Evidence map›Paper›PMID 24553684›Full record

Trial reportOperative Orthopadie und Traumatologie2014

[Arthroscopic treatment of arthrofibrosis after ACL reconstruction. Local and generalized arthrofibrosis].

H O Mayr, A Stöhr

Abstract readClinical TrialEnglish Abstract
PubMed Publisher
In one paragraph

Trial report in Operative Orthopadie und Traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Collagen application reduces complication rates of mid-substance ACL tears treated with dynamic intraligamentary stabilization.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Article
  8. A mini-invasive procedure for treating arthrofibrosis of the knee.Acta orthopaedica et traumatologica turcica · 2016
    Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

H O MayrOCM-Klinik, Steinerstr. 6, 81369, München, Deutschland, hermann.mayr.ocm@gmx.de.
A Stöhr
München Klinik · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRestoration of free knee motion taking into account knee extension, knee flexion, and patella mobility. INDICATIONS: Prolonged knee motion restriction after anterior cruciate ligament (ACL) reconstruction, persistent decreased patella mobility, or extension deficit. CONTRAINDICATIONS: Existing significant joint irritation or active reflex dystrophy with persistent distinctive pain syndrome. SURGICAL TECHNIQUE: Arthroscopic arthrolysis possible in most cases. Removal of adhesions in all compartments. Elimination of intraarticular cause of patella infera by removing infrapatellar scar tissue and fibrotic fat pad. In case of severe peripatellar fibrotic tissue, lateral release is useful with partial transection of lateral retinacula. In case of strong capsular contracture, additional medial release indicated to improve patella mobility. Important goal of arthrolysis: full range of knee extension. Arthrolysis for scar tissue removal in the posterior recessus through dorsomedial arthroscopic approach possible. In severe cases posteromedial arthrotomy for posterior capsule release required. Cyclops syndrome makes removal of all tissue adherent to the ACL necessary. An irregular ACL insertion or intercondylar notch stenosis may require notchplasty. Postoperative recurrence of fibrosis may require repeated arthroscopic surgery to improve mobility, such as notchplasty, osteophytes resection, scar removal, and releases. POSTOPERATIVE MANAGEMENT: Immediate postoperative pain-free physical therapy taking into account full range of extension and patella mobility. Passive exercises under traction. Lymphatic drainage. No exercising in pain throughout the entire postoperative physical therapy. Continuous passive motion treatment for 4 weeks postoperatively useful. No muscle strength or equipment training for at least 3 months postoperatively.

resultsBased on the observations in our working group, approximately pproximately 78% of patients develop knee osteoarthritis within 5 years.

Indexed as

AdultAnterior Cruciate Ligament ReconstructionFemaleFibrosisHumansJoint InstabilityKnee JointMaleMiddle AgedTissue AdhesionsTreatment OutcomeYoung Adult

Identifiers

PMID24553684
OpenAlexW1243929290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.