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Orthop Clin North Am. 2016 Apr;47(2):345-55. doi: 10.1016/j.ocl.2015.09.003.

Arthrofibrosis After Periarticular Fracture Fixation.

Author information

1
Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
2
Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: sems.andrew@mayo.edu.

Abstract

Arthrofibrosis after periarticular fractures can create clinically significant impairments in both the upper and lower extremities. The shoulder, elbow, and knee are particularly susceptible to the condition. Many risk factors for the development of arthrofibrosis cannot be controlled by the patient or surgeon. Early postoperative motion should be promoted whenever possible. Manipulations under anesthesia are effective for a period of time in certain fracture patterns, and open or arthroscopic surgical debridements should be reserved for the patient for whom nonoperative modalities fail and who has a clinically significant deficit.

KEYWORDS:

Arthrofibrosis; Elbow; Fracture; Knee; Periarticular; Shoulder

PMID:
26772943
DOI:
10.1016/j.ocl.2015.09.003
[Indexed for MEDLINE]

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