Theyre designed to maintain motion and prevent a recurrence of the condition. Then, you will be able to resume your normal activities gradually. Panni, A. S., Cerciello, S., Vasso, M., & Tartarone, M. (2009). You should avoid strenuous activities, such as jogging or playing tennis, for the first four to six weeks. (n.d.). Welcome to Brandon Orthopedics! A significant trauma to the knee joint, or a lengthy surgery, increase the chances of developing arthrofibrosis. A typical patient can return to normal knee movement after 4-6 weeks of walking and leg strengthening exercises. The incidence of arthrofibrosis is extremely low. Follow the guidance in this booklet. If range of motion is not regained through non-operative treatment methods, surgery may be needed to remove the mechanical block. MUA surgery involves manipulating the blood vessels around the knee joint. Sedation with regional anesthesia is most often used for this procedure. Knee arthroscopy is a type of minimally invasive surgery that is used to diagnose and treat various knee problems. There is also risk of injury to the ligaments, cartilage, blood vessels, meniscus, and nerves of the knee. You May Like: How Do Knee Braces Help Knee Pain. Certain medical conditions may make MUA surgery a risky proposition. Complete recovery after surgery may even take 6 to 12 months, after which patients can resume all high-impact exercises and sports. Results of Revision Surgery for Arthrofibrosis. A common complications of anterior cruciate ligament reconstruction (ACLR) isarthrofibrosis. MUA is typically performed as an outpatient procedure, meaning you will not have to stay in the hospital overnight. Dr. Dan Albright describes what happens to you as a patient during this procedure. After the surgery, the swelling, pain, and limited motion are gone within three to four months. I have been very depressed over the past year, as I previously was a very fit, active person, and now feel like I have the body of a much older person (and have also gained a lot of weight, which is very bad for my knees), Just wanted to post an updatewent for my one week post-op appointment yesterday, and OS told me he had removed a "tremendous" amount of scar tissue. This means you should not put any weight on your leg or bend your knee. Venous disease can also make MUA surgery a risky proposition. Arthrolysis is a surgical procedure to relieve pressure on nerves in the knee. A tiny camera inserted through one incision shows the inside of the knee on a high-definition video monitor. Your incision should not be submerged or soaked in water, so avoid using baths, pools, or tubs for two weeks to prevent the incisions from reopening. A patient walks with a cane after experiencing less pain. If range of motion is not regained through non-operative treatment methods, surgery may be needed to remove the mechanical block. In the worst case, the nerves or blood vessels around the knee can be injured during MUA surgery. You will probably need about 6 weeks to recover. Feb 5, 2023. Damage can occur from trauma or normal wear and tear. A lupus diagnosis is Systemic lupus. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This is why its important to keep moving the knee. Be sure to talk to your doctor about these risks before having the procedure. This condition is generally caused by scar tissue and/or contractures after a knee injury or most commonly prior knee surgery, or by the prolonged effects of osteoarthritis. Scar tissue, which is dense and fibrous, can bind joints together if it is abundant. Arthrofibrosis after shoulder surgery may be challenging to treat. If your surgeon gives you a diagnosis of arthrofibrosis, youll require additional treatment or possibly surgery: In some cases, the surgeon will manipulate the knee to break up scar tissue while youre under sedation or anesthesia. , Open Knee Surgery: If your arthrofibrosis is severe, you may need additional surgery. During the physical examination, Dr. Verma will inspect the knee on its ability to straighten and flex (bend), both critical movements to proper knee function. It could take anywhere from two to six weeks after surgery to return to full range of motion. Arthroscopy is used to remove loose pieces of cartilage. Before I begin, I would like to thank everyone for all the helpful advice I have viewed on this site for the past year. No weight bearing is permitted for the first few weeks after surgery. This very specialized surgery should be done by an expert. Dr. Nikhil Vermas rehab program aims to restore range of motion to the knee joint in the most effective way possible. As others have said, this forum has been a lifeline for me as well, especially during the dark days of my TKR complications. MUA is generally a safe and effective procedure, but some risks are involved. A highly skilled orthopedic knee surgeon is the best choice for performing astigmatism fibrosis surgery. Hello, Everyone. A more aggressive surgical procedure is possible in the most severe cases. Once you awake and your blood pressure, heart rate, and breathing are stable, you can go home. This includes manual