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Knee not beding & manipulation did not work
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Cjacks2 posted:
Hello ,
I had TKR March 28,2011. Since surgery I have not been able to bend my knee more than 65 degrees. Last week,5/2/11, I had a manipulation after the proceedure I was in recovery the doctor came out and told me he COULD NOT !!! bend my knee he was afraid he would break my leg!!!!
I went to PT imediatly after and they confirmed I had no more motion.
The Doctor said we will try more PT.
All last week we heated it before PT and we gained maybe 8 degrees. Last reading was 68 degrees.
Will this knee ever have full motion.I can straighten it totally.

HELP!!!
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Bal M Rajagopalan, MD responded:
Hello -

If at this early phase your manipulation failed, you definitely have a mechanical block. It is likely the component is too big, or not put in correct. With all these indicators you will likely need a revision - please seek out a second and even third opinion for some different options.

- Dr. Raj
DR RAJ MD,FRCSC www.drhipandknee.com
 
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An_206623 replied to Bal M Rajagopalan, MD's response:
Hello DR. Rajagopalan I Had a Total Knee 1992 and After that i have never Been able to Bend my Knee more than 28 degress,i had a Revision done in 94 Because the other Knee or cement Was Defective?? but i was never able to regain any flex or maybe even a little less,and now i was in the Hospital 105,2 Fever and a swollen Knee?? it has gone down and no more Fever, if there any new Technology to Make this Knee Bend, I also tried that Manipulation 1995 not much there either?? do i still have a Chance at a Revision, and 2, anything you can recommend for the painful stiff leg?? any Ideas Please. thanks!!
 
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Bal M Rajagopalan, MD replied to An_206623's response:
Hello -

With the temperature and the swollen knee, the first thing I worry about is infection. An infection can limit the range of motion... manipulation or physio this late will not work. Go see an orthopedist who can rule out infection... and with a revision that is done properly, there is no reason why you should not be able to regain more range. Good luck!

- Dr. Raj
DR RAJ MD,FRCSC www.drhipandknee.com
 
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Cjacks2 replied to Bal M Rajagopalan, MD's response:
Thank You

I got 2 second opinions. One from a revison specialist in the same office and one outside of town.
Both want to wait until the week of June 20th hoping that the scar tissue will break loose.
If not they both want to open up and clean out scar tissue.
The one out of town wants to replace the lower joint with a smaller one.
I wish one of them would have told me what you did.
I think from thr very begining the original doctor knew there was something wrong.
I have wasted almost 10 weeks and it is going to have to be done again.


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