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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tight Feeling Around Total Knee Replacement?

I had a total knee replacement 9 weeks ago. This was my second replacement and it took forever (4 months) to get off the pain meds with the first knee. I was hoping for a better result this time. I do, however, have a different problem with this procedure. All around the incision, I feel tight, very tight. The skin surrounding the skin is very tender. There does not appear to be any infection, just warmness from time to time. I am wondering if this is a scar tissue problem and what can be done about it? I finished therapy a month ago.
Fri, 28 Aug 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

As pre your history suture site infection is likely diagnosis
DO NOT IGNORE INFECTION IN POST TKR .
You may need to investigate like CRP ,CBC,ESR
PCR culture is very useful to find culprit organism.

If infection is confirmed then debriedment is required .Persistent infection revision operation is required.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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What Causes Tight Feeling Around Total Knee Replacement?

Hello, I have studied your case. As pre your history suture site infection is likely diagnosis DO NOT IGNORE INFECTION IN POST TKR . You may need to investigate like CRP ,CBC,ESR PCR culture is very useful to find culprit organism. If infection is confirmed then debriedment is required .Persistent infection revision operation is required. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care