Arthroscopic Vastus Elevation (AVE) for Arthrofibrosis of the Knee: Surgical Technique and Literature Review


Arthrofibrosis of the knee continues to challenge Orthopaedic surgeons. With a wide etiology, lack of knee motion can be debilitating. Its surgical management has several complications. The purpose of this study is to describe a modification of previously described techniques to aid in the management of knee arthrofibrosis. Arthroscopic vastus elevation in conjunction with adjuvant hemostatic agents allows for a controlled quadriceps elevation in the setting of arthrofibrosis. In addition to a thorough intra-articular lysis of adhesions, this appears to improve motion, while minimizing postoperative complications. Minimized postoperative complications include extensor lag, skin necrosis, and bleeding complications. (Journal of Surgical Orthopaedic Advances 29(2):117–120, 2020) Keywords: arthroscopic, arthrofibrosis, elevation, lysis, knee stiffness

SKU: JSOA-2020-29-2-S0 Categories: , Tags: , , , ,

Saif U. Zaman, MD; Ikenna Nwachuku, MD; Rebecca Griffith, MD; Tina Wang, MD; and Hasan M. Syed, MD