Arthroscopy in Treatment of Knee Arthroplasty Complications

Abstract

Results of the operated joint arthroscopy were presented for 16 patients with complications after knee arthroplasty. The reasons for arthroscopic intervention were: implant instability - 1 case, breaking of implant hinge - 1 case, arthrofibrosis - 2 cases, recurrent hemarthrosis with synovial membrane vessels malformation - 2 cases, reactive aseptic necrosis - 4 cases and resistant medial pain syndrome resulting from neuropathy of the infrapatellar branch of subcutaneous femoral nerve - 6 cases. Arthroscopy after knee arthroplasty enables with high accuracy to diagnose knee joint pathology, to avoid revision arthrotomy, to minimize intraoperative trauma, to improve functional results and patient’s quality of life as well as to reduce the cost of treatment.

Efficacy of Arthroscopic Arthrolysis in the Treatment of Arthrofibrosis: A Systematic Review

“…For patients with persistent and significant decreased ROM who are at least 6 months from index TKA, an arthroscopic arthrolysis can be considered. 6 Several articles have been published reporting on the outcomes of patients undergoing arthroscopic lysis of adhesions for the stiff TKA, but an overall assessment of its efficacy in the form of a systematic review has not been performed. We, therefore, performed a systematic review of the literature to evaluate the efficacy of arthroscopic arthrolysis for the treatment of knee stiffness post-TKA.…”