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thank you very much indeed itamp;#39;s just fantastic to be here such an energetic meeting and Iamp;#39;m really excited and Iamp;#39;m need to say very grateful to those who invited me now the first thing to say is if you got a stiff knee it could be infected donamp;#39;t forget that if itamp;#39;s stiff youamp;#39;ve got to run the tests and exclude infection although itamp;#39;s not so common it occurs so donamp;#39;t forget the possibility infection now thereamp;#39;s this term arthop fibrosis that people use and what does that mean because itamp;#39;s used too often specifically arthop fibrosis means a global a total uh scarring of the joint the truth is it does exist but actually itamp;#39;s really rare and when surgeons use that terminology I think theyamp;#39;re using it as an excuse for not really getting things right usually stiffness follows operating too soon on an angry knee as we were talking about earlier on now I do think that there are some patients