Hello @lukeav,

I apologize for the delay in my response. First, welcome to Connect. Second, I'd like to invite @rjmurray41, @dawn_giacabazi, and @mnpat to share their experiences with ACL injuries.

I had my knee replaced and struggled with extension and flexion and it was directly related to scar tissue. It took two additional procedures called, manipulations, and excessive activity to finally get my knee to loosen up. It sounds like scar tissue may be your enemy as well, although I am not a medical professional and cannot diagnose. Have you spoke with your surgeon about this issue? If so, has scar tissue removal been recommended?