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TKR Four Months Post TKR

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Roux

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I am 11 months post surgery and still am having issues with complete flexion. I currently am at 105 degrees of flexion and an extension of 3. I am so afraid my flexion will never be what it should be. Is there anyone else having the same problem. With flexion issues. What can I do to improve this. I have an appointment with ortho on October 28 th.
 

Jaycey

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What can I do to improve this.
Just be patient. That ROM will come when your knee is ready. There is no timeframe for gaining ROM.

Here are some great examples from 2 of our members who continued to see improvements one year out or more:

This is betrtschb's record of how his flexion developed over time:
I'm 12 months out from my surgery and have some advice based on my experience:
1- Stop going to PT (all it will do is make your knee swell and reduce ROM)
2- Don't worry about your ROM
3- Be patient - VERY patient!!!

Here is my ROM history (more or less):
1 month - 60 degrees
2 months - 80 degrees
3 months - 85 degrees
4 months - 90 degrees
5 months - 90 degrees
6 months - 110 degrees
7 months - 120 degrees
8 months - 125 degrees
9 months - 130 degrees
10 months - 135 degrees
11 months - 140 degrees
12 months - 140 degrees

I spent waaaaay too much time worrying about ROM. I thought I'd be riding my bike a couple months after surgery but it took SIX months! Looking back on my surgery, if I knew then what I know now, I wouldn't have wasted my time with PT and I wouldn't have worried about ROM.


And another record, from Campervan - she discovered that her flexion had increased even at 6 years post-op:
"I had a slow recovery. Here's my flex measurements at various points:
92 - 8 weeks post op
105 - 10 weeks
107 - 5 months
110 - 6 months
112 - 7 months
116 - 9 months
119 - 11 months
118 - 1 yr
120 - 1yr 2 months
125 - 1 yr 8 months
128 – 6 years "
 

Jockette

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My ROM was poor my whole first year but I had more improvement in my second year, as my whole leg continued to relax and heal more, and even some more in my third. Some of us just take longer than others.
 
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Roux

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How can I tell if there is something wrong. Like scar tissue. Or something wrong with implant versus normal healing process. I have an autoimmune disorder so I know I heal slower than most. But I get periods where I am so concerned something is wrong with the knee that will require more procedures. Which I would dread
 
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Roux

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Or like a patellar issue. Because sometimes I feel as though my patella doesn’t not move correctly when I flex my knee. Thanks for your help
 

Jockette

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I would think your surgeon will take xrays at your October appointment and he can check your patella tracking. He should be able to answer any questions you have then.
 

Starsfan22

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@Roux my FLEXION was not where I wanted to be at 7 or 8 mo. I read here to extend my stride while walking. I did and forgot about it. Low and behold around 1 yr. I noticed my knee was as straight as it could be. May just have been time, either way I relaxed, stopped trying so hard and it worked out.
 

sistersinhim

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I relaxed, stopped trying so hard and it worked out.
I agree this is the best way. I just pretty much ignored my knee after around the 6th month out. I did things I wanted to do and if I had pain or swelling afterward, I wouldn't do it again for a while. I think if you just forget about your knee and live your life, your ROM will come in just fine.
 
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Starsfan22

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@sistersinhim funny thing first knee is now unhappy with PT with new knee, stiffness, not much pain. Guess it's not happy with extra responsibility and exercise.
 

sistersinhim

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Yep, I imagine that's exactly what it is. It's fussing because it has to do most of the work now! That's to be expected.
 

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