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Motion Loss after Ligament Injuries to the Knee

Part II: Prevention and Treatment

Peter J. Millett, MD, MSc^*,, Thomas L. Wickiewicz, MD and Russell F. Warren, MD

^* Steadman Hawkins Clinic, Vail, Colorado
Hospital for Special Surgery, New York, New York

Address correspondence and reprint requests to Peter J. Millett, MD, MSc, Harvard Medical School, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02118

This is the second part of a two-part review on motion problems after ligament injuries to the knee. The first part, published in the September/October 2001 issue, discussed normal and abnormal knee motion, terminology, risk factors, and pathoanatomy. The purpose of this article is to review current concepts on prevention and treatment of motion problems, summarizing the recent and pertinent studies that discuss this complicated clinical problem. The first part of this article will discuss the different classification schemes that have been published on motion loss of the knee. Prevention strategies will be discussed next, followed by early recognition. Finally, a discussion of the various treatment options and published results will be presented in detail, together with the authors’ nine-step systematic surgical approach to the stiff knee.

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