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ALT An infographic titled 'Lived Experience of Arthrofibrosis After Total Knee Arthroplasty'. It has a blue background and four segments with the following content:1. An image of a man holding his head and the text 'Overwhelming impact on function significantly impaired social functioning, leading to adverse mental health outcomes.'2. An image of a doctor and the text 'Inconsistent post-TKA advice, especially on exercise; many unmet rehabilitation needs.'3. An image of a frustrated woman sitting by a laptop and the text 'Significant emotional effort to understand knee issues and find solutions and hope.'4. An image of two elderly people exercising and the text 'Strong commitment to post-op exercises integrated into routines, yet persistent challenges.'To the bottom is a QR code and the details of the publication. Moffatt et al. “My bloody leg” – The lived experience of arthrofibrosis after total knee arthroplasty Physiotherapy: Vol.130 101862 (2026)

ALT Background. The review evaluates the effectiveness of non-surgical interventions for knee stiffness or arthrofibrosis after knee replacement surgery. Arthrofibrosis, a common complication, characterised by excessive collagen production and scar tissue, restricting knee movement. Key Findings. 16 studies were included, involving exercise, manual therapy, mechanical devices, and education. Improvements in knee range of motion were noted, though evidence quality was low. The review highlights the heterogeneity of interventions and the need for standardised reporting. Insufficient evidence to support specific non-surgical interventions for arthrofibrosis post-arthroplasty. Conclusions.Non-surgical interventions may improve knee range of movement and function, and reduce the need for future surgeries following knee replacement, but the quality of the evidence is very low.

















