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KMID : 0386419930060020228
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Journal of the Korean Fracture Society
1993 Volume.6 No. 2 p.228 ~ p.232
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Mangement of Post-traumatic Stiff Knee
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Abstract
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Partial knee ankylosis occur following trauma about knee joint. Pathology of knee ankylsis includes formation of intra-articular adhesion and contracture of the capsule as well as shortening or adhesion of the quadriceps mechanism. In the early
stage,
physical therapy and manipulation under anesthesia can improve the results but in later stage quadricepsplasty or open intra-articular adhesiolysis should be performed. But open quadricepsplasty is very extensive and often requires intial
immobilization
due to marked postoperative pain. There-for intra-articular release of adhesion under arthroscopic visualization has several advantages.
This is a review of 54 patients who had severe limitation of knee motion following trauma about the knee and were treated by quadricepsplasty and/or arthioscopic adhesiolysis. The follow-up period ranged from one year to seven year and eight
months
averaging twenty-rix months.
@ES The results were as follows.
@EN In stiff knee main lesion is intra-articular and excellent results were still obtainable evenafter long intervals. Best results were obtained in cases with less than six month-interval between injury and treatment, but some improvement
still
expected even after two years. Additional procedures such as Q-plasty or retinaoular release were usually necessary in stiff knee with main extra-articular adhesion of long duration.
The average gain of motion with quadricepsplasty was 65 degrees and average gain of motion with arthroscopic adhesiolysis was 61 degrees. In conclusion arthroscopic adhesiolysis was a very useful method in treating stiff knee subsequent to
previous
trauma around knee joint.
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