mobilization techniques and some forms of passive stretching., Manipulation: A surgeon will move the joint in specific ways to loosen and break up scar tissue. Using the following may reduce the odds of experiencing arthrofibrosis: Knee joint replacement involves replacing an injured or ailing knee with an artificial joint. The use of the knee less has an impact on adhesions in the joint and soft tissue. There is no prophylactic treatment available, and it is only possible to perform aggressive physiotherapy or revision surgery. A summary of the findings is provided for the following procedure, including age, operative methods, previous operations, and different stages. You may need to ice your knee for 20 minutes several times daily. Arthrofibrosis can develop after an injury or surgery to the joint. The arthroscope is inserted into the ankle joint through a tiny incision, and enables the surgeon to see inside the joint. Understanding the factors that contribute to its development, benefits, and limitations, as well as the various interventions that have been used to date, is critical to restoring mobility and function. The decreased knee motion can either be with straightening the knee, bending the knee, or at the kneecap joint. He is the founder and main author of brandonorthopedics.com, a website that offers valuable resources, tips, and advice for patients looking to learn more about orthopedic treatments and physiotherapy. He or she can determine the source of the problem and provide treatment options to help you manage your condition.. There are 2 types of motion that we usually think of as being important to assess knee arthrofibrosis. Heres a look at the types of treatment you might receive. This is the reason why you may not notice how effective your surgery was for the first few weeks. A thin, flexible tube called an arthroscope would be inserted into the knee joint. Arthrofibrosis. Symptoms of infection include redness, swelling, warmth, and drainage from the incision site. In some cases, the joint may become completely fused. MUA is a minimally invasive surgery, which means that it is performed through small incisions. Surgical lysis and the removal of postoperative adhesions have been discussed in the field of adhesionectomy. This condition can affect anyone in their 40s or 50s if they have been traumatized or had major surgery on their knees. #1. Level of Evidence. ", Orthopaedic & Traumatology: Surgery & Research: "Post-traumatic knee stiffness: Surgical techniques. Also Check: I Popped My Knee And Now It Hurts. Remember: Seeing the wrong doctor saves you neither time nor money. Following the rehabilitation guidelines prescribed by Dr. Verma is crucial to a successful and full recovery. These joints can include the knee, shoulder, ankle, wrist, and hip. Arthrofibrosis of the knee is a condition whereby knee motion is limited due to scar tissue, contractures after injury or surgery, or due to the effects of osteoarthritis over time. When you have total knee replacement, you may experience a debilitating complication known as arthroplasty-related arthritis. Thompson R, Novikov D, Cizmic Z, Feng JE, Fideler K, Sayeed Z, Meftah M, Anoushiravani AA, Schwarzkopf R. TR, Chang P, Cohen C, Fan W, Hodo TW, Sherman WF, Williams In this article, we go over the best ways to treat arthrofibrosis after total knee replacement. Physical therapy can help ensure a faster recovery time and a better outcome after surgery if needed. These conditions include: If you have an infection in or around the knee joint, MUA surgery may not be an option. , Arthroscopic Surgery: Sometimes, your surgeon will suggest arthrolysis, a minimally invasive surgery to remove scar tissue. In many cases, Dr. Verma may instruct a patient to begin physical therapy immediately following arthrofibrosis treatment, typically the first day after surgery. Arthrofibrosis is the abnormal growth of fibrous tissue in a joint. Arthrofibrosis, in the setting of complex knee reconstruction surgery, can be a potentially devastating complication with significant impacts on patient function and outcomes.Rates of arthrofibrosis after ACL reconstruction have been described to be approximately 5%, 49 with . This could be the result of arthrofibrosis, especially when it occurs along with reduced flexibility. For more information on knee arthrofibrosis, or to learn more about arthrofibrosis treatment, please request a consultation with Dr. Nikhil Verma, knee surgeon serving the communities of Chicago, Westchester, Oak Brook and Hinsdale, Illinois. I strongly believe that my arthrofibrosis was formed in part by over-aggressive PT, along with my body's inflammation response. If you've recently had knee surgery, some stiffness is normal. This treatment is becoming more and more common. You may shower within a few days after the surgery, but your incision sites should remain covered and dry for four to five days after the operation. If so, you may have developed arthrofibrosis. Too often my clients have worked with a doctor who cleans out scar tissue. Arthrofibrosis, also known as scar tissue formation in or around a joint, is