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Arthrofibrosis can occur after total knee replacement or partial knee replacement, when excessive scar tissue (collagen fibril) deposition occurs in and around the knee. This can be accompanied by shortening of the patellar tendon (patella baja/infera) which can also contribute to limited flexion.
If symptoms do occur these may include swelling and pain behind the knee, or knee stiffness. [1] If the cyst breaks open, pain may significantly increase with swelling of the calf. [1] Rarely complications such as deep vein thrombosis, peripheral neuropathy, ischemia, or compartment syndrome may occur. [2] [3]
Therapeutic ultrasound and E-stim deliver medication deep to the bursa to reduce inflammation. The rehabilitative exercises are done with the intention of stretching and strengthening the hip abductors, quadriceps, and hamstrings. [2] These stretches have the potential to significantly reduce the tension over the pes anserine bursa. [citation ...
Some physicians and patients may consider having ultrasonography for deep venous thrombosis after knee replacement. [75] [76] Neither gabapentin nor pregabalin have been found to be useful for pain following a knee replacement. [77] A Cochrane review concluded that early multidisciplinary rehabilitation programs may produce better results. [78]
Arthroplasty on knee has been broadly used to treat knee and musculoskeletal joint dislocation. It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma. However, there has been series of reports arthroplasty worsens condition of peroneal nerve, causing ...
The pain is aggravated by passively stretching the muscle group within the compartment. However, such pain may disappear in the late stages of the compartment syndrome. [ 19 ] The role of local anesthesia in delaying the diagnosis of compartment syndrome is still being debated.
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