Clinical Editor
Dr Sheila Strover is the Founder and previous Clinical Editor of the KNEEguru website.Her medical studies were completed at the University of the Witwatersrand in South Africa - BSc(Hons) (1968) and MBBCh (1974). She emigrated to the United Kingdom in 1983 and worked as an anaesthetist (anaesthesio…
An 'interpretation' of a 2011 publishing discussing how important it is to have a flexible approach when dealing with internal scarring after cruciate ligament surgery.
Said S, Christainsen SE, Faunoe P, Lund B and Lind M. Knee Surg Sports Traumatol Arthrosc. 2011;20:19:1704–1708.
[Ed: the medical journal seems to have made a mistake in their publication as it should read Christiansen SE]
These authors report retrospectively on 27 of the 31 patients who developed arthrofibrosis in their unit from 2003 to 2007 after knee ligament reconstruction. The patients had been managed with forced manipulation or arthroscopic lysis of adhesions followed by intense physiotherapy. Of the 27 patients followed in the study, 14 had manipulation alone, and the other 13 had manipulation and arthroscopic lysis. They were followed up for a median of 51 months (range 19 to 73 months), and the lysis surgery was perfomed on average 4 months after the initial ligament procedure (range 1-32 months).