Manipulation Under Anesthesia and Lysis of Adhesions Are the Most Commonly Reported Treatments for Arthrofibrosis of the Knee After Arthroscopy or Anterior Cruciate Ligament Reconstruction in Both Pediatric and Adult Patients

• DOI: 10.1016/j.asmr.2024.100896
• Publication Date: 2024-02-02T06:41:35Z
• Authors: Ravali Reddy; Christopher Bernard; Armin Tarakemeh; Tucker Morey; Mary K. Mulcahey; Bryan G. Vopat; Matthew L. Vopat
• Keywords: Arthrofibrosis; Knee arthroscopy; Posterior cruciate ligament

PurposeThe purposes of this study were to systematically review the literature and provide a detailed summary current treatments outcomes for arthrofibrosis following knee arthroscopy anterior cruciate ligament reconstruction (ACLR) compare treatment strategies in pediatric adult populations.MethodsA systematic was performed March 2022 using PubMed, EMBASE, Cochrane Library Databases per PRISMA. Search terms consisted variations following: ("arthrofibrosis" OR "stiffness" "stiff" "complications") AND ("arthroscopy" "arthroscop" "ACL" "anterior cruciate") ("treat" "care" "management" "knee"). The inclusion criteria studies that are written English, published since 2000, report or ACLR knee. quality assessed, data about patients recorded. Treatments compared between patients.ResultsA total 1,208 articles identified initial search, 42 (3.48%) which met eligibility criteria, involving regimens ACLR. Of included, 29 (69.0%) reported adults 13 (31.0%) patients. Thirty-nine (92.8%) discussed manipulation under anesthesia (MUA) and/or lysis adhesions (LOA) as knee, while 2 (4.8%) described use medications.ConclusionWithin orthopaedic sports medicine literature, there is variability options Most MUA LOA among both Other variants include notchplasty, open posterior arthrolysis, graft resection, removal hardware with LOA, dynamic splinting, casting extension, bracing, medications.