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Knee Surgery
Sir,
I'm glad to see that you are doing better. I responded to your post when you first had the surgery and mentioned that I had treated two patients in my time as a therapist that had the same diagnosis as yourself. Their outcome was not very good. However, it sounds like you got into a decent PT program and are progressing slowly but steadily. Now, it is hard to say what is going on with your knee without actually being able to do a proper physical exam, but my first impression of that clicking that you hear and feel may be scar tissue associated with the healing of the patellar tendon/ligament. Scar tissue is laid down by the body to repair the injury and this scar tissue is tough and not as elastic as the original tissue. In addition, the body may 'overheal' in some cases so that a lot of scar tissue is formed. The clicking may be a result of this healing and is not necessarily a bad thing. Also, it takes a while for the scar tissue to mature and remodel. With burns it may take up to a year or more for scar tissue to mature. I forgot if surgical scar tissue is different, I don't think it is since it is made of the same tissue. I kinda forgot a lot of therapy stuff since ... my, uh.... career change.
If that clicking is associated with locking or pain with bending and especially going up and even worse decending stairs then you may have some meniscus involvement . I hope they are able to determine what is going on when they see you on the next visit.
Phil
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