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Category Archives for ROM – range of motion

Surgical Treatments for Established Arthrofibrosis: Salvage or Cure?

Arthrofibrosis is the consequence of fibrotic tissue that occurs as a result of knee injury or surgery of some sort, most commonly associated with Anterior Cruciate Ligament (ACL) reconstruction, but may occur with any invasive procedure of the knee such as Total Knee Replacement. Arthrofibrosis may result in significant disability to those patients who have […]

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Measuring the range of motion of the knee with a goniometer

Measurement of ROM in a rehabilitation unit is traditionally performed with a little instrument called a goniometer. ‘Gon’ is a Greek prefix implying ‘knee’ so a ‘goniometer’ means an instrument for measuring the knee, although in practice it can be used for measuring ROM of any joint.Goniometers are traditionally plastic, with two arms connected at […]

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Overzealous Physiotherapy: A Cautionary Tale

The development of knee arthrofibrosis is a serious complication of knee surgery, and in particular of knee ligament reconstruction and total knee replacement, and especially if complicated by post-operative bleeding into the joint cavity. How the physiotherapist guides the all important rehabilitation process can have disastrous or excellent recovery potential for the patient. It is […]

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My Arthrofibrosis Story

My life in retrospect is divided into segments of “before the accident” and “after the accident” as it was a defining time in my life, with longstanding repercussions.I was very active, a dancer, a runner – a life no one would describe as sedentary as it is now. I had always led a dynamic lifestyle, […]

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Cyclops lesion after ACL reconstruction

The mythical ‘Cyclops’ creatures had an eye in the centre of their forehead. The ‘cyclops’ lesion that we refer to in the knee is a fibrous nodule, resembling an eyeball, localised to the middle of the rounded part of the femur, and obscuring the notch area and cruciate ligaments. It forms in relation to damage […]

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Why do so many knee replacement patients end up with a stiff knee?

It’s common for the knee replacement patient to have to wait many years before undergoing their surgery because the classical wisdom is that the knee replacement will eventually wear out sufficiently to require revision, so the longer it can be put off the smaller the likelihood of such a revision becoming necessary. By the time […]

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