RehabEdge Physical Therapy Forum

Forums  Register  Login  Forgot Login?
  My Profile 
My Subscription
  My Forums 
Search
  FAQ  Log Out
Follow @RehabEdge

Arthofibrosis Treatment after Total Knee Arthroplasty

 
Logged in as: Guest
Users viewing this topic: none
  Printable Version
All Forums >> [RehabEdge Forum] >> Orthopedics >> Arthofibrosis Treatment after Total Knee Arthroplasty Page: [1]
Login
Message << Older Topic   Newer Topic >>
Arthofibrosis Treatment after Total Knee Arthroplasty - October 24, 2018 12:26:15 AM   
ScottBoltonPT

 

Posts: 1
Status: offline
Hello all,

I'm searching for treatment options for a difficult patient of mine, who is post op week 5 after a revision of his L TKA.
HPI: 60 yr old male, operated on 5 weeks ago, elective surgery revision of L TKA, previously operated upon 1 year ago. Complication free revision.
Hx: originally injured L knee as a 19 year old soccer player, 'ACL rupture and MCL tear' as per pt. ACL and MCL repair as a 21 year old. 3x arthroscopic surgeries between 80's and 90's d/t decreased ROM and reduced function.
Activity Hx: pt remained very active between 21 and his early 50's. His reduced knee ROM limited the intensity of his activioty but not the frequency.
PMHx: unremarkable

Treatments thus far: mainly focussed on joint protection, AAROM and AROM during these first 4.5 weeks, pushing closed and open chain home exercise program. Scar tissue massage and soft tissue mobs to compliment program.

Problems: pt seems to be stuck at 65 degrees of AROM. Overpressure after an active warm up and manual joint mobs gets him to 75 degrees, but it does not remain once overpressure released. His limitations seem to be purely soft tissue based as he has heavy scar tissue formation.

Questions: I am hitting a bit of a roadblock regarding treatment options for the assisted breaking up of his scar tissue to fascilitate increased AROM + AAROM. Any ideas??
Post #: 1
RE: Arthofibrosis Treatment after Total Knee Arthroplasty - November 2, 2018 11:57:01 AM   
Tom Reeves DPT ATC

 

Posts: 1166
Joined: March 15, 2006
Status: offline
if his perceived restriction at end range flexion is posterior he may be lacking posterior tibial glide. If you get him at end range, have him mentally record how strong the barrier feels, then do essentially a posterior drawer test/mobilization on him, if the barrier eases some, he needs more accessory motion there.

Something to try if you already haven't

(in reply to ScottBoltonPT)
Post #: 2
Page:   [1]
All Forums >> [RehabEdge Forum] >> Orthopedics >> Arthofibrosis Treatment after Total Knee Arthroplasty Page: [1]
Jump to:





New Messages No New Messages
Hot Topic w/ New Messages Hot Topic w/o New Messages
Locked w/ New Messages Locked w/o New Messages
 Post New Thread
 Reply to Message
 Post New Poll
 Submit Vote
 Delete My Own Post
 Delete My Own Thread
 Rate Posts



Google Custom Search
Forum Software © ASPPlayground.NET Advanced Edition 2.5.5 Unicode

0.031