Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture

Knee flexion contracture is a clinically important complication that can be observed after trauma, after knee surgery, or as a result of osteoarthritis. When it is left untreated, knee shearing forces increase not only in the affected joint but also in the contralateral knee, leading to mechanical o...

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Main Authors: Konrad Malinowski, M.D., Ph.D., Adrian Góralczyk, M.D., Krzysztof Hermanowicz, M.D., Ph.D., Robert F. LaPrade, M.D., Ph.D., Rafał Więcek, M.D., Marcin E. Domżalski, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2018-11-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628718301178
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author Konrad Malinowski, M.D., Ph.D.
Adrian Góralczyk, M.D.
Krzysztof Hermanowicz, M.D., Ph.D.
Robert F. LaPrade, M.D., Ph.D.
Rafał Więcek, M.D.
Marcin E. Domżalski, M.D., Ph.D.
author_facet Konrad Malinowski, M.D., Ph.D.
Adrian Góralczyk, M.D.
Krzysztof Hermanowicz, M.D., Ph.D.
Robert F. LaPrade, M.D., Ph.D.
Rafał Więcek, M.D.
Marcin E. Domżalski, M.D., Ph.D.
author_sort Konrad Malinowski, M.D., Ph.D.
collection DOAJ
description Knee flexion contracture is a clinically important complication that can be observed after trauma, after knee surgery, or as a result of osteoarthritis. When it is left untreated, knee shearing forces increase not only in the affected joint but also in the contralateral knee, leading to mechanical overload in both limbs. Conservative management is a first-line treatment option for extension deficits, but when it fails, surgical treatment is necessary. Open as well as arthroscopic techniques focus mainly on an anterior arthrolysis and a posterior capsular release. Until now, posterior capsulotomy involved either a medial posterior capsular release or medial and lateral posterior capsular releases. Our aim is to present the technique of arthroscopic complete posterior capsulotomy for knee flexion contractures.
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spelling doaj.art-66d722028d6447b2be7ddbebb3b587b62022-12-21T18:59:13ZengElsevierArthroscopy Techniques2212-62872018-11-01711e1135e1139Arthroscopic Complete Posterior Capsulotomy for Knee Flexion ContractureKonrad Malinowski, M.D., Ph.D.0Adrian Góralczyk, M.D.1Krzysztof Hermanowicz, M.D., Ph.D.2Robert F. LaPrade, M.D., Ph.D.3Rafał Więcek, M.D.4Marcin E. Domżalski, M.D., Ph.D.5Artromedical Orthopaedic Clinic, Belchatów, Poland; Address correspondence to Konrad Malinowski, M.D., Ph.D., Artromedical Orthopaedic Clinic, Chrobrego 24, 97-400 Belchatów, Poland.ORTIM Orthopaedic Clinic, Bialystok, PolandORTIM Orthopaedic Clinic, Bialystok, PolandSteadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Artromedical Orthopaedic Clinic, Belchatów, PolandOrthopedic and Trauma Department, Veteran's Memorial Teaching Hospital in Lodz, Medical University of Lodz, Lodz, PolandKnee flexion contracture is a clinically important complication that can be observed after trauma, after knee surgery, or as a result of osteoarthritis. When it is left untreated, knee shearing forces increase not only in the affected joint but also in the contralateral knee, leading to mechanical overload in both limbs. Conservative management is a first-line treatment option for extension deficits, but when it fails, surgical treatment is necessary. Open as well as arthroscopic techniques focus mainly on an anterior arthrolysis and a posterior capsular release. Until now, posterior capsulotomy involved either a medial posterior capsular release or medial and lateral posterior capsular releases. Our aim is to present the technique of arthroscopic complete posterior capsulotomy for knee flexion contractures.http://www.sciencedirect.com/science/article/pii/S2212628718301178
spellingShingle Konrad Malinowski, M.D., Ph.D.
Adrian Góralczyk, M.D.
Krzysztof Hermanowicz, M.D., Ph.D.
Robert F. LaPrade, M.D., Ph.D.
Rafał Więcek, M.D.
Marcin E. Domżalski, M.D., Ph.D.
Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture
Arthroscopy Techniques
title Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture
title_full Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture
title_fullStr Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture
title_full_unstemmed Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture
title_short Arthroscopic Complete Posterior Capsulotomy for Knee Flexion Contracture
title_sort arthroscopic complete posterior capsulotomy for knee flexion contracture
url http://www.sciencedirect.com/science/article/pii/S2212628718301178
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