arthrofibrosis

Neuropathy in diabetic patients after TKA

In this paper the authors present two patients with diabetes who had lower limb nerve problems after total knee replacement. Neither had a problem with neuropathy before their current surgery. One of the patients was having a revision knee replacement after developing arthrofibrosis.

If you've been following my stories about scar tissue, you will know that I previously had scar tissue compressing the infrapatellar branch of the saphenous nerve. This was back in 2005. It was surgically debrided , decompressed and excised in 2006.

As we are jumping to the bulletin board, each link will open in a new page - to get back to this list, just close the new page -

Arthrofibrosis Centres

"Arthrofibrosis Specialists"

Would like to hear from other AF patients that have seen Dr. Shelbourne

This is a list of OS names in the U.S who have demonstrated success in dealing with Arthrofibrosis. This list was composed by forum users. Some names denoted by (TKR) are also known to handle Arthrofibrosis after TKR.

Dr David Blaha - Michigan, USA (TKR)

Dr Scott Dye- San Francisco, CA, USA

"Patella baja and infrapatellar contracture syndrome are one of the worst conditions for a patient to have and for a physician to treat." These were the words of my first knee specialist doctor.

I was diagnosed with patella baja and infrapatellar contracture syndrome in July of 2001. This came 11 mos after my horseback riding accident, where I broke my tibia and fibula in 4 places. I developed arthrofibrosis of my knee, after the nailing procedure thru my knee, to repair the tibia fractures.

Skutek M, Elsner H-A, Slateva K, Mayr H-O and Weig T-G, van Griensven M, Krettek C and Bosch U. Screening for arthrofibrosis after anterior cruciate ligament reconstruction: analysis of association with human leukocyte antigen. Arthroscopy. 2004;5:469-473.

This paper is interesting but inconclusive and probably can be considered as a pilot study. The authors were interested in trying to determine whether some people have a genetic susceptibility to the exaggerated scarring which is characteristic of arthrofibrosis.

Millett PJ, Johnson B, Carlson J, Krishan S and Steadman JR. Rehabilitation of the arthrofibrotic knee. Am J Orth. 2003;11:531-538.

This is a review article discussing the significance of prevention and early recognition of arthrofibrosis. The authors note that arthrofibrosis of the knee can be localised or global, and can restrict flexion or extension of the knee or movement of the patellofemoral joint.

Millett PJ, Wickiewicz TL and Warren RF. Motion loss after ligament injuries to the knee. Part I: Causes. Am J Sports Med. 2001;29:664-675.

This paper, published in 2001, reviews the concepts at that time on terminology, incidence and risk factors for motion loss of the knee after ligament injury or surgery. The authors then outline the published opinions regarding diagnosis, treatment and prevention.

Terminology

The authors feel that people need to use precise terminology when describing motion loss, and recommend that -

Hassan SS., Saleem A., Bach BR., Bush-Joseph CA and Bojchuk J. Results of Arthroscopic Treatment of Symptomatic Loss of Extension Following Anterior Cruciate Ligament Reconstruction. Am J Knee Surgery. 2000;37:201-210.

This study concerns 342 patients all having the same procedure (anterior cruciate ligament reconstruction using patellar tendon), and all procedures were performed by the same surgeon.