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@debbraw

Hi @jillypooh - Welcome to Connect! There are a lot of great people here who are helpful and caring in sharing their experience. I'm going to say that 3 or 4 months is still a little early in the healing process. I think you will continue to gain extension and flexion as you exercise. For me, I continued to improve for months. I hope you will too.

I agree with @contentandwell JK that I haven't heard of that particular outcome in a TKR, however, there was a discussion about changes is leg length due to a hip replacement. You might check out this link:
https://connect.mayoclinic.org/discussion/does-any-one-know-if-you-have-a-hip-replacement-1-leg/?pg=1#comment-31704

As you will see there there is an NIH study mentioned that addresses the issue of "limb discrepancy:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4094096/

I'm curious about how you determined that there was a difference in length? I know when I had my TKR and was working on leg extension it would have been really painful to try to measure my leg length. Also curious as to what your physical therapist says? Does he/she have any advice? Please keep us posted as to what the doctor says when you get in touch with him. Wishing you the best.

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Replies to "Hi @jillypooh - Welcome to Connect! There are a lot of great people here who are..."

@debbraw, @jillypooh : I read this ancient post/question while browsing for another subject. Anyway, for what it’s worth at this point in time: I had right TKR in Sept. 2018. Pretty decent recovery, nothing out of the ordinary, except it took months for me to get full extension. Flex was easy. PT basically forbade me from walking until leg was at 0 to prevent hip issues. Fast forward: I did lots of swimming, some recumbent biking, not too much walking for exercise. Suspended indoor pool membership end of May, transitioned to lots of walking. Hip bursitis! On and off. PT exercises did not help. Cortisone shot did, some. Mid July suddenly problems with gait. Could not take a full stride with my left (good!) leg. Legs measured, TKR leg is about 1/3” longer than the other. Not sure if it was like that before, but never had problems, so it MIGHT have been result of surgery. Working with orthotic inserts now, big improvement. I did have to do 2 weeks of specific exercises to make sure it’s not a muscle imbalance or tendon issue before being fitted for orthotics, but repeat measurement after those 2 weeks still showed the same leg length difference.