Dynamic Splinting in Children and Adolescents With Stiffness After Knee Surgery

Journal of Pediatric Orthopedics
James L PaceMininder S Kocher

Abstract

The purpose of this study was to investigate the indications and outcomes of dynamic splinting (DS) of the arthrofibrotic knee in the pediatric population. Seventy-four patients (41 males, 33 females) with postoperative arthrofibrosis treated with DS after an index knee surgery were reviewed. Median age was 13 years (range, 4 to 18 y), and median follow-up was 17 months (interquartile range, 10 to 28 mo). Demographics, index surgery procedure, preoperative and postoperative knee range of motion (ROM) measurements, treatment length and subsequent need for manipulation under anesthesia (MUA), and surgical lysis of adhesions (LOA) were evaluated. A ROM deficit was defined as lack of extension ≥10 degrees or lack of flexion <130 degrees. Successful improvement of ROM was defined as an increase of ≥10 degrees in flexion, extension, or both. There were 23 patients with flexion deficit only, 17 with extension deficit only, and 34 with combined flexion and extension deficits. Wilcoxon signed-rank test was used to assess median improvement in ROM. Patients were classified into 4 surgical groups: anterior cruciate ligament (ACL) reconstruction without meniscal repair (n=19), ACL reconstruction with meniscal repair (n=12), tibial spine fr...Continue Reading

References

Jan 1, 1995·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P AgliettiG Zaccherotti
Mar 1, 1994·The American Journal of Sports Medicine·A J CosgareaJ E Lovelock
Mar 1, 1994·The American Journal of Sports Medicine·K D Shelbourne, G E Johnson
Nov 1, 1996·The American Journal of Sports Medicine·K D ShelbourneD J Martini
May 1, 1999·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·K D Shelbourne, D V Patel
Sep 7, 2000·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F R NoyesT P Heckmann
Jun 28, 2002·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Karen Schultz-Johnson
Sep 5, 2002·The Journal of Bone and Joint Surgery. American Volume·Mininder S KocherRichard J Hawkins
Jan 11, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Vladimir Senekovic, Matjaz Veselko
Feb 5, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert E Hunter, John A Willis
May 27, 2004·The Journal of the American Academy of Orthopaedic Surgeons·Matthew R Bong, Paul E Di Cesare
Jul 10, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·David H KimPeter J Millett
Oct 14, 2004·Archives of Orthopaedic and Trauma Surgery·Hermann O MayrWolfgang Plitz
Dec 6, 2005·The Journal of Bone and Joint Surgery. American Volume·Anil BhaveGracia Etienne
Nov 3, 2006·American Journal of Physical Medicine & Rehabilitation·Victoria Brander, S David Stulberg
Aug 23, 2007·The Journal of Orthopaedic and Sports Physical Therapy·David Logerstedt, Brian J Sennett
Jun 10, 2008·The Knee·Peter M BonuttiMichael A Mont
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Purushottam A GholveRoger F Widmann
Oct 15, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Peter M BonuttiMichael G Zywiel
Dec 25, 2009·The American Journal of Sports Medicine·Kelly L Vander HaveJose A Herrera-Soto
Jan 21, 2010·Operative Orthopädie und Traumatologie·Denise Freiling, Philipp Lobenhoffer
Feb 17, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Brian J Eckenrode, Brian J Sennett
May 24, 2011·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Celeste GlasgowSusan Peters
Aug 6, 2011·Journal of the American Podiatric Medical Association·Mathew M JohnF Buck Willis
Nov 5, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Michael R Chen, Jason L Dragoo
Nov 22, 2011·Journal of Pediatric Orthopedics·Benedict U NwachukwuMininder S Kocher
Apr 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Anneluuk L C LindenhoviusDavid Ring
Apr 18, 2015·The American Journal of Sports Medicine·Brian C WernerF Winston Gwathmey

❮ Previous
Next ❯

Citations

Jul 10, 2018·Journal of Pediatric Orthopedics·Peter D FabricantMininder S Kocher
Sep 4, 2018·Connective Tissue Research·Antonia F ChenJoseph A Abboud
Aug 14, 2019·Journal of Back and Musculoskeletal Rehabilitation·Man-Man WangFeng Zhang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.