Posttraumatic limitations in range of movement of the knee joint

Limitations of range of movement of the knee joint are frequent sequelae of complex knee trauma. The subjective outcome is significantly compromised by loss of movement of the knee joint. This article discusses the osseous and soft tissue factors contributing to loss of movement of the knee joint after trauma. Indications and techniques of arthrolysis, posterior capsulotomy, periarticular osteotomy, tuberosity shift, patella tendon lengthening, vastus intermedius resection and quadricepsplasty are discussed. In summary complex revision surgery is often indicated to improve function of the knee and quality of life of the patients.