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N. TARDY, M. THAUNAT, B. SONNERY-COTTET, C.G. MURPHY, P. CHAMBAT, J.M. FAYARD

214

not practise sports (patients 3 and 4 – Table 2).

Two patients decreased in activity level

because of residual knee pain (patients 8 and

12) but follow-up was only at 6 and 9 months,

respectively.Functional outcomes were not

statistically influenced by age, time between

index surgery and arthrolysis, or associated

surgical procedures such as menisectomy or

ACL graft shaving during arthrolysis.

One patient (patient 7) complained of knee

instability 6 months after arthrolysis. In this

case, the ACL graft had to be resected in order

to obtain full extension at the end of the

procedure, and ACL revision using hamstring

Patients

Follow-up

after

arthrolysis

(months)

Extension

Flexion

Objective IKDC Subjective

IKDC Activity level

*

Patient

satisfaction

(scale of 10)

Pre-

operative

Post-

operative

Pre-

operative

Post-

operative

Pre-

operative

Post-

operative

Post-

operative

Pre-

injury

At

follow

up

At follow up

1

33

-10

0

110

140

C

B

92

I

I

10

2

22

-10

0

100

140

C

A

95

I

I

9

3

22

-20

0

120

140

C

B

79

IV IV

10

4

90

-15

0

110

140

D

A

87

IV IV

9

5

28

-30

0

110

130

D

A

82

I

I

9

6

35

-20

0

120

140

C

A

99

II

II

9

7

14

-15

0

130

130

D

B

98

II

II

10

8

9

-15

0

130

130

D

B

70

I

III

9

9

40

-15

0

80

125

C

B

80

II

II

9

10

65

-15

0

110

140

D

A

98

II

II

10

11

86

-10

5

120

140

D

B

78

II

II

8

12

6

-20

0

110

130

D

B

79

II

IV

9

Average

(range)

± SD

38 (6-90)

-16.25°

± 5.7

0.4°

± 1.4

112.5°

±13.6

135.4°

± 5.8

86.4

± 9.7

9,25

± 0,6

Table 2:

Postoperative clinical outcomes.

*Class I: jumping, pivoting, hard cutting, soccer. Class II: heavy manual work, skiing and tennis.

Class III: light manual work, jogging and running. Class IV: sedentary work and activities of daily living.