@EalingGran Thanks for posting the research re hydrogel. It's a small study , but a positive improvement lasting at least 4 yrs is encouraging. I will watch for more info on this option to a second TKR.
I saw in another thread that you were asking about longer term research on those with poor outcomes after TKR.
You are right that there are limited data and part of the problem is the heterogeneous nature of the issues from tracking problems/ other surgical issues to muscle/ tendon problems.
Here is a very interesting paper, especially given your sports injury background.
Muscle and mobility deficits can persist for years after a total knee arthroplasty (TKA). The purposes of this study were (1) to determine if 12 weeks of rehabilitation with resistance exercise induces increases in muscle size, strength, and ...
pmc.ncbi.nlm.nih.gov
It looks at the benefits of an eccentric exercise programme later on in recovery.
One point I have noted in other research is that post TKR legs are weaker than non TKR legs years afterwards but can benefit from rehab/ strength training even late on.
I do wonder if one problem is too strenuous early rehab which can be counterproductive and not enough long term exercise/ strength training? I am continuing to do a pilates based glute/ leg programme even at two and a half years.
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