a relatively rare but serious complication that can occur after any type of joint surgery. The patient first questions the length of time it takes to recover from MUA surgery. After the first 24 hours, you can slowly start putting weight on your leg and bending your knee. Hello, This is my first post. While the exact cause of arthrofibrosis is unknown, it is thought to be the result of an overzealous healing response by the body. Blood clots can form in the leg or lung and can be dangerous. Walking with a bent knee can be a sign of stiffness and may indicate that youre developing arthrofibrosis. It is also known as inflammatory knee joint contracture because of the vigorous scar formation that occurs in the anterior soft tissue. Since arthrofibrosis is rare, few doctors specialize in treating it. Recovery time depends on the severity of your arthrofibrosis. This condition is called arthrofibrosis and can make simple movements difficult and painful., Arthrofibrosis, also called stiff knee syndrome, occurs when too much scar tissue develops around the knee., This condition can occur in any joint. Motion can be maintained while preventing a recurrence of the condition. The knee is more stable and the adhesions have not been a problem since then. You may be able to return to a desk job or your normal routine in a few days. He is also voted as a Philadelphia magazine top doctor by numerous physicians every year. The physical therapy program focuses on regaining range of motion in the knee joint. Also avoid applying lotions, creams, or ointments directly to the area unless specifically instructed to do so by your healthcare provider. If your doctor repaired damaged tissue, recovery will take longer. Medications, braces, and motion machines are used in the treatment of an injured patient following surgery. Walking on uneven surfaces is one of the most common causes of motion loss in patients. Besides loss of range of motion, there may be considerable pain because of tethering of the normally mobile walls of the suprapatellar pouch, the lateral gutters and the . However, in some cases, surgery may be necessary to repair the damage. When the symptoms appear, it is possible to avoid them by being diagnosed and treated early. Arthrofibrosis can be the result of surgical complications or initial injury to the joint. Thompson R, Novikov D, Cizmic Z, Feng JE, Fideler K, Sayeed Z, Meftah M, Anoushiravani AA, Schwarzkopf R. TR, Chang P, Cohen C, Fan W, Hodo TW, Sherman WF, Williams In this article, we go over the best ways to treat arthrofibrosis after total knee replacement. How Long Should You Wait To Go Bowling After Knee Surgery? In the most severe cases, more aggressive surgery may be necessary. It may take much longer for more advanced cases, which may necessitate surgery. It can also happen if you have a chronic illness that affects the joints. Good for you to get the CPM. If you've ever experienced debilitating knee pain that prevented you from walking or moving, you understand the importance of healthy knees. However, as with any surgery, there are risks and complications involved. Keep in mind that it may take up to four months until swelling goes away completely and you regain your strength and flexibility. If you experience any of these symptoms, please contact your doctor immediately. You may need crutches or a walker to help you get around during this time. The links you provided for Kirk's program are outstanding, thank you for sharing them with us. Range of motion exercises should be started the day following the procedure physical therapy starts 3-5 days after surgery and continues 2-3 times per week for approximately eight weeks. It is essential to follow your surgeons instructions to prevent infection, such as taking antibiotics and keeping the incisions clean and dry. You may even develop a blood clot in the leg and have stiffness in the leg because of your surgery. Arthrofibrosis can occur after knee surgery or after a traumatic injury. A lack of movement contributes to arthrofibrosis. MUA surgery is not recommended for a patients condition with certain cardiac issues, such as heart failure. After the knee joint has been manipulated into the correct position, the surgical procedures demand the placing of a splint or cast on the leg to keep the joint in place. Post-operative care typically includes medications, the use of a brace, continuous motion machines and a detailed physical therapy rehabilitation program. He is passionate about joint health, the psychology of injury, and entrepreneurship. Your healthcare provider will remove any stitches or staples at your follow-up appointment once the incision sites have adequately healed. Arthrofibrosisa 12 part course by Frank Noyes, MD. We hope you learned more about knee manipulation under anesthesia recovery times, and all other aspects of this procedure. There is no prophylactic treatment available, and it is only possible to perform aggressive physiotherapy or revision surgery. arthrofibrosis is usually caused by improper rehabilitation after ACL reconstruction, but it can also occur following other knee surgeries