After the TKR, did you do PT and for how long/often, and did you do the post-op exercises (usually three times a day) as soon as you got home? Scar tissue usually forms due to inactivity after surgery.
I don't know that removing the scar tissue will help, or rather how much it will help. But check with the surgeon about post-op exercises. I think for all joint replacements, if rehab exercises are ignored or not done fully, scar tissue will form and place limitations on flexion. I'm a little surprised you're at full extension (zero degrees) with the scar tissue.
I'm not assuming, but so often scar tissue forms due to post-op inactivity. A successful joint replacement and recovery are about 10% due to the skill of the surgeon, and about 90% due to the work of the patient pre and post op.
I'm a 68 y/o male and had both knees replaced in 2022. I worked with a trainer before the surgery, did all the post-op exercises with a PT and at home, and am in the gym 6 days a week. I'm very sorry about what's going on with you at such a young age. I get the frustration. Hopefully the scar tissue removal will help, and please ask about a post-op regimen to get your knee flexion back.
All the best to you.
Thank you for your insight and input. I did do exercises etc. I was very active prior to surgery, in the gym, road biking, walking daily, kayaking etc. I went into PT immediately after surgery and worked hard. When scar tissue began reforming is when the restrictions started. I did many sessions of PT after that only to have my knee blow up with fluid. I have been on this journey for 4 years, all during that time, I have done the work. My last session of PT, my surgeon ceased PT due to my knee swelling to the point of me not being able to walk. I have spent the last 3 months letting it "settle down" so he could perform the scar tissue removal surgery. I am doing my best to remain positive throughout this process. I have good days and bad days. Living with the ongoing pain daily with every step I take is wrenching. It can put you in a bad dark place. I am ready to see the light.
Again, thank you for all you insight.