ArticleThe American journal of sports medicine2023
Arthroscopic Lysis of Adhesions for Arthrofibrosis After Anterior Cruciate Ligament Reconstruction.
Article in The American journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Complications and Reoperations Following Meniscal Repair and Transplantation.Current reviews in musculoskeletal medicine · 2026Review
- All-arthroscopic release in treating knee stiffness after anterior cruciate ligament reconstruction.Annals of joint · 2026Article
- Soft-Tissue Notchplasty to Prevent Localized Arthrofibrosis in Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- The incidence of arthrogenic muscle inhibition in acute knee injuries: a prospective cohort study in a tertiary acute knee unit.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- A Stepwise Approach to Arthroscopic Management of Recalcitrant Knee Arthrofibrosis Including Arthroscopic Posterior Capsular Release.Arthroscopy techniques · 2025Article
- Arthroscopic Lysis of Adhesions With Adjuvant Radiation for Recalcitrant Knee Arthrofibrosis After Ligament Reconstruction: A Report of Three Cases.Case reports in orthopedics · 2025Article
- Research progress of knee fibrosis after anterior cruciate ligament reconstruction.Frontiers in pharmacology · 2024Review
- Arthroscopic Posterior Capsular Releases for Recalcitrant Arthrofibrosis.Video journal of sports medicineArticle
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
backgroundArthrofibrosis (AF) after anterior cruciate ligament reconstruction (ACLR) remains a challenge. There is a paucity of data on arthroscopic interventions for AF after ACLR. PURPOSE: To (1) describe the patient, injury, and surgical characteristics and patient-reported outcomes (PROs) of those requiring an arthroscopic intervention for loss of motion after ACLR and (2) compare outcomes between patients undergoing an early intervention (within 3 months) versus those undergoing a late intervention (after 3 months). STUDY
designCase series; Level of evidence, 4.
methodsPatients with a history of ACLR and a subsequent operative procedure for postoperative AF at a single institution between 2000 and 2018 were retrospectively identified. Arthroscopic interventions included lysis of adhesions, capsular release with or without manipulation under anesthesia, and excision of cyclops lesions. Patients were excluded if they had a knee dislocation or multiple-ligament injury, a periarticular fracture, or less than 2-year follow-up from the arthroscopic intervention. PROs including the Tegner activity score, visual analog scale pain score, and International Knee Documentation Committee score as well as knee range of motion (ROM) were recorded.
resultsA total of 40 patients were included with a mean age of 27.2 years (range, 11.0-63.8 years) at surgery and a mean follow-up of 10.0 years (range, 2.9-20.7 years). The mean preoperative flexion and extension were 102° (range, 40°-150°) and 8° (range, 0°-25°), respectively. The mean postoperative flexion and extension were 131° (range, 110° to 150°) and 0° (range, -10° to 5°), respectively. After the arthroscopic intervention, the mean ROM improved from 94° (range, 40°-140°) preoperatively to 131° (range, 107°-152°) at final follow-up (
conclusionAn arthroscopic intervention for AF after ACLR successfully improved knee ROM and pain. Patients who underwent either early or late surgery obtained satisfactory motion and function, although improved PROs were observed when the intervention occurred within 3 months of the primary procedure.
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