Meniscus Replacement in Turkey
Healthy Türkiye helps you find the best meniscus replacement in Turkey at affordable prices and adopts a 360-degree service approach in all areas of health through affiliated hospitals.
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- Medical Treatment
- Meniscus Replacement in Turkey
- About Meniscus Replacement in Turkey
- Meniscus Replacement Procedure in Turkey
- Types of Meniscus Replacement in Turkey
- How Is Meniscus Replacement Performed in Turkey?
- What Happens Before a Meniscus Replacement in Turkey?
- What Happens During Meniscus Replacement in Turkey?
- What Happens After Meniscus Replacement in Turkey?
- Good Candidate for Meniscus Replacement in Turkey
- Recovery from Meniscus Replacement in Turkey
- Alternative Methods to Speed up Recovery for Meniscus Replacement in Turkey
- 2024 Cost of Meniscus Replacement in Turkey
- Why Choose Turkey for Meniscus Replacement?
About Meniscus Replacement in Turkey
Meniscus replacement is a surgical procedure in Turkey to replace a damaged or shortcoming meniscus. The meniscus is a C-shaped piece of gristle that cushions and protects the knee joint. Recovery time is usually about a month. But you may need to take a break from some sports and activities for up to a year to give your knee time to heal completely. Sometimes, a twisting injury may seriously damage your meniscus. If the damage is severe enough, your surgeon can remove your meniscus. Without this meniscus cushion, the ends of your tibia and femur may start to scrape abnormally. Over time, this can cause persistent knee pain. Eventually, it may cause arthritis. Your cartilage “cap” collapses, and the bones beneath start to scrape together.
Meniscal transplant surgery provides another option for you. The surgeon makes a very small incision in your knee. The specialist uses special instruments and cameras to access the joint space between your femur and tibia. Then, the meniscus is surgically sewn into your joint space. Many Meniscus Replacement surgeons prefer that their patients are well-informed and mentally and emotionally mature to make such a big decision. Healthy Türkiye provides information about all these factors and helps you to find excellent doctors in Turkey.
Meniscus replacement in Turkey can be done as an open surgery or as an arthroscopic surgery. Although arthroscopic surgery is more common, open surgery may be performed if the torn meniscus is difficult to locate or if adhesions are present. Most individuals who have had meniscus replacement can begin to bear weight one or two days after the procedure. After one week, the sutures are removed. After 2 to 4 weeks, patients may be able to perform all activities. Recovery differs from one patient to the next. This is determined by the severity of the damage, the type of operation, the patient’s overall health, and the surgeon’s preference. Physical therapy activities will assist the patient in recovering faster and improving knee strength and motion.
For several weeks following the procedure, the patient should avoid all intense activities. Kneeling, crawling, squatting, and other similar activities should be avoided for a few weeks after surgery. These activities may be permanently prohibited for some patients. The patient should attentively follow the doctor’s directions.
Meniscus Replacement Procedure in Turkey
Meniscal transplant is an operation in Turkey designed to replace a torn, defunctioned or removed meniscus with a new meniscus from donor tissue. The aim of meniscal transplant surgery is to decelerate the degenerative change within the knee, and improve pain and function. Meniscal transplant surgery can be applied to patients if the meniscus was removed in a previous surgery. This probably happened because of damage to meniscus so bad that surgeons couldn’t be repaired it in that previous surgery.This sitution incurs meniscus after knee replacement Without a meniscus, patient might gradually develop knee pain and arthritis of the joint.
Replacing meniscus provides significant pain relief. It may also help prohibits arthritis in joint. This can develop when your cartilage becomes frayed and solid. This method is less invasive than Meniscal Transplantation surgery. Healthy Türkiye leads you to meet our specialist for deciding which operation fits you.
A meniscus replacement in Turkey is one of the types of knee surgery. The meniscus is a C- figured piece of cartilage in the knee. There are two of them called menisci in each knee, They are called inside and outside. These rubbery pieces of cartilage cushion the knee joint and preserves the leg bones as they move. This procedure is also known as meniscal allograft transplantation (MAT). Allograft tissue comes from a human donor. A meniscus from a cadaver is used for this procedure. Researchers are working on the use of a prosthetic (human-made) meniscus.
