Revision Total Knee Arthroplasty for Arthrofibrosis

The prevalence of stiffness after total knee arthroplasty (TKA) ranges from 1 to 13%. Once individuals have exhausted nonoperative options, including physical medicine and rehabilitation and manipulation under anesthesia (MUA), revision surgery might be considered. The rate of adverse events after revision TKA (rTKA) for arthrofibrosis is about 28%, while the reoperation rate is around 17%. When comparing the results of MUA, arthroscopic lysis of adhesions (aLOA), and rTKA for arthrofibrosis and stiffness following TKA, as many as 43% of rTKA individuals need further care compared to 25% of aLOA and 17% of MUA individuals. Stiffness after TKA endures a challenging condition to treat.