Scar tissue removal surgery following knee replacement surgery

I’m having ROM issues five plus months after TKR. Surgeon didn’t want to go the MUS at two months or so now I’m leary of it this far down the line. I’m going k laser therapy it has helped with pain and I’m able to move my knee somewhat better after 7 treatments.

@grandpun

That is the challenge. I suggest using research papers, etc. to decide on features you would like in a surgeon. Then build a list and look for videos, reviews, etc. Finally, narrow down the list and ask potential surgeons (or their offices) what they do about these features. Mine are:

1) minimally invasive surgery (subvastus or midvsatus);
2) No routine use of a tourniquet;
3) able and will to do a bicruciate retaining implant ("BCR") [probably unique to me];
4) Does a Functional alignment to repair my severe misalignment or at least a kinematic or inverse kinematic alignment (NOT a mechanical alignment);
5) Does a substantial revision business;
6) HAS EXTENSIVE EXPERIENCE DOING ALL OF THE ABOVE;
7) Has great hands;
8) Has a great mind.

You probably can't get answer to all of them but try for as many as you can. My surgeon met all of my requirements and I had no post surgery pain. My surgeon's recovery protocol was to essential rest and ice for two weeks to let the inflammation subside and then commence PT in the third week. I followed his protocol and that week my PT measured my ROM at 122.

@steveinarizona
Thank you Steve. Most helpful. With these leads I also found a couple sources of surgeon info:
The ProPublica website, has a directory of local hospitals that perform eight common procedures, along with surgeons on staff who perform them, the number of procedures they’ve done and their complication rates.
And, SurgeonRatings.org, from the nonprofit group Consumers’ Checkbook.
I hope these will help others searching for a good surgeon.

I had TKR October 2024, i'm on Eliquis, had aspiration twice within first 6 weeks after TKR, had 60 ml blood aspirated 7 months after TKR, eventualy had synovectomy and lateral release 14 months after TKR. A large amount of scar tissue was removed. Since that procedure (December 9, 2025) i've had two more aspirations, 65 and 60 ml bloods. I have become completely frustrated, still have a large bump on lateral aspect of knee.

@grandpun try shock wave and hilt therapy. This helped me with scar tissue and pain

@lorag I have about 7 more treatments to go