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← Return to Knee replacement blues
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Has anyone on here undergone an arthroscopic lysis of adhesions post total knee arthroplasty..TKA? I am 3 yrs. Post right knee replacement. I did weeks and weeks of PT , had an MUA at 3mos. post surgery, but continued to lose flexion. I have 80degrees flexion now and would like to be able to ride my bicycle again. My question is to find out how much gain in flexion you obtained after the arthroscopy procedure, and recovery times. Thank you!
Replies to "Has anyone on here undergone an arthroscopic lysis of adhesions post total knee arthroplasty..TKA? I am..."
Post TKR, due to a limited Range, inflammation and pain, I had an Arthroscopic Debridement, aimed at removing excessive scarring (Arthrofibrosis). As a result, I got even more scarring. I then had an Open Debridement which resulted in even more scar tissue. Doctors do not know how an individual’s immune system will respond. Studies show that 3-13% of those having a TKR will suffer from excessive scarring. I have now been advised to have a revision to a “hinged knee”. In this procedure, they remove your tendons, as they are an area that hold a significant amount of the scar tissue. The hinge then replaces the tendons. This was the recommendation from a Doctor at HSS in Manhattan (#1 worldwide in Orthopedics). I expect to have this revision surgery in mid 2025.
At HSS I was told that they are developing a test to forecast if someone is prone to excessive scarring. I read that the Mayo Clinic and several others are working as well to develop such a test. If this test had exist prior to my TKR, I never would have had it. I hope this helps.
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I'm having it done in a couple months but it's more for Patellar Clunk syndrome. While he's in there cleaning that up he will also take care of adhesions in other areas. But he says reopening the original incision (open arthrotomy) is the better way to go because he gets a much better view (obviously) than what the tiny keyhole views you get trying to do it arthroscopically. Plus it reduces the chance of damaging the prosthetics. I had TKR 7.5 mis ago and he's having me wait until I'm 9 mos post-op to give my knee a chance to fully heal and get stronger prior to surgery. I've been dealing with this uncomfortable clunking with each bend if the knee which is such a gross and unnatural sensation. I'm hoping by that time I will learn to live with it and won't be eager to have surgery but I would love the miracle of waking up from surgery to finally have a smooth glide. I also have the painful adhesions in the area where the vastus oblique muscle was cut through to gain access to the capsule to do the TKR which limits my ROM but I do have 120 to 130 but I'd love to have more if that would be possible after surgery but my main goal is to get rid of the clunk. Ugh!