Arthrolysis

Arthrolysis is a surgical technique aimed at improving the range of motion in joints that have become stiff due to scar formation or contractures. This condition, known as “arthrofibrosis,” can occur after injuries, fractures, or surgical procedures like ligament reconstruction or joint replacement. The procedure involves clearing away excess scar tissue, releasing adhesions, and correcting joint alignment where necessary.

Surgeons may perform arthrolysis using either:

• Open Arthrolysis – A traditional approach involving a larger incision to access and release the joint.
• Minimally Invasive Arthrolysis – Performed using small incisions and specialized instruments, offering quicker recovery and less tissue damage.

Arthrolysis is considered when:

• A joint remains stiff and painful despite physiotherapy and conservative treatments.
• Scar tissue formation severely restricts motion.
• Daily activities or sports performance are limited due to joint immobility.
• Stiffness develops after fractures, ligament surgeries, or joint replacement procedures.

1. Evaluation and Planning – Imaging studies (X-rays, MRI, or CT scans) help determine the extent of scar tissue and joint restriction.
2. Anesthesia – The patient is given regional or general anesthesia for comfort.
3. Surgical Release – Scar tissue and adhesions are carefully removed, and tight structures are released to improve joint motion. In some cases, additional procedures such as ligament balancing or hardware removal are performed.
4. Closure and Protection – The incision is closed, and the joint is protected with a dressing or brace, depending on the joint treated.

Recovery after arthrolysis requires a structured rehabilitation program to maintain the improved motion and prevent recurrence of stiffness:

• Early Physiotherapy – Gentle exercises begin soon after surgery to keep the joint mobile.
• Pain Management – Medications and cold therapy help control pain and swelling.
• Strengthening Exercises – Gradual strengthening of surrounding muscles improves stability.
• Return to Activities – Most patients resume normal activities within a few months, while complete recovery varies depending on the joint and extent of surgery.

• Restores joint mobility and flexibility.
• Reduces chronic stiffness and pain.
• Improves overall function and quality of life.
• Enables return to work, sports, and daily activities.

Severe joint stiffness can interfere with even the simplest daily tasks and may not always respond to conservative treatments. Arthrolysis surgery provides an effective solution by releasing scar tissue and restoring natural motion. With expert surgical care and dedicated rehabilitation, patients can expect significant improvement in mobility, pain relief, and long-term joint function. If you are experiencing persistent joint stiffness, consulting an orthopedic specialist can help determine whether arthrolysis is the right option for you.