I had my TKR done in Rochester, NY.
I ended up with excessive scarring (Arthrofibrosis). They then did an MUA, followed by Arthroscopic Debridement (for scar tissue removal) and finally an Open Debridement. After each procedure, I ended up a bit worse, with limited ROM, pain and inflammation. Having checked and losing faith that a doctor in Rochester had the necessary experience to correct my condition, I made an appointment with a doc at The Hospital For Special Surgery (HHS) in NYC. There, you choose your doctor online ahead of an appointment, which gives you the opportunity to review their areas of expertise, education, experience, review articles they have written and see reviews. At HSS (#1 worldwide in Orthopedics)they advised revision to a “Hinged Knee”. Since HHS does not accept insurance, I then chose a doctor online at The Mayo Clinic (#2 Worldwide in Ortho.) for treatment. They declined to see me, citing that they have many more people trying to get in than they can handle. I then searched doctors at NYU Langone Orthopedic Center in NYC (#3 Nationally in Ortho. I visited there, where Dr.Bosco recommended revision to a Constrained Condular Knee (CCK) . With severe Arthrofibrosis, the more common approaches are either a hinged knee or a CCK. I am now scheduled for the surgery in May. Dr. Bosco feels that the surgery will increase my ROM significantly. And Langone takes Medicaid and many other insurances. I hope this helps. Rochester, NY is not a small town and I still was unable to find anyone here experience in these more complex procedures, so I feel for someone coming from a small town and in need of expert treatment for something uncommon, as severe Arthrofibrosis affects under 5% of those having TRK’s. That said, it was important enough for me to bite the bullet and travel, which I found necessary. BEST OF LUCK TO YOU!!