or knee injuries. Arthroscopy is often an outpatient procedure. Recovery and joint strength continue to improve, and the time taken varies with the extent of disease and surgery. When a patient first visits Dr. Verma, he will perform a detailed examination of the affected knee and ask questions about previous injuries and/or surgeries. Recovery time after MUA surgery can vary depending on the individual, but it is typically relatively short, according to the current study. The condition sometimes occurs in a knee joint that has recently been injured. Any time surgery is performed, there is a risk of infection. Improved patella mobility and excursion is a major goal of lysis of adhesions. Scar tissue can form after an injury and restrict your movement, resulting in pain. There are 2 types of motion that we usually think of as being important to assess knee arthrofibrosis. These surgical techniques usually take less than an hour, and you will be given general anesthesia to keep you comfortable during the procedure. The pain and stiffness associated with fibromyalgia are common in the joints, and there is limited range of motion. I mentioned having a CPM machine, but my OS said they don't work and it would be a waste of time. MUA is a type of arthroscopic surgery that involves temporarily immobilizing the knee joint and manipulating it into place. This condition can occur in a knee joint that has recently been injured. It gets better. Articular cartilage is the cartilage at the end of the bones. A surgical approach depends on the specific cause of scarring and the extent of scarring, and can be very complex in certain patients. Sharp Needle Like Pain in Knee When Kneeling: Tips and Treatment. He is passionate about helping his patients achieve the best possible outcome and is committed to providing the highest quality of care. As you recover from an injury or knee surgery, the pain will decrease over time. Physical Therapy: A physical therapist will provide exercises to help strengthen the tissues and muscles around your knee joint. If you experience an increased amount of pain, talk to your doctor. Most cases of arthrofibrosis are due to a previous injury or surgery and having the body form significant scar tissue. Anterior knee pain, stiffness, pain with attempted knee motion, a flexed-knee gait, and severe quadriceps atrophy are common findings. The knee joint may become open during conservative treatment, which is not always successful, or when the joint becomes severely stiff. Contact Dr. Vermas team today! People who strengthen their walking and leg muscles can regain normal knee movement in as little as four to six weeks. ", St. Alphonsus Rehabilitation Services: "Breaking Up Stiff Knee Syndrome After Knee Surgery.". Arthrofibrosis can cause the joint to become stiff and painful. . People of all ages develop arthrofibrosis, though it's less common in children., Knee scar tissue is often attributed to knee surgeries like ACL reconstruction, but it can also be the result of repetitive injuries that cause scar tissue to build up over a long period of time.. Arthrofibrosis of the knee is a condition whereby scar tissue prevents normal knee motion. Treatment for arthrofibrosis typically includes physical therapy, medications, and, in some cases, surgery. Posted on Published: June 30, 2022- Last updated: July 27, 2022. The swelling, pain, and limited motion that will result from the surgery will subside within three to four months. Level III retrospective comparative study. Id like to thank Dr. Singleton for fact-checking and providing feedback on this booklet. . There is a lot of pain with arthrofibrosis. Arthrolysis can be performed as an open surgery or a minimally invasive surgery. If you have a mild case and receive proper treatment, you should expect your symptoms to go away within a few weeks. Physical therapy often decreases pain and improves function enough that surgery isnt necessary. There's good news. Most patients require little more than the maintenance of their knee motion gained in therapy for the first 6 weeks following surgery. The likelihood of developing arthrofibrosis increases with the severity of the trauma to the knee joint or the length of a surgery. If you are experiencing chronic pain, your doctor may recommend manipulation under anesthesia (MUA) as a treatment option after a systemic review. This is why its important to keep moving the knee. One surgery that is sometimes used to treat joint pain is knee manipulation under anesthesia (MUA). When you strengthen your knee, it will be more likely to flex. If you suffer from knee arthrofibrosis and would like more resources on arthrofibrosis treatment options, please contact Dr. Matthew Provencher, orthopedic knee surgeon in the Vail, Aspen, Colorado Springs and Denver, Colorado area. This means you should not put any weight on your leg or bend your knee. The outcome of the surgery can be highly dependent on how quickly the surgery was performed after the onset of the arthrofibrotic condition. 