{"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":1777710776861,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The current study was conducted to evaluate the long\u2010term clinical and radiological outcomes after arthroscopic arthrolysis for arthrofibrosis after anterior cruciate ligament reconstruction (ACLR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      All patients treated with arthrolysis between 1990 and 1998 were included. Indication was arthrofibrosis in at least one knee compartment or a cyclops syndrome limiting range of motion (ROM) by &gt; 5\u00b0 of extension deficit and 15\u00b0 of flexion deficit. International Knee Documentation Committee (IKDC) 2000 subjective and objective, Lysholm score, and x\u2010ray evaluation were documented. Statistical analysis and power calculation were performed (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred forty\u2010one patients (follow\u2010up, 71%) were examined at a mean of 18.7 \u00b1 2.6\u00a0years after arthroscopic arthrolysis. Mean IKDC 2000 score was 79.49 \u00b1 14.32. IKDC objective was normal in 0%, nearly normal in 6%, abnormal in 56%, and severely abnormal in 38%. One hundred percent of patients showed more than grade II osteoarthritis. ROM improvement after arthrolysis did not change significantly compared with midterm results (\n                      <jats:italic>t<\/jats:italic>\n                      \u00a0= 4.5\u00a0years). Patients with persisting motion deficits (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02) and after medial meniscus resection (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) at time of ACLR showed significantly greater progression of osteoarthritis in comparison with patients without these additional disorders. In case of arthrolysis later than 1\u00a0year after ACLR, a more severe osteoarthritis grade (4% vs 20% grade III;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .038) and a lower jump distance (IKDC: 61% A, 25% B\u00a0vs 39% A, 41% B;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .028) were obvious compared with patients who underwent arthrolysis within the first year after ACLR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Long\u2010term motion improvement can be achieved by arthrolysis. Persistent loss of motion resulted in a higher degree of osteoarthritis in the study population. Early intervention seems advisable as patients with arthrolysis later than 1\u00a0year after index surgery reached worse IKDC objective grading.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2016.07.029","type":"journal-article","created":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T19:00:23Z","timestamp":1477335623000},"page":"408-414","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":34,"title":["Long\u2010term Results of Arthroscopic Arthrolysis for Arthrofibrosis After Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"33","author":[{"given":"Hermann O.","family":"Mayr","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery Albert Ludwig University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian M.","family":"Brandt","sequence":"additional","affiliation":[{"name":"Albert Ludwig University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Weig","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Munich University Hospital Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Koehne","sequence":"additional","affiliation":[{"name":"OCM\u2010Clinic Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anke","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery Albert Ludwig University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert P.","family":"Suedkamp","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery Albert Ludwig University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Hube","sequence":"additional","affiliation":[{"name":"OCM\u2010Clinic Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelie","family":"Stoehr","sequence":"additional","affiliation":[{"name":"OCM\u2010Clinic Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,10,24]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490277"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010015\u20103799\u2010x"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513511416"},{"key":"e_1_2_3_5_2","first-page":"369","article-title":"Arthrofibrosis of the knee following ligament surgery","volume":"52","author":"Dehaven K.","year":"2003","journal-title":"Instr Course 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