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Scar tissue after knee replacement

Joint Replacements | Last Active: Oct 10 8:31am | Replies (1550)

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@dsoda

Hi, I'm 44 I just had a makoplasty, a partial knee replacememt on my left knee, I cant get it to bend past 70 degrees and its 2 and a half weeks out of surgery, I've been reading posts and it seems like some people make scar tissue more than others. Is there a way to fond out if that is the problem?
My surgeon said at the 5 week mark if I cant move it to 90 degrees he will put me under and manipulate it, that scares me though...

What is that like? Is it painful? Can you continue moving it when you wake up? Will you just make more scar tissue ?

I should be more aggressive at home but it hurts, it does not want to bend, the pain upon bending is enormous and then straightening it out is bad.

I can straighten my knee to negative 4 degrees which they tell me is good, it's just the bending that has me in a panic.

** also how mong does it take to be able to passively bend the knee ...? They can push it painfully to 80 degrees but I cant just sit down at 70 or 80 I sit at like 40 or 60 degrees.

Also how long till I'm off I'm Walker?

ANY advice help or stories or explanations would be so grateful. I am terrified i made a mistake by doing this surgery and now I'll never bend my knee or be in constant pain or jave multiple surgeries.

I really cant go through another SURGERY

Thanks,

Deb

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Replies to "Hi, I'm 44 I just had a makoplasty, a partial knee replacememt on my left knee,..."

Hi @dsoda - Welcome to Connect! There are lots of people here with great experience to share. I'm wondering how long ago was your partial knee replacement? If it was just a short time, I think you can look forward to great improvement. I'm also wondering what kind of pain meds you are taking? For me, it was important to take my pain meds before PT - otherwise it hurt too much to really accomplish anything. I've heard some people who tried to get off the pain meds too soon and they regretted it later when PT didn't work as well.

I just had a total knee replacement in January and the difference between my flex & extension leaving the hospital vs. now after one month is major. I'm at 128 degrees flexion, but I'll say this - there are a lot of people on this forum who never even get to 120 but end up being perfectly comfortable with getting around and doing their regular activities. Also, you asked about use of the walker, I was off the walker in my 2nd week when I started using a cane. At this point, I'm walking around the house w/o the cane, but I use it when I go outside or in the evenings when my knee is more tired.

Here is an article about manipulation under anesthesia (MUA).
https://www.mayoclinic.org/medical-professionals/orthopedic-surgery/news/animal-models-aid-study-of-arthrofibrosis-after-tka/mac-20429402
I'm hoping you feel better every day. Best of luck.

The knee manipulation isn't that bad you are a sleep there is no cutting it is sore for a day or so but not to bad . But mine only worked for a few days then right back to being swollen and painful

@dsoda Many on this site know more than I do especially about MUA ... but isn't that kind of fast to go to a MUA? 2.5 weeks is SO so early in this process. Are you in frequent PT 2 or 3 times a week and doing heel slides in bed and other gradual exercises 3-4 times a day? It's so key to do frequent movement and exercises at home. I took real pain killers to make the exercise less painful. And you're icing a lot? Good luck.

I'm not sure on recovery for a partial but I just had my second total knee replacement done. 70 degrees at 2 weeks is fantastic. Allow yourself to heal and do the therapy. It's a process and with patience you will be happier. Everybody is different on healing and moving off a walker. I took my cane to therapy with my walker and told them it's time. I was at my 2nd week appt. My therapist (s) follow your lead on that. If your gait is good and you can support your weight it's a good time to ask about the cane. I cried every day at my 3-wk mark, begging the God's to take the surgery back. They ignored me and within 3 mths I had my life back, pain free and never regretted it. You got this!