Dr. Cary Sanders, MD
Board-Certified Orthopedic Surgeon in Roseburg, OR
Specializing In Hip & Knee Replacements
Knee Replacement Conditions and Treatments in Roseburg
Stiffness of knee after total joint replacement
Stiffness after total knee replacement is a very difficult and complex problem. It is the most common reason patients are unsatisfied with their total knee replacement. Stiffness, also known as arthrofibrosis, occurs when a knee replacement is not moved early enough through a wide range of motion. Scar tissue then begins to bind up the ligaments and soft structures surrounding the knee resulting in severe stiffness. Sadly, this stiffness is almost universally associated with significant pain. Limitation of activities such as the ability to ascend and descend stairs, get in and out of a car, and even ride comfortably in a car for prolonged periods of time are common complaints.
Treatment Options
Diagnosis is made with routine x-rays and physical examination. Treatment options for this condition are limited. Manipulation of the knee joint can be undertaken in the acute postoperative phase no later than 8 weeks after surgery. This has about a 50% success rate. After the scar tissue has matured however, conservative treatment and manipulation are ineffective for improving range of motion.
Surgical interventions when recommended, generally consist of a revision of the knee replacement with removal of components to allow for full removal of scar tissue with new implants being placed afterward.
Painful retained hardware of the knee
Fracture care and ligament reconstructions often require placement of instrumentation such as plates, screws, and rods. At times these surgical devices or hardware are in places where they can be felt through your skin. Commonly, we don’t recommend removing orthopedic hardware or other instrumentation used for surgical fixation of fractures unless it becomes painful. However, when prominent screws, plates, or other devices become bothersome removing them may be recommended.
Failed Total Knee Replacement (arthroplasty)
Rarely after total knee replacement, the total joint needs to be repeated or revised. Common reasons for this are infection, joint instability, component loosening, and severe stiffness.
Treatment Options
Evaluation for this begins with a thorough examination with x-rays and laboratory studies. depending on these findings, a revision total knee replacement may be recommended.
As with most repeat surgeries, revision knee replacement has higher risk of complication and difficulty in recovery. Therefore, great care should be taken to ensure good patient selection and rationale for revision surgery
Get Back On Your Feet
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Get Back On Your Feet
Schedule a consultation with our orthopedic surgeons in Oregon to improve your quality of life and get back to the activities you enjoy.
Dr. Bishop and his team got me in last minute after my referral got lost between my PCP and their office. The front desk was polite and helpful. Their paperwork was minimal. X rays were quick and waiting time in the room was minimal before Dr. Bishop came in. He explained everything clearly and have me a copy of all of his recommendations before asking me to schedule a follow-up visit.
Dr. Bishop and the staff at Cascade Orthopedics have been professional, courteous, and the surgery that I just had went extremely well. I couldn’t ask for better results.
Dr. Cary Sanders is a very knowledgeable and compassionate doctor. He explains things very well. I highly recommend him. The office staff is very friendly and helpful also. Ben Baird is also top notch and has given me numerous cortisone and lubricant injections on my knee. Both my wife and I have seen Dr. Bishop and he has our highest recommendation also.
Dr. Sanders has been seeing me regarding my knee for the past 4 years. After all the years of dealing with knee pain and injection shots, it has been agreed that it is time to get a knee replacement. Dr. Sanders and his staff are incredible.
Everyone was great. Hardly any wait time. The doctor was very knowledgeable and drew a picture of what’s going on in my elbow. Received a shot, it’s feeling better already. Definitely refer anyone that needs an orthopedic doctor.
My little guy got the best care here after breaking his arm on the trampoline. We seen Benjamin Baird, PA, and were impressed with his genuine interest and kid approved humor. We hope we aren’t back anytime soon, but if there are any more breaks, we’d choose Cascade again.
Dr. Brandon Bishop and the Team at Cascade Orthopedic were exceptional to work with. From the first appointment, to my surgery and to the last appointment, they treated me with compassion and professionalism. I have recommended Dr. Bishop to my friends and will continue to recommend him.
Dr. Sanders, from Cascade Orthopedic Specialists, did a much needed right kbee replacement for me in October 31, 2024. I received top level care from their staff, both pre-op and post-op. Hospital care and treatment at Mercy was excellent. Rehab at Theropy Plus was painful for the first two weeks, but healing came quickly. I now have great range of motion and living pain free with my new knee. Thank you, everyone.
Was referred to Cascade to see Dr. Bishop . For my plantar fasciitis.From the scheduling of appointments, front desk help Amanda and my initial appointment w Dr. Bishop hands down the best experience ever. Had my 2nd appointment for cortisone shot, from the stories you hear it’s terrifying. Dr. Bishop did it w such care minimal pain. Definitely recommend this entire facility.
Kind , efficient staff! Dr Bishop is compassionate, and easily understood. I feel he truly has his patients’ well being at heart!
Hours
Mon – Thu 8:00 am – 5:00 pm
Friday 8:00 am – 1:00 pm
Sat – Sun Closed
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