Intra-articular fibrous bands and soft-tissue impingement under the patella
after total knee replacement are a well known complications that can be di
agnosed and treated arthroscopically. Arthroscopic treatment of soft-tissue
impingement between femoral and tibial components in a total knee arthropl
asty has been recently reported. The purpose of this article is to report o
ne 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, pie propose a clasific
ation of the fibrotic reactions after total knee arthroplasty: (A)Multiples
or complex bundles reactions; and (B)singles or isolates nodular forms: fi
brous nodule in the femoropatelar area (clunk syndrome), and fibrous nodule
in the intercondylar notch.