Carro L P, Suarez G G
Servicio de Traumatologia, Hospital de Laredo, Cantabria, Spain.
Arthroscopy. 1999 Jan-Feb;15(1):103-5. doi: 10.1053/ar.1999.v15.015010.
Intra-articular fibrous bands and soft-tissue impingement under the patella after total knee replacement are a well known complications that can be diagnosed and treated arthroscopically. Arthroscopic treatment of soft-tissue impingement between femoral and tibial components in a total knee arthroplasty has been recently reported. The purpose of this article is to report one more case of this pathology of a more fibrotic type resembling a nodule in the intercondylar notch that prevents total extension and to discuss the possible origin and clinical significance. Finally, we propose a classification of the fibrotic reactions after total knee arthroplasty: (A)Multiples or complex bundles reactions; and (B)singles or isolates nodular forms: fibrous nodule in the femoropatelar area (clunk syndrome), and fibrous nodule in the intercondylar notch.
全膝关节置换术后关节内纤维带和髌下软组织撞击是一种众所周知的并发症，可通过关节镜进行诊断和治疗。最近有报道对全膝关节置换术中股骨和胫骨部件之间的软组织撞击进行关节镜治疗。本文的目的是报告另一例这种更纤维化类型的病例，其在髁间切迹处类似结节，阻碍完全伸直，并讨论其可能的起源和临床意义。最后，我们提出全膝关节置换术后纤维化反应的分类：(A) 多个或复杂束状反应；(B) 单个或孤立结节状形式：股髌区域的纤维结节（卡顿综合征）和髁间切迹处的纤维结节。
