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Author Topic: how much scar tissue does knee arthroscopic surgery cause?  (Read 148 times)

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Offline jaymes

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how much scar tissue does knee arthroscopic surgery cause?
« on: January 07, 2019, 06:59:18 PM »
I was planning on getting it done to remove a scarred medial plica, but I'm wondering would this surgery create much scar tissue?

Offline Vickster

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Re: how much scar tissue does knee arthroscopic surgery cause?
« Reply #1 on: January 07, 2019, 07:21:59 PM »
It can certainly do so if you're predisposed to producing scar tissue and more so if you bleed within the joint I believe. Not least, you'll get scarring around the instrument portals and will potentially be left with small lumps (I have from my three scopes, noticeable when the knee is straight)

Have a read about arthrofibrosis in the learning portfolio, a relatively rare but can be a very difficult to manage complication

How is the plica scarred? If it's causing significant issues, discuss the surgical risks with a knee specialist surgeon before making a decision

Also, make sure you have a good physio lined up for the post op rehab, and make sure you diligently do the prescribed exercises. One thing I was told was to not support underneath the knee directly after surgery, only calf and foot so as to minimise scar tissue development and regain extension asap after surgery
« Last Edit: January 07, 2019, 07:23:33 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline jaymes

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Re: how much scar tissue does knee arthroscopic surgery cause?
« Reply #2 on: January 07, 2019, 08:09:07 PM »
Thanks for the reply, I'm not sure how it's scarred but my doctor ruled out all the other possible causes of my pain/issues

what kind of exercises do you mean, Would it be exercises to maintain ROM?

Offline Vickster

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Re: how much scar tissue does knee arthroscopic surgery cause?
« Reply #3 on: January 07, 2019, 09:32:07 PM »
How has he ruled everything out? Scans? Have you had a second opinion? What symptoms do you have? Have you been fully assessed by a physio to confirm that it's not down to muscle imbalance or weakeness somewhere in the chain from hips to feet. Knee pain isn't always the a result of a mechanical issue in the actual knee

What's the history behind the kneepain? What treatment have you had as surgery should always be the last resort, especially if you have concerns about complications, albeit rare. Arthroscopy can be traumatic to the knee, despite the little incisions

Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline jaymes

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Re: how much scar tissue does knee arthroscopic surgery cause?
« Reply #4 on: January 18, 2019, 11:01:52 PM »
Yes I've tried everyhting you mentioned and Hes narrowed it down to the medial plica is the issue after viewing and treating for all other potential causes

blow to the knee which inflamed the plica, cortisone shot to reduce the plica swelling didn't work & I've done all the exercises & RICE

it matches up with the plcia symptons 100% E.g.  the pinching in the medial  knee sometimes when I bend it, and it's irritated - boith of these  at the EXACT spot where the medial plica is
« Last Edit: January 18, 2019, 11:08:01 PM by jaymes »















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