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العنوان
Arthroscopic lysis of adhesions for treatment of post-traumatic arthrofibrosis of the knee joint /
الناشر
Karim Medhat Gamal Abdelghafour ,
المؤلف
Karim Medhat Gamal Abdelghafour
هيئة الاعداد
باحث / Karim Medhat Gamal Abdelghafour
مشرف / Mohamed Kamal Abdel Aziz
مشرف / Ahmed Samir Elkalyoby
مناقش / Alaa Mohey Eldin
تاريخ النشر
2019
عدد الصفحات
119 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
11/8/2019
مكان الإجازة
جامعة القاهرة - كلية الطب - orthopedic surgery
الفهرس
Only 14 pages are availabe for public view

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from 131

Abstract

Background: Post-traumatic knee arthrofibrosis can have adverse effect on individual{u2019}s function, the management of knee arthrofibrosis is challenging with variety of options starting from manipulation under anaethesia to the classic quadricepsplasty.Aim of study : To evaluate the improvement of both knee range of motion and functional outcomes after arthroscopic lysis of adhesions for management of post-traumatic knee arthrofibrosis.Materials and Methods: A prospective study of 15 patients with post-traumatic knee arthrofibrosis were managed by arthroscopic arthrolysis.The mean age was 30 years (±7.7).The post-operative rehabilitation was initiated the first day after the procedure.Comprehensive clinical follow-up evaluations including the range-of-motion (ROM) assessment and the Lysholm score were performed on all patients.Results: The median follow-up time was 6.7 months (range 6-9 months).The ROM improved from 27.2{u00B0} (±9.6{u00B0}) preoperatively to 100.6{u00B0}(± 22.3{u00B0}) at the final follow-up (P < 0.002). In addition, the Lysholm score increased from 52.6(±10.8) preoperatively to 79.1(±9.7) (P < 0.002). All patients were satisfied with their final ROM and functional outcomes.Conclusion: Arthroscopic lysis of adhesions for knee arthrofibrosis improves significantly the knee ROM and functional outcomes and is considered a successful alternative to the open quadricepsplasty