosis Course - Part 2 - The knee - range of motion

    Normal knee range of motion, and motion limitation from arthrofibrosis...

  3. Arthrofibrosis Course - Part 3 - Anatomic classification of arthrofibrosis

    Where adhesions and scarring in the knee cavity can cause motion loss...

  4. Arthrofibrosis Course - Part 4 - What triggers arthrofibrosis?

    How injury to and inflammation of the knee can trigger eventual motion loss…

  5. Arthrofibrosis Course - Part 5 - Early signs and symptoms of arthrofibrosis

    Why the clinical team needs to be alert to the dangers of knee inflammation…

  6. Arthrofibrosis Course - Part 6 - Established arthrofibrosis - options for management

    Once loss of motion becomes established, options become limited...

  7. Arthrofibrosis Course - Part 7 - Arthroscopic surgery (for arthrofibrosis)

    The surgical options available to the patient in established arthrofibrosis…

  8. Arthrofibrosis Course - Part 8 - Open debridement and soft tissue release

    Salvage operations in established knee arthrofibrosis...

  9. Arthrofibrosis Course - Part 9 - Rehabilitation after operative procedures for arthrofibrosis

    Rehabilitation to improve knee motion after arthrofibrosis surgery...

  10. Arthrofibrosis Course - Part 10 - Surgery for chronic patella infera

    Persistent pain due to a low kneecap may respond to surgical intervention...

  11. Arthrofibrosis Course - Part 11 - The tragedy of arthrofibrosis

    Motion loss in the knee after injury or surgery should be preventable...

  12. Arthrofibrosis Course - Part 12 - Preventing arthrofibrosis

    The steps that could prevent disabling knee arthrofibrosis...