Avaliação do tratamento videoartroscópico da artrofibrose pós-operatória de joelho

Abstract

Objective: Evaluate the efficacy of the arthroscopic treatment in arthrofibrotic knee related to previous knee surgery. Methods: Patients who underwent previous surgery of the knee, developed arthrofibrosis, had failure of the conservative treatment for three months and were treated with arthroscopic management, regardless of gender and age, were included in this study. We evaluated each patients in preoperative and in the third month postoperative using the numerical pain scale, the range of motion and the subjective form of the International Knee Documentation Committee (IKDC). Results: 21 patients were included in the study. Most of them were women (n=13 - 61.9 %), with an average age of 44,1 years. Total knee arthroplasty (n=8) and patellar fracture (n=7) were the surgeries that most led to the development of arthrofibrosis. Patients treated by arthroscopic technique obtained pain relief, increased range of motion and improvement of the IKDC subjective score, all of them with significant difference (p < 0.001) compared with the preoperative. One unique case of complication was observed during the study. Conclusion: Arthroscopic treatment was effective in reducing pain, increasing range of motion and increasing joint function, with low complication rate.