(We repost this anonymous question with answer here on the forum, since we are retiring the FAQ page)How important is surgical technique, and can I avoid getting more scar tissue after surgery by choosing the right surgeon?
It appears that specialised surgical techniques are important for the best possibility of a good outcome from surgery. The practices of an experienced arthrofibrosis surgeon are:
1. No use of a tourniquet during surgery unless absolutely necessary. Other means are used to prevent bleeding.
2. “Releasing” scar tissue not “removing” it, with very little use of the arthroscopic shaver, preferring the use of a cautery tool to release scar tissue and prevent bleeding.
3. Don’t cut the fat pad; doing so strongly promotes further fibrosis.
4. Liberal use of local pain anaesthetics to ensure adequate post-op pain control.