Forceful bending. A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure.
Bending of the knee . This procedure is usually performed within six weeks of the initial knee replacement surgery. It is performed under anesthesia either as an out patient or in patient. Post manipulation the patients requires a lot of self physical thereapy as well as structured physical thereapy.