{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:51:20Z","timestamp":1793296280718,"version":"4.5.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Posttraumatic arthrofibrosis is a common problem encountered in the orthopaedic setting for which there is no agreement on the optimal management strategy. The literature does not optimally describe the efficacy of arthroscopic lysis of adhesions for arthrofibrosis following tibial plateau fracture. The purpose of this study is to quantify the efficacy of arthroscopic lysis of adhesions with manipulation for the treatment of arthrofibrosis of the knee in patients who previously underwent surgical management of tibial plateau fracture. All patients who underwent arthroscopic lysis of adhesions from a single surgeon since 1999 were retrospectively reviewed. Clinical outcomes were evaluated by flexion, extension, and range of motion (ROM) preoperatively, intraoperatively, and postoperatively at intervals of 1, 4, 8, and 12 weeks, and any additional long-term follow-up. A total of 28 patients who had developed arthrofibrosis following surgical management of a tibial plateau fracture and failed nonsurgical management of knee stiffness were included in this study. There were significant improvements in total ROM following intervention at all time points compared with preoperative values (p\u2009&lt;\u20090.001), with mean improvements of 59.3 degrees intraoperatively, 32.9 degrees (1 week), 37.1 degrees (4 weeks), 41.5 degrees (8 weeks), and 47.6 degrees (12 weeks). There were significant improvements in degrees of knee flexion following intervention at all time points compared with preoperative values (p\u2009&lt;\u20090.001), with mean improvements of 50.8 degrees intraoperatively, 27.3 degrees (1 week), 36.0 degrees (4 weeks), 38.3 degrees (8 weeks), and 43.9 degrees (12 weeks). There were significant increases in degrees of knee extension intraoperatively (8.5 degrees) and at 1 week postoperatively (5.9 degrees) compared with preoperative values (p &lt;0.01). At 12 weeks postoperatively, those who had previously undergone external fixation had significantly greater increases in ROM (p\u2009=\u20090.048). Arthroscopic lysis of adhesions for knee arthrofibrosis following surgical management of tibial plateau fracture significantly improves knee ROM.<\/jats:p>","DOI":"10.1055\/s-0040-1718679","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T03:07:43Z","timestamp":1603854463000},"page":"816-820","source":"Crossref","is-referenced-by-count":7,"title":["Knee Arthrofibrosis following Tibial Plateau Fracture Treated with Arthroscopic Lysis of Adhesions with Manipulation"],"prefix":"10.1055","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2015-5785","authenticated-orcid":false,"given":"Austin H.","family":"Middleton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline A.","family":"Perlewitz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam I.","family":"Edelstein","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole S.","family":"Vetter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"e780","DOI":"10.3928\/01477447-20150902-55","article-title":"Population-based epidemiology of tibial plateau fractures","volume":"38","author":"R Elsoe","year":"2015","journal-title":"Orthopedics"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"e339","DOI":"10.1097\/BOT.0000000000001237","article-title":"Risk factors for knee stiffness surgery after tibial plateau fracture fixation","volume":"32","author":"G B Reahl","year":"2018","journal-title":"J Orthop Trauma"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1097\/01.bot.0000171881.11205.80","article-title":"Staged management of high-energy proximal tibia fractures (OTA types 41): the results of a prospective, standardized protocol","volume":"19","author":"K A Egol","year":"2005","journal-title":"J Orthop Trauma"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/00005131-200411000-00001","article-title":"Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique","volume":"18","author":"D P Barei","year":"2004","journal-title":"J Orthop Trauma"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"e421","DOI":"10.1097\/BOT.0000000000001304","article-title":"Knee stiffness after tibial plateau fractures: predictors and outcomes (OTA-41)","volume":"32","author":"D N Kugelman","year":"2018","journal-title":"J Orthop Trauma"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1302\/0301-620X.97B1.34195","article-title":"Arthrofibrosis of the knee following a fracture of the tibial plateau","volume":"97-B","author":"J M Haller","year":"2015","journal-title":"Bone Joint J"},{"issue":"S 02","key":"ref7","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.arthro.2004.04.036","article-title":"Arthroscopic treatment of the arthrofibrotic knee","volume":"20","author":"D H Kim","year":"2004","journal-title":"Arthroscopy"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1093\/ptj\/52.1.34","article-title":"A quantitative analysis of knee motion during activities of daily living","volume":"52","author":"K N Laubenthal","year":"1972","journal-title":"Phys Ther"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1302\/0301-620X.45B3.483","article-title":"Quadricepsplasty","volume":"45","author":"E A Nicoll","year":"1963","journal-title":"J Bone Joint Surg Br"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1177\/036354658701500407","article-title":"Infrapatellar contracture syndrome. 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