Dirençli diz artrofibrozisi: Olgu sunumu

Year 2007, Volume: 14 Issue: 3, 36 - 38, 06.05.2009

Serpil Savaş Erdem İlgün Hüseyin Yorgancıgil

Abstract

Süleyman Demirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2007 Eylül; 14(3)








Dirençli diz artrofibrozisi: Olgu sunumu



Serpil Savaş*, Erdem Ilgün*, Hüseyin Yorgancıgil**



*Süleyman Demirel Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta

**Süleyman Demirel Üniversitesi Tıp Fakültesi Ortopedi Anabilim Dalı, Isparta



Özet



Artrofibrozis, travma veya cerrahi sonrasında eklemde masif konnektif doku proliferasyonuna bağlı olarak gelişen ve sakatlık yaratan bir tablodur. Bu olgu sunumunda dizinde artrofibrozis gelişen ve fizik tedaviye ve artroskopik olarak eklemin gevşetilmesine rağmen yeterli düzelme sağlanamayan bir hastamız sunulmaktadır.



Anahtar sözcükler: artrofibrozis, diz, tedavi, dirençli



Abstract



Refractory knee arthrofibrosis: case report



Arthrofibrosis is a disabling complication after trauma and surgery due to massive connective tissue proliferation. In this case report, we report a patient with knee arthrofibrosis whose treatment has failed despite of the intensive physical therapy and surgical release procedures.



Key words: arthrofibrosis, knee, treatment, refractory

Keywords

artrofibrozis, diz, tedavi, dirençli

References

• Millet PJ, Williams RJ, Wickiewicz TL. Open debridement and soft tissue release as asalvage procedure for the severely arthrofibrotic knee. Am J Sports Med 1999;27(5):552-61.
• Fisher SE, Shelbourne D. Arthroscopic treatment of symptomatic extension block complicating anterior cruciate ligament reconstruction. Am J Sports Med 1993;21: 558-64.
• Noyes FR, Mangine RE, Barber SD. The early treatment of motion complications after reconstruction of the anterior cruciate ligament. Clin Orthop 1992;277:217-28.
• Strum GM, Friedman MJ, Fox JM. Acute anterior cruciate ligament reconstruction. Clin Orthop 1990; 253:184-89.
• Unterhauser FN, Bosch U, Zeichen J, Weiler A. Alpha-Smooth muscle actin containing contractile fibroblastic cells in human knee arthrofibrosis tissue. Arch Orthop Trauma Surg 2004;124: 585- 91.
• Klein W, Shah N, Gassen A. Arthroscopic management of postoperative arthrofibrosis of the knee joint: indication, technique, and results. Arthroscopy 1994; 10(6):591-97.
• Cosgarea AJ, De Haven KE, Lovelock JE. The surgical treatment of arthrofibrosis of the knee. Am J Sports Med 1994;22:184-91.
• Harner CD, Irrgang JJ, Paul J, Dearwater S, Fu FH. Loss of motion after anterior cruciate ligament reconstruction. Am J Sports Med 1992;20:499- 506.
• Shelbourne KD, Patel DV, Martini DJ. Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction. Am J Sports Med 1996;24:857- 62.
• Draganich LF, Andriacchi TP, Andersson GB. Interaction between intrinsic knee mechanics and the knee extensor mechanism. J Orthop Res 1087;5(4):539-47.
• Hillard-Sembell D, Daniel DM, Stone ML, Dobson BE, Fithian DC. Combined injuries of the anterior cruciate and medial collateral ligaments of the knee. Effect of treatment on stability and function of the joint. J Bone Joint Surg Am 1996; 78(2):169- 76.
• Zeichen J, van Griensven M, Lobenhoffer P, Bosch U. Expression of type VI collagen in arthrofibrosis. An immunohistochemical study. Unfallchirurg 2000;103(8):640-44.
• Bosch U, Zeichen J, Skutek M, Haeder L, van Griensven M. Arthrofibrosis is the result of a T cell mediated immune response. Knee Surg Sports Traumatol Arthrosc 2001;9(5):282-89.
• Mayr HO, Weig TG, Plitz W. Arthrofibrosis following ACL reconstruction-reasons and outcome. Arch Orthop Trauma Surg 2004;124:518-22.
• Tunay S, Yanmýþ Ý, Yýldýz C, Kömürcü M, Baydar ML, Gür E. Dizin artrofibrozisinin tedavisinde artroskopik adezyolizisin rolü. Hacettepe Ortopedi Dergisi 2000;10(4):122-26.
• Parisien JS. The role of arthroscopy in the treatment of postoperative fibroarthrosis of the knee joint. Clin Orthop 1988;229:185-92.
• Katz MM, Hungerford DS. Reflex sympathetic dystrophy affecting the knee, J Bone Joint Surg 1987:69-B:797-803.