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Failure of interpositional membrane to prevent recurrent arthrofibrosis
1Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, California 95817, USA. meehan3@hotmail.com
The Journal of Knee Surgery
|February 19, 2011
Summary
Silicone membranes, used to prevent scar tissue after knee replacement, were ineffective in this case. The patient experienced recurrent stiffness, requiring membrane removal and further surgery for improved motion.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Silicone is widely used in healthcare, including orthopedic implants.
- Its application as an interpositional membrane to prevent adhesions has yielded variable outcomes.
Observation:
- A patient with recurrent arthrofibrosis underwent total knee replacement.
- Following surgery, a silicone interpositional membrane was placed to minimize scar tissue formation.
Findings:
- The silicone membrane failed to prevent adhesion recurrence and arthrofibrosis.
- Persistent stiffness necessitated the membrane's removal and correction of patellofemoral issues.
Implications:
- Silicone interpositional membranes may not be effective for preventing arthrofibrosis post-total knee arthroplasty.
- Addressing underlying biomechanical issues, like patellofemoral compartment overload, is crucial for managing stiffness.
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