Efficacy of arthroscopic arthrofibrolysis for stiff knee

Abstract

Treatment of stiff, arthrofibrotic knee is challenging for the orthopedic surgeon, physiotherapist and for the patient. Various treatment modalities exist from conservative physical therapy, manipulation under anesthesia to surgical management with variable outcome. Our study aims to analyze the outcome of such knees with arthroscopic arthrofibrolysis and also its co relation to etiology and interval between treatments. Our study is analysis of 22 case of stiff knee which were treated with arthroscopic arthrofibrolysis. Analysis was done by using modified Blauth and Jager scoring system. As per Modified Blauth and Jager Scoring, 14 cases (63.6%) had grade IV decrease in range of motion preoperatively, 8 cases (36.4%) had grade III (severe) and none were in grade II (moderate) or grade I (mild). Out of 14 patients who had preoperative Score of IV, 10 improved to Score III and 4 had score II postoperatively at 6 months, which was significant (P