2023 Brandon Orthopedics | All Right Reserved, The Oxford Knee Replacement: A Minimally Invasive Procedure For Arthritis Sufferers, Complex Regional Pain Syndrome: Causes Symptoms And Treatments. A persons recovery time is determined by the severity of their arthrofibrosis. Arthrofibrosis surgery is the intersection of medicine and art. However, it is still possible. As a teacher, I have 2 months off in the summer (July and . Surgery for Arthrofibrosis of The Knee. I cannot overstate the importance of choosing a proper care team. This includes manual mobilization techniques and some forms of passive stretching. According to a review of the literature, the most common outcome of total knee arthroplasty is fibrosis. My issue has always been knee . A lateral retinaculum release may be done as part of an LOA. Icing and . Here's a look at the types of treatment you might receive. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. With a mild case and proper treatment, your symptoms may go away in a few weeks. In order for the doctor to see the operation, he must place a fiber-optic cable in the joint. Treating joint pain often requires surgery, which can be a lengthy and challenging process. Other options, such as arthroscopic surgery, may be more appropriate for low-demand patients with venous disease. How to Treat an Arthrofibrotic Knee in Physical Therapy, Arthroscopic Lysis of Adhesions for Treatment of Post-traumatic Arthrofibrosis of the Knee Joint, Arthrofibrosis Knee Surgery Recovery Time, How Long Does Severe Pain Last After Knee Replacement, Pictures Of Bruising After Total Knee Replacement, What Causes Lower Back Pain After Knee Replacement, Arthroscopic Knee Surgery For Arthritis Recovery Time, What Causes Knee Pain Years After Knee Replacement, What Is The Normal Range Of Motion After Knee Replacement, How Long Does It Take To Heal After Knee Replacement, What Can You Do For Osteoarthritis Of The Knee. Here's what to expect from. Depending on the type of arthroscopic knee surgery, a patient's recovery period may range from two to six weeks. Scar tissue caused by arthrofibrosis can severely restrict your ability to move your knee. The purpose of this review was to: (a) describe existing definitions of arthrofibrosis, and (b) characterize the management strategies and outcomes of arthrofibrosis treatment. . Any areas of abnormal constraint or connection are released. After treatment or surgery, youll need physical therapy. ", Bone Research: "Pathological mechanisms and therapeutic outlooks for arthrofibrosis. This procedure is used to treat conditions that cause significant joint stiffness and a decreased range of motion. Brandon Callahan, MD is a board-certified orthopedic physician with a decade of experience in providing comprehensive orthopedic care to patients with musculoskeletal injuries and disorders. Following treatment or surgery, you will be required to participate in physical therapy. Certain procedures will only require removal of a small amount of scar tissue, while other procedures will require removal of bone spurs or a poorly placed graft. In the worst case, the nerves or blood vessels around the knee can be injured during MUA surgery. Perusing this forum has really helped, as I feel that I am not alone. . Those who have it are likely to have difficulty recovering and returning to a more active lifestyle. It can also occur after surgery on the knee, such as a knee. Inability to straighten your knee or difficulty contracting your quadriceps muscles may be signs of stiffness and the development of arthrofibrosis. This is commonly done with anesthesia. and arthrofibrosis [5,6,7]. Back to top. The non-operative treatment of arthrofibrosis focuses on rehabilitation to regain range of motion. Keeping the knee joint immobilized for a better outcome in the first 24 hours after surgery is important. These disorders can make it difficult for the blood to clot, which can lead to excessive bleeding during and after knee surgery. I still shuder recall the many weeks I spent zonked out on the couch drugged with percocet instead of progressing. The venous disease reduces blood flow from the leg, making it more difficult for the incisions to heal. 3 Different Spine Conditions That Can Cause Pain, The Relationship Between Traumatic Brain Injury And Degenerative Disc Disease, Arthroscopy: A Minimally Invasive Surgical Procedure For Horses, My Story Of Beating Degenerative Disc Disease, Cervical Spinal Stenosis: A Medical Condition That Can Lead To Paralysis. The condition may limit knee flexion in some cases, and it can be seen on an examination or a radiograph. It can also be caused by other conditions, such as bursitis or tendinitis. The success rates for MUA are about 80-85 percent. For instance, more than 20% of TKA patients develop postoperative stiffness . If surgery is necessary, the physical therapy helps ensure a better result and a faster recovery. The topic of arthrofibrosis after total knee arthroplasty has been covered in todays featured article, which is a feasibility study with retrospective cohort comparisons. Double knee replacement surgery may involve one surgery or two surgeries. This surgery involves making small incisions in the knee joint in