Stiff total knee replacement?

In this video I present my algorithm for management of a stiff knee replacement. Ideally, you will regain a functional range of motion by 6 weeks following surgery. If you are unable to accomplish this, you could consider manipulation under anesthesia. If you get beyond 6-8 weeks post-operatively, and at that point need help with range of motion, scar tissue is too dense to yield safely to manipulation alone, so I would recommend arthroscopic lysis of adhesions with manipulation. As a last resort a very stiff knee replacement could require full revision surgery.
If you would prefer to read more about stiff knee replacement rehabilitation check out my website www.yourorthomd.com/orthopedi...
Bookmarks
00:00 Introduction
01:25 Manipulation under anesthesia
03:36 Arthroscopic lysis of adhesions
04:47 Revision knee replacement
05:06 Discussion of risk
05:50 Summary