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← Return to Knee replacement blues
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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.
Replies to "Post TKR, due to a limited Range, inflammation and pain, I had an Arthroscopic Debridement, aimed..."
Hi I like you I have had tkr and a revision at one year mark …. I am like 2 years out of revision still have issues… I like you develop scar tissue quickly ….was doing ok going to gym 4-5 days a week range of motion was 100 which I can live with …. Than I was involved in car accident in October I have not been able to go to the gym … I continue to stretch but was not enough in no time my range dropped to 85….now Dr suggested arthroscopic scar tissue removal …. But reading your story may not be good choice …. I am going to aqua therapy right now so I will see how this goes ….. if I get back to 100 and can get back to gym I will be content… I always have some sort of pain in my knee but exercising definitely feels better than doing nothing….good luck to you but know you are not alone many of us out here …
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Thank you for your response. That is exactly what I fear could happen to me. I have had multiple problems related to abdominal adhesions in the past and even required a lysis of adhesions in New Zealand while sailing a circumnavigation. I must postpone the scheduled arthroscopic lysis of knee at this time due to the recurrence of my husband’s NSCLC ( lung cancer). He will have concurrent radiation/chemo. We can’t both be ‘debilitated’ at the same time. We are receiving all care at the Mayo Clinic in Jacksonville.