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Search terms consisted of variations of the following: (\u201carthrofibrosis\u201d OR \u201cstiffness\u201d OR \u201cstiff\u201d OR \u201ccomplications\u201d) AND (\u201carthroscopy\u201d OR \u201carthroscop\u201d OR \u201cACL\u201d OR \u201canterior cruciate\u201d) AND (\u201ctreat\u201d OR \u201ccare\u201d OR \u201cmanagement\u201d AND \u201cknee\u201d). The inclusion criteria were studies that were written in English, were published since 2000, and that reported outcomes of knee arthroscopy or ACLR for treatment of arthrofibrosis of the knee. The study quality was assessed, and data about the patients and treatments were recorded. Treatments were compared between pediatric and adult patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1,208 articles were identified in the initial search, 42 (3.48%) of which met eligibility criteria, involving treatment regimens for arthrofibrosis following knee arthroscopy or ACLR. Of the 42 studies included, 29 (69.0%) were reported data for adults and 13 (31.0%) reported data for pediatric patients. Thirty\u2010nine studies (92.8%) discussed manipulation under anesthesia and\/or lysis of adhesions (LOA) as treatment for arthrofibrosis of the knee, whereas 2 (4.8%) described the use of medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within orthopaedic sports medicine literature, there is variability in the reported treatment options for arthrofibrosis of the knee. Most studies identified manipulation under anesthesia and\/or LOA as the treatment among both adult and pediatric patients. Other variants include notchplasty, open posterior arthrolysis, total graft resection, removal of hardware with LOA, dynamic splinting, casting in extension, bracing, and medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level I\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100896","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T01:41:35Z","timestamp":1706838095000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Manipulation Under Anesthesia and Lysis of Adhesions Are the Most Commonly Reported Treatments for Arthrofibrosis of the Knee After Arthroscopy or Anterior Cruciate Ligament Reconstruction in Both Pediatric and Adult Patients"],"prefix":"10.1002","volume":"6","author":[{"given":"Ravali","family":"Reddy","sequence":"first","affiliation":[{"name":"University of Kansas School of Medicine Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Bernard","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Tarakemeh","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tucker","family":"Morey","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary K.","family":"Mulcahey","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine 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