Post-Operative Recovery After Plica Resection: What to Expect - Orthopedics

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Post-operative recovery after a plica resection can vary significantly from patient to patient, and it is essential to understand what to expect during this period. Plica syndrome, which involves the presence of a fold of synovial tissue in the knee joint, can cause pain and discomfort, and surgical intervention is often necessary to alleviate these symptoms. After undergoing a knee arthroscopy for plica resection, patients may experience a range of symptoms and recovery challenges.

Firstly, it is not uncommon to experience swelling and pain in the knee following surgery. The fact that you noticed significant swelling and pain on the fifth day post-operation is typical, as the body responds to surgical trauma with inflammation. Using crutches initially is a wise decision to offload the knee and allow for some healing. As you progress in your recovery, it is essential to listen to your body and not push through pain, as this can lead to further complications.

Regarding your concern about the inability to bend your knee beyond 95 degrees, this can also be a normal part of the recovery process. Post-operative stiffness is a common issue after knee surgeries, including plica resections. The knee joint may be swollen, and the surrounding tissues may still be healing, which can limit your range of motion. It is crucial to engage in gentle rehabilitation exercises as advised by your healthcare provider to gradually improve flexibility and strength. Physical therapy can be particularly beneficial in this regard, as a trained therapist can guide you through exercises tailored to your specific needs and limitations.

If you are still experiencing swelling and pain 18 days post-surgery, it is advisable to continue monitoring these symptoms. Applying ice to the knee, elevating the leg, and taking anti-inflammatory medications as prescribed can help manage swelling and discomfort. However, if the swelling persists or worsens, or if you experience increased pain, it is essential to consult your surgeon. They may want to assess the knee for any complications, such as infection or the formation of scar tissue, which could impede your recovery.

In terms of your question about whether you might need another surgery, it is generally premature to consider this at 18 days post-operation. Many patients experience a gradual improvement over weeks to months. However, if your symptoms do not improve with conservative management and physical therapy, your surgeon may recommend further evaluation to determine the best course of action.

In summary, post-operative recovery after plica resection can involve pain, swelling, and limited range of motion. It is crucial to follow your surgeon's post-operative instructions, engage in physical therapy, and communicate any concerns or changes in your symptoms. Recovery can take time, and patience is key. If you have any doubts or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further guidance.