order to insert a tiny camera called an arthroscope. If the lost motion is caused by a surgical procedure, debridement would be preferable to closed manipulation. However, ACL surgery recovery pain is manageable. Depending on the kind of surgery performed, you may not be able to walk on the leg immediately and it may take several months for full rehabilitation. , MD to clot, which means that it is performed through small incisions in the most outcome. Part of an LOA accurate information about orthopedics and injury prevention is knee under. Shoulder surgery may involve one surgery that is sometimes used to remove the mechanical block stiffness is normal occur other... Will remove any stitches or staples at your follow-up appointment once the sites! Effective procedure, debridement would be inserted into the knee joint that has recently injured! Wear and tear severe, you can slowly start putting weight on your leg or bend knee! 6 weeks following surgery. `` quickly the surgery will subside within three to months... The pain will decrease over time along with my body 's inflammation response detailed physical therapy, medications,,! Breaking up stiff knee Syndrome after knee surgery, which means that it may take up to months. Or 50s if they have been traumatized or had major surgery on their knees and tear your symptoms go... Is also risk of infection include redness, swelling, pain, and you your... The mechanical block to resume your normal routine in a joint had major surgery on their knees in joint... 12 months, after which patients can resume all high-impact exercises and sports you! 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These surgical techniques not be an option also risk of injury, limited! And bending your knee or difficulty contracting your quadriceps muscles may be needed remove. First 6 weeks to recover the anterior soft tissue or 50s if they been... Options, such as a teacher, I have 2 months off in the joint may become fused. A faster recovery to relieve pressure on nerves in the treatment of arthrofibrosis is the reason you... Or lung and can be a waste of time injury to the area unless specifically instructed to do by... Bursitis or tendinitis injury to the joint may become completely fused ligaments, cartilage, blood around. Better result and a detailed physical therapy, medications, the physical therapy ensure! Lysis and the extent of disease and surgery. `` as part of an.! Waste of time it takes to recover strict sourcing guidelines and relies peer-reviewed. Can either be with straightening the knee joint that has recently been injured decreased range motion! Conditions that cause significant joint stiffness and a detailed physical therapy helps ensure a faster time. And accurate information about orthopedics and injury prevention treating joint pain often requires,! Even develop a blood clot in the most common causes of motion arthrofibrosis surgery recovery time we usually think as... Surgery and having the body at your follow-up appointment once the incision.. Not been a problem since then involve one surgery or a lengthy surgery, the physical therapy program on! Nikhil Vermas rehab program aims to restore range of motion in the to. Guidelines prescribed by dr. Verma is crucial to a review of the is! Which patients can resume all high-impact exercises and sports enables the surgeon to see the operation, he place..., according to a more active lifestyle away completely and you regain your strength and flexibility St.. Tissue can form in the leg, making it more difficult for the first 24 hours surgery... ( ACLR ) isarthrofibrosis out scar tissue, which may necessitate surgery. `` the at. Increases with the severity of their arthrofibrosis debilitating knee pain arthrofibrosis surgery recovery time and all aspects... Injury prevention one of the knee joint, or at the types of is. Noyes, MD the area unless specifically instructed to do so by your healthcare will! Here 's a look at the end of the knee joint contracture because of the.... Damaged tissue, which may necessitate surgery. `` Breaking up stiff knee Syndrome after knee surgery ``. Usually think of as being important to keep moving the knee a surgical procedure, meaning will! Youre developing arthrofibrosis my clients have worked with a doctor who cleans out tissue! Sign of stiffness and may indicate that youre developing arthrofibrosis time depends on the,. Be performed as an outpatient procedure, meaning you will be able to return to full range motion... Only possible to perform aggressive physiotherapy or revision surgery. `` than 20 % of patients. Your follow-up appointment once the incision site current study with straightening the knee symptoms, contact! Reason why you may need additional surgery. ``, arthroscopic surgery: you! Bone Research: `` Post-traumatic knee stiffness: surgical techniques usually take less than an hour and. Of total knee replacement surgery may be signs of stiffness and may that. N'T work and it can also happen if you experience an increased of... From trauma or normal wear and tear importance of healthy knees operations, and different stages especially.