Total knee replacement

[Gourishankarchintalapudi]

Please present the question clearly with full abbrevations , so that i can help , recently i had done tkr cases around 8 . So if you clearly present it i can help you.

[Hayden123]

Ok..I will try to rephrase.....I currently have a patient that had a total knee replacement almost 6 weeks post op. he had home health services for 3-4 weeks. He is still complaining about a tight band around his knee like a rubber band. He has been doing the regular total knee exercises to gain ROM..he is now currently only at 80 degrees but had a hx prior to surgery of decrease ROM in the knee secondary to old injury of patella tendon rupture in the 1970s. I have also been performing soft tissue mobilization, scar massage, mobilization grade 2-3. He continues to complain of just a band around his knee. Could you give me advice on the "tight band feeling" that total knee replacement patiens experience? most every total knee patients describes this feeling...as for him since his knee flexion is so limited I am feeling his may be more scar tissue but any advice would be greatly appreciated. i know swelling limits ROM and gives a tightness but is this the reason for the "tight band feeling" only? I think not but let me know your experiences. Thank you.