Abstract
Introduction and Aims: The purpose of our study was to review our experience with the use of arthroscopy for the diagnosis and management of patients with problematic total knee replacements (TKRs).
Method: Forty-four patients were retrospectively reviewed to evaluate clinical and diagnostic efficacy of arthroscopy of TKR.
Results: Six patients with soft-tissue impingement had good-excellent outcome. Three patients had lateral retinacular release to correct patellar subluxation. Arthroscopic treatment of infection in two patients with significant comorbidities was able to control infection in one patient. Of the 13 patients with decreased range of motion due to intra-articular scarring, only four maintained increased motion. Of the 20 patients who had arthroscopy as a diagnostic procedure, 15 were successfully diagnosed and treated. Of the 10 patients with knee pain as the primary complaint, an intra-articular cause of the knee pain was identified in five patients and successfully treated in four, while no diagnosis was made in the remaining five patients.
Conclusion: The use of arthroscopy for the diagnosis and treatment of the problematic TKA is an effective and safe procedure when performed for specific indications. We found adhesiolysis of limited value for patients with decreased range of motion due to dense scar tissue.
These abstracts were prepared by Editorial Secretary, George Sikorski. Correspondence should be addressed to Australian Orthopaedic Association, Ground Floor, The William Bland Centre, 229 Macquarie Street, Sydney, NSW 2000, Australia.
At least one of the authors is receiving or has received material benefits or support from a commercial source.
