Hi @mhort1213: It's been a few years since your post but I'm hoping you might still be looking at this from time to time ...or anyone else with similar situation. I have the same poor outcome complaints as @mhort1213 after TKR :tight painful tendon, swelling. My left TKR surgery was also in Feb 2019 however I DID have a Mayo robotic assisted. Not done at Mayo Clinic but in Aspen Colorado. Now fast forward it is Nov. 2021 symptoms have very very slowly improved with almost 2 full years of PT. But the symptoms still persist. I have very good ROM and can push through several hours of fairly rigorous activity, BUT I still experience constant swelling and pain. I need another knee replacement on the right leg this time. I too am scared because of the mixed bag outcome. I live Grand Junction, Colorado and am having a terrible time deciding who is a VERY good surgeon in my area. It seems the inconvenience and extra time driving out of town did not pay off for me before. I get mixed reviews on the Steadman Clinic from friends and acquaintances, and all the local in tow surgeons have been terrible to work with. So what did you do @mhort1213? Did you have the second TKR surgery? Where? Which Doc? What is your feedback?