{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:32:56Z","timestamp":1777710776230,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,9,26]],"date-time":"2009-09-26T00:00:00Z","timestamp":1253923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fibroarthrosis following knee injury or synovial disease is characterized by the presence of dense adhesions filling the entire joint cavity and the fibrotic involvement of periarticular structures. In this particular subset of knee stiffness, both the open and the arthroscopic treatment may fail not addressing all pathology. The aim of the present study was to evaluate the efficacy of an all\u2010arthroscopic treatment for the flexion contractures addressing both the intra\u2010articular posterior adhesions and the fibrotic periarticular structures. From 2003 through 2007, 18 patients of the knee underwent on arthroscopic posterior arthrolysis with release of both gastrocnemius tendons using the trans\u2010septal technique. The median interval between the index procedure and the arthrolysis was 15 (4\u201322) months. Eight patients had a previous arthroscopic arthrolysis, performed in other hospitals, and two patients had two arthroscopic procedures after the index procedure which failed to regain the extension deficit. The passive extension deficit averaged 34\u00b0 preoperatively (16\u00b0\u201344\u00b0). Six patients underwent a two\u2010staged procedure: the first surgery addressed the presence of adhesions in the suprapatellar pouch and the medial and\/or lateral gutters, to regain the flexion of the knee. At final follow\u2010up, the passive extension deficit averaged 3\u00b0 (0\u00b0\u20135\u00b0). In all patients, total knee arc of motion increased from 60\u00b0 (30\u00b0\u201385\u00b0) to 95\u00b0 (5\u00b0\u2013110\u00b0). The trans\u2010septal portal allows a safe approach of the posterior compartments and allows addressing pathology of both compartments and the release of gastrocnemius tendons.<\/jats:p>","DOI":"10.1007\/s00167-009-0920-z","type":"journal-article","created":{"date-parts":[[2009,9,25]],"date-time":"2009-09-25T17:02:03Z","timestamp":1253898123000},"page":"736-741","source":"Crossref","is-referenced-by-count":24,"title":["Arthroscopic release of the posterior compartments in the treatment of extension deficit of knee"],"prefix":"10.1002","volume":"18","author":[{"given":"Pier Paolo","family":"Mariani","sequence":"first","affiliation":[{"name":"Universita \u201cForo Italico\u201d Roma Piazza L. de Bosis 5 00135 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,9,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(05)80507\u20109"},{"key":"e_1_2_6_3_1","first-page":"197","article-title":"Extra articular arthroscopic release in post\u2010traumatic stiff knees: a prospective study of endoscopic quadriceps and patellar release","volume":"71","author":"Dhillon MS","year":"2005","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_6_4_1","first-page":"201","article-title":"Results of arthroscopic treatment of symptomatic loss of extension following anterior cruciate ligament reconstruction","volume":"13","author":"Hasan SS","year":"2000","journal-title":"J Knee Surg"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010008\u20100496\u2010z"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01567970"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270050201"},{"key":"e_1_2_6_8_1","first-page":"63","article-title":"Hamstring release for fixed knee flexion contracture in haemophilia","volume":"343","author":"Rodr\u00ecguez\u2010Merch\u00e0n EC","year":"1997","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102516.1999.0050s1025.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00963"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00013611\u2010198807000\u201000002"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-009-0920-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-009-0920-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-009-0920-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:58:57Z","timestamp":1760882337000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-009-0920-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9,26]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1007\/s00167-009-0920-z"],"URL":"https:\/\/doi.org\/10.1007\/s00167-009-0920-z","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,9,26]]}}}