Maybe it's time to call some plastic surgeons.......
<grin> If that is to discuss silicone then maybe one knows something useful for fluid trainers. However if you haven't seen one already, your knee needs an orthopaedic specialist or perhaps just a decent physical therapist.
I don't get along with trainers. I only use them just to keep my legs moving when I can't get outside. I seldom pull much resistance on them and stay in the low ratio gears.