AANA Advanced Arthroscopy. The Knee by Robert E. Hunter

By Robert E. Hunter

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Extra info for AANA Advanced Arthroscopy. The Knee

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Arthrofibrosis can be caused by overly aggres- sive, painful postoperative rehabilitation. Forced painful motion Patient Factors. Some patients are more prone to scar formation. Patients with genetic disorders such as scleroderma are predisposed to arthrofibrosis. Other patients may not have a specific genetic disorder but have a higher likelihood of forming fibrotic tissue. These fibrotic healers are at an increased risk for arthrofibrosis, regardless of other potential causes. They tend to produce keloid scars.

Extension loss Ն5 degrees 2. Flexion Ͻ125 degrees 3. Failure to progress in a physical therapy program with a minimum duration of 3 mo 4. Suspected intra-articular cause of the arthrofibrosis CONTRAINDICATIONS 1. 2. 3. 4. 5. 6. Persistent knee inflammation with warmth or swelling Any active quadriceps muscle lag Noncomplaint patient or patient seeking secondary gain Severe multiple compartment degenerative joint disease Active infection Complex regional pain syndrome RELATIVE CONTRAINDICATIONS FIGURE 4-6 MRI scan of infrapatellar entrapment and pseudotendon formation.

The second wire is taken out and the Hewson suture passer is immediately placed into the joint (Fig. 2-7). The opposite end of the ULTRABRAID suture(s) are delivered into its loop and pulled out the tibia (Fig. 2-8). A crochet hook or blunt probe is passed into the subcutaneous tissue through one of the suture holes, hooking the opposite sutures, and pulling them out the same hole. A knot is tied and passed through the skin puncture hole and subcutaneous tissue and is secured tightly to the tibial cortex.

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