At my 6 week post-op follow-up, my surgeon was not pleased with my lack of extension. He mentioned there had been discussion in the surgery about moving down a half size, but he didn't go down a half size(doesn't the rep have supplies ready in the room in anticipation; isn't this stuff planned based on our images???). He said the larger size maybe contributing to my stiffness and that he could fix it while I was under for my second replacement scheduled almost 2 months out. The other components are smaller sizes. I didn't understand this when I was there.

Since then I have been reading about MUA (manipulation under anesthesia) and the huge amount of starting all over again with daily PT, aggressively after MUA. Plus I have learned this does not work for oversized components. And I have learned if there is MUA, it should be done early on for it to be effective, and it does statistically lead to increased need for revision surgeries!

Everything is on pause currently as I seek out another opinion. The Dr. has walked back his comments spoken in front of myself and 2 others, saying the component overhangs slightly only and he did not state it was too large. My Physical therapist had mentioned early on that it was unusual for me to have both flexion and extension issues, as she has only observed one or the other in her TKA patients. She also noted that my anterior pain that I state when walking lines up with this issue.

I currently am working very hard with PT 3x/wk, and at home daily often. I still need my 5mg oxycodone prior to PT so they can "crank" my knee to the ROM (122* and 0* yesterday!). I use Tylenol and Motrin to keep moving the rest of the time. My ROM 3s are improving. Every day I wake up soooo stiff, and feel like I am starting all over again. Prior to my post-op appointment, I thought this was part of the slow normal recovery process. Now I am not so sure. Highly acclaimed joint replacement center, really great care from the get go.

My walking has been very hard, pain starts about 2 blocks in.

Anyone going through any of this?