Abstract
Stiffness is a disabling complication following total knee arthroplasty (TKA), leading to important limitation in the range of movement and affecting patient ability to perform daily activities. In this study, 25 records were considered to describe the most common treatment for prosthetic knee stiffness.
Manipulation under anaesthesia is the first option in early arthrofibrosis, arthroscopic arthrolysis is usually performed 3 to 6 months after TKA, while arthrotomic arthrolysis has to be considered a second-line treatment. Revision arthroplasty should only be used in selected cases.
Similar content being viewed by others
Bibliografia
Donaldson JR, Tudor F, Gollish J et al (2016) Revision surgery for the stiff total knee arthroplasty. J Bone Jt 98-B(5):622–627
Johnson DP (2004) The effect of continuous passive motion on wound-healing and joint mobility after knee arthroplasty. J Bone Jt Surg, Am 72(3):421–426
Christensen CP, Crawford JJ, Olin MD, Vail TP (2002) Revision of the stiff total knee arthroplasty. J Arthroplast 17:409–415
Yercan HS, Sugun TS, Bussiere C et al. (2006) Stiffness after total knee arthroplasty: prevalence, management and outcomes. Knee 13(2):111–117
Kim J, Nelson CL, Lotke PA (2004) Stiffness after total knee arthroplasty. Prevalence of the complication and outcomes of revision. J Bone Jt Surg, Am 86-A:1479–1484
Ipach I, Schäfer R, Lahrmann J, Kluba T (2011) Stiffness after knee arthrotomy: evaluation of prevalence and results after manipulation under anaesthesia. Orthop Traumatol Surg Res 97(3):292–296
Keating EM, Ritter MA, Harty LD et al. (2007) Manipulation after total knee arthroplasty. J Bone Jt Surg, Am 89(2):282–286
Gandhi R, de Beer J, Leone J et al. (2006) Predictive risk factors for stiff knees in total knee arthroplasty. J Arthroplast 21(1):46–52
Schiavone Panni A, Cerciello S, Vasso M, Tartarone M (2009) Stiffness in total knee arthroplasty. J Orthop Traumatol 10:111–118
Mariani PP, Santori N, Rovere P et al. (1997) Histological and structural study of the adhesive tissue in knee fibroarthrosis: a clinical-pathological correlation. Arthroscopy 13(3):313–318
Ruppert M, Theiss C, KnößP et al. (2013) Histopathological, immunohistochemical criteria and confocal laser-scanning data of arthrofibrosis. Pathol Res Pract 209:681–688
Esler CN, Lock K, Harper WM, Gregg PJ (1999) Manipulation of total knee replacements. Is the flexion gained retained? J Bone Jt Surg, Br 81(1):27–29
Riazuddin M, Shakir S, Naveed A (2009) Manipulation under anaesthesia for stiffness following knee arthroplasty. Ann R Coll Surg Engl 91(3):220–223
Scranton PE (2001) Management of knee pain and stiffness after total knee arthroplasty. J Arthroplast 16(4):428–435
Cates HE, Schmidt JM (2009) Closed manipulation after total knee arthroplasty: outcome and affecting variables. Orthopedics 32(6):398
Rubinstein RA, DeHaan A (2010) The incidence and results of manipulation after primary total knee arthroplasty. Knee 17(1):29–32
Maloney WJ (2002) The stiff total knee arthroplasty: evaluation and management. J Arthroplast 17(4):71–73
Arbuthnot JE, Brink RB (2010) Arthroscopic arthrolysis for the treatment of stiffness after total knee replacement gives moderate improvements in range of motion and functional knee scores. Knee Surg Sports Traumatol Arthrosc 18(3):346–351
Johnson DR, Friedman RJ, McGinty JB et al. (1990) The role of arthroscopy in the problem total knee replacement. Arthroscopy 6(1):30–32
Bae DK, Lee HK, Cho JH (1995) Arthroscopy of symptomatic total knee replacements. Arthroscopy 11(6):664–671
Teng HP, Lu YC, Hsu CJ et al. (2002) Arthroscopy following total knee arthroplasty. Orthopedics 25(4):422–424
Babis GC, Trousdale RT, Pagnano MW, Morrey BF (2001) Poor outcomes of isolated tibial insert exchange and arthrolysis for the management of stiffness following total knee arthroplasty. J Bone Jt Surg, Am 83(10):1534–1536
Hutchinson JR, Parish EN, Cross MJ (2005) Results of open arthrolysis for the treatment of stiffness after total knee replacement. J Bone Jt 87(10):1357–1360
Mont MA, Seyler TM, Marulanda GA et al. (2006) Surgical treatment and customized rehabilitation for stiff knee arthroplasties. Clin Orthop Relat Res 446:193–200
Keeney JA, Clohisy JC, Curry M, Maloney WJ (2005) Revision total knee arthroplasty for restricted motion. Clin Orthop Relat Res 440:135–140
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflitto di interesse
Gli autori Andrea Marcovigi, Francesco Zambianchi, Elena Francioni, Francesco Fiacchi, Andrea Giorgini, Dario Sandoni e Fabio Catani dichiarano di non avere alcun conflitto di interesse.
Consenso informato e conformità agli standard etici
Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.
Human and Animal Rights
L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.
Rights and permissions
About this article
Cite this article
Marcovigi, A., Zambianchi, F., Francioni, E. et al. Il trattamento del ginocchio rigido protesizzato. LO SCALPELLO 31, 138–141 (2017). https://doi.org/10.1007/s11639-017-0211-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11639-017-0211-2