By Robert E. Hunter
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Additional info for AANA Advanced Arthroscopy. The Knee
These changes may lead to pain, swelling, and restricted motion of the knee. Hypertrophy of the fad pad may cause it to become entrapped between the tibia and femur. Catching of this hypertrophied fat pad may occur when the flexed knee is extended suddenly. If this condition persists for a significant period, fibrosis may develop. PATIENT EVALUATION History and Physical Examination A detailed history should be obtained from the patient. The examiner must inquire about any previous trauma, infections, fractures, or surgery to the knee.
1985; 1:76-82. 10. 11. 12. 13. 14. 27 Jennings JE. Arthroscopic management of tibial plateau fractures. Arthroscopy. 1985;1:160-168. Buchko GM, Johnson DH. Arthroscopically assisted operative management of tibial plateau fractures. Clin Orthop Relat Res. 1996;(332):29-36. Lubowitz J, Vance K, Ayala M, et al. Interference screw technique for arthroscopic reduction and internal fixation of compression fractures of the tibial plateau. Arthroscopy. 2006;22:1359e1-1359e3. Lubowitz J, Grauer, J. Arthroscopic treatment of anterior cruciate ligament avulsion.
Patients may bear weight as tolerated, with the brace locked at 0 degrees. Crutches are generally discontinued by postoperative day 10. At 4 weeks, the brace is removed, and closed-chain quadriceps exercises are begun. At 8 weeks, easy straight-ahead running is initiated and pivot-twist maneuvers are avoided until at least 12 weeks after surgery. COMPLICATIONS FIGURE 2-9 The sutures are tied through one of the wire holes, leaving no incision along the tibia. PEARLS& PITFALLS PEARLS ● ● ● ● Intra-articular fractures result in more bleeding and larger, more painful effusions than ligament or cartilage injuries.