← Return to Severe Arthrofibrosis post TKA. Radiation w/Revision?

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@jverbois

My doctor recommended low dose radiation after I get my scar resection. I’ve had a partial knee replacement that was converted to a full knee replacement after a year with a lot of pain still. Turned out the cement didn’t hold and it was rattling around in there. Ended up not working out, after 10 more years, had a total knee revision and it was great for about 10 months, had great range of motion until I fell down the stairs. I fractured a rib, a vertebral body, concussion, knee and shoulder pain. I focused on the ribs, vertebral body and concussion and my knee ended up getting arthrofibrosis. I barely have any range of motion now. I am having surgery June 30th and hoping this will give me some relief and range of motion.

Has anyone done radiation for this? My doctor said there isn’t enough studies out there yet but he has had patients with success. He said he doesn’t know if it will make a difference, but said it might be worth trying.

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Replies to "My doctor recommended low dose radiation after I get my scar resection. I’ve had a partial..."

My surgeon said he had heard of a study out of Europe where they used radiation. Apparently they have been doing it for folks who develop heterotopic ossification. Mine was at a cancer hospital attached to the surgical hospital where I had my knee revision. He suggested it might kill off those inflammatory cells that generate the Arthrofibrotic scar tissue after surgery. So far, I have about 100 degrees of flexion, and I still have 0 degrees extension. My first knee replacement, 10 years ago, generated so much Arthrofibrosis that I only had 40 degrees flexion, between 20 and 60. I limped for those ten years, so the ligaments and tendons shrunk, and they were LOADED with fibrotic tissue. He removed them and put in a hinge. I'm still experiencing some swelling, but I use the ice machine regularly to deal with that - didn't have one the first time around - highly recommend it. Sending you lots of good luck - you deserve it, after the rocky experience you've had. Best wishes! Oh - by the way, if your surgeon can use a cauterizer to avoid generating lotsa blood during surgery, that would help - and no tourniquet if possible. Look at the International Arthrofibrosis Association website - they have a great deal of helpful advice.