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Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique.

Black DW - Int J Ther Massage Bodywork (2010)

Bottom Line: Optimal conservative treatment has not been well established in the literature, leaving a clinician with limited evidence for treatment planning.Described here is part of the rehabilitative course of care for a patient with arthrofibrotic limitations after a mid-substance patellar tendon repair with augmentation.Treatment process and clinical reasoning are offered to promote understanding and to facilitate future inquiry.

View Article: PubMed Central - PubMed

Affiliation: Duke Physical Therapy and Occupational Therapy, Durham, NC, USA.

ABSTRACT
Arthrofibrosis of the knee is a surgical complication that can limit range of motion, inhibit muscle activity, and decrease patient function. Optimal conservative treatment has not been well established in the literature, leaving a clinician with limited evidence for treatment planning. Described here is part of the rehabilitative course of care for a patient with arthrofibrotic limitations after a mid-substance patellar tendon repair with augmentation. Marked limitations in knee flexion range of motion and quadriceps activity were addressed using the Graston Technique to deal with soft-tissue adhesions; traditional physical therapy care was also provided. Clear improvement in range of motion and quadriceps activity and function was noted over the course of 5 treatments during 1 month. Treatment process and clinical reasoning are offered to promote understanding and to facilitate future inquiry.

No MeSH data available.


Related in: MedlinePlus

Completed patellar tendon repair with porcine scaffold augmentation.
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Related In: Results  -  Collection

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f2-79-648-1-le_black_final: Completed patellar tendon repair with porcine scaffold augmentation.

Mentions: At the time of surgery, the injury was found to be in the mid-substance rather than at the inferior patellar pole (the more typical failure). It was reported that there was “no obvious tendinopathy such as calcification or chronic changes” to suggest any prior patellar tendonitis. All other ligamentous and cartilaginous structures were found to be intact and pristine. Because of the mid-substance, Z-shaped nature of the patellar tendon tear, the orthopedic surgeon added a porcine dermis graft (Conexa 200: Tornier, Edina, MN, USA) for repair augmentation (see Figs. 1 and 2).


Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique.

Black DW - Int J Ther Massage Bodywork (2010)

Completed patellar tendon repair with porcine scaffold augmentation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3091431&req=5

f2-79-648-1-le_black_final: Completed patellar tendon repair with porcine scaffold augmentation.
Mentions: At the time of surgery, the injury was found to be in the mid-substance rather than at the inferior patellar pole (the more typical failure). It was reported that there was “no obvious tendinopathy such as calcification or chronic changes” to suggest any prior patellar tendonitis. All other ligamentous and cartilaginous structures were found to be intact and pristine. Because of the mid-substance, Z-shaped nature of the patellar tendon tear, the orthopedic surgeon added a porcine dermis graft (Conexa 200: Tornier, Edina, MN, USA) for repair augmentation (see Figs. 1 and 2).

Bottom Line: Optimal conservative treatment has not been well established in the literature, leaving a clinician with limited evidence for treatment planning.Described here is part of the rehabilitative course of care for a patient with arthrofibrotic limitations after a mid-substance patellar tendon repair with augmentation.Treatment process and clinical reasoning are offered to promote understanding and to facilitate future inquiry.

View Article: PubMed Central - PubMed

Affiliation: Duke Physical Therapy and Occupational Therapy, Durham, NC, USA.

ABSTRACT
Arthrofibrosis of the knee is a surgical complication that can limit range of motion, inhibit muscle activity, and decrease patient function. Optimal conservative treatment has not been well established in the literature, leaving a clinician with limited evidence for treatment planning. Described here is part of the rehabilitative course of care for a patient with arthrofibrotic limitations after a mid-substance patellar tendon repair with augmentation. Marked limitations in knee flexion range of motion and quadriceps activity were addressed using the Graston Technique to deal with soft-tissue adhesions; traditional physical therapy care was also provided. Clear improvement in range of motion and quadriceps activity and function was noted over the course of 5 treatments during 1 month. Treatment process and clinical reasoning are offered to promote understanding and to facilitate future inquiry.

No MeSH data available.


Related in: MedlinePlus