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<p>Postoperative arthrofibrosis is a&#xa0;severe complication after reconstruction of the anterior cruciate ligament (ACL reconstruction) with the main symptom of a&#xa0;painful and stiff knee. This complication mostly has a&#xa0;multifactorial genesis including patient-specific, injury-specific and surgery-specific factors. Some of these factors can be influenced, emphasizing the importance of preventive measures. A&#xa0;preoperative rehabilitation (prehabilitation) is strongly recommended to optimize joint mobility and reduce the inflammatory irritation prior to surgery. If postoperative arthrofibrosis nevertheless occurs, a&#xa0;stepwise and tailored approach is required. Initially, intensive physiotherapy targeting the irritation, nonsteroidal anti-inflammatory drugs (NSAID) and glucocorticoids are employed. If there is insufficient improvement, arthroscopic arthrolysis with or without mobilization under anesthesia can be necessary. A&#xa0;timely intervention and preventive measures can significantly reduce the risk of arthrofibrosis with the goal of long-term improvement in joint mobility and good functional outcomes.</p>

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Postoperatives steifes Kniegelenk nach Rekonstruktion des vorderen Kreuzbands – was tun?

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月27日

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  • Matias S. Boxler,
  • Elias Ammann,
  • Laszlo Toth,
  • Matthias Koch,
  • Michael T. Hirschmann,
  • Natalie Mengis

摘要

Postoperative arthrofibrosis is a severe complication after reconstruction of the anterior cruciate ligament (ACL reconstruction) with the main symptom of a painful and stiff knee. This complication mostly has a multifactorial genesis including patient-specific, injury-specific and surgery-specific factors. Some of these factors can be influenced, emphasizing the importance of preventive measures. A preoperative rehabilitation (prehabilitation) is strongly recommended to optimize joint mobility and reduce the inflammatory irritation prior to surgery. If postoperative arthrofibrosis nevertheless occurs, a stepwise and tailored approach is required. Initially, intensive physiotherapy targeting the irritation, nonsteroidal anti-inflammatory drugs (NSAID) and glucocorticoids are employed. If there is insufficient improvement, arthroscopic arthrolysis with or without mobilization under anesthesia can be necessary. A timely intervention and preventive measures can significantly reduce the risk of arthrofibrosis with the goal of long-term improvement in joint mobility and good functional outcomes.