A meniscal transplant replaces damaged cartilage, relieves knee pain, and improves the way the knee works. It can also inhibit osteoarthritis from developing early in life. Recovery time depends on the patient’s general health. However it takes usually about a month or two. To give your knee time to heal properly, you may need to take a break from weary sports and some physical activities for up to one year. Meniscus replacement is one of the most common treatment types that people undergo. It is not dangerous, but as with any surgery, there may be some complications and risks. Thanks to the experience of our expert surgeons at Healthy Türkiye, risks are minimized.
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Types of Meniscus Replacement in Turkey
There are many types of meniscus replacement in Turkey depending on techniques. At present, there are three main methods for meniscal repair, inside-out, outside-in, and all-inside. Among them, the strongest repair has been accepted as the inside-out technique, which was first invented by Henning.
In this technique, the tear is recruited by placement and fixation of the passing sutures from the intra-articular area with the use of special cannulae to a safe extracapsular area over the capsule with a posterolateral or posteromedial cut. For the posteriorly-placed tears, an open technique with the wielded of special retractors is used in order to conserve the neurovascular structures. The benchmark currently remains an inside-out vertical mattress suture repair. Healthy Türkiye provides you to find successful meniscus replacement surgeons in Turkey.
Total knee replacement in Turkey
Total knee replacement, also known as total knee arthroscopy , is a highly successful surgical procedure used in Turkey. It is not the only surgical treatment option for knee osteoarthritis. It could last you the rest of your life. Modern implants can last a few decades, sometimes over 20 years. However, if the patient has the surgery at a younger age, the implant may outlive the patient due to natural wear and tear. Also, with a partial knee replacement, the parts of the knee that were not replaced may get worse over time, which may be caused by the need for a total knee replacement.
Partial Knee Replacement in Turkey
Partial knee replacement in Turkey is performed to remove damaged tissue and bone in the knee joint. It is used when arthritis is present in only part of the knee. The areas are replaced with an artificial implant, named prosthetic. The rest of your knee is conserved. Partial knee replacements are most often done with smaller incisions, so recovery time is less.
Medial Meniscus Replacement in Turkey
Medial meniscus replacement in Turkey is also named as the inside of the knee, sophisticated combination of composition, morphology, and anatomical concerns of the menisci transforms the axially acting compression force during load-bearing into a circumferentially orientated tensile force. Medial meniscus replacement is a form of partial knee replacement As a result, 50% and 70% of the compartmental load is absorbed by the medial and lateral meniscus, respectively.
Following a total medial meniscectomy, the local peak contact pressure in the medial compartment increases by almost 235%, highlighting the importance of the medial meniscus in load-bearing. Similar results have been beheld for the lateral compartment after total lateral meniscectomy. The type of meniscus replacement procedure is determined by the patient’s needs and the surgeon’s preference. Some surgeons may choose to perform a combination of meniscus transplant techniques for achieving the best surgical outcome. Healthy Türkiye will help you choose the right knee replacement.
Artificial Meniscus Technique in Turkey
The artificial meniscus replacement in Turkey is new in knee surgery. The artificial meniscus is inserted into a patient’s knee through a small. Because of its special layout, featuring a thick rim and a thinner center, the device stays in place being attached to bones or any other packing tissue. Over time, the implant molds itself to the patient, creating a secure, comfortable shock absorber for the knee. This design is a significant advance from a similar approach that uses a metal device, which, due to its hardness, doesn’t provide stun absorption or mold itself to the patient’s anatomy.
How Is Meniscus Replacement Performed in Turkey?
Meniscus replacement surgeries are performed meticulously in Turkey. A torn or wounded meniscus can also lead to osteoarthritis. This condition happens when other cartilage in the knee wears down, causing pain and stiffness. A meniscal transplant can prevent or delay osteoarthritis from developing. But this procedure will not help people who already have knee pain from arthritis. It will be the healthiest thing for you to contact Healthy Türkiye assistants to prevent such situations through early diagnosis.
What Happens Before a Meniscus Replacement in Turkey?
For meniscus replacement procedures in Turkey, specialists use a meniscus from a human donor (cadaver). After removing it from the donor, providers freeze the meniscus to preserve it. Just before surgery, providers test the meniscus for disease and measure its size and shape. They carefully select a meniscus that will fit properly into your knee. To prepare for surgery, your provider will:
Ask about medications you take. You may need to stop using some medications (such as blood thinners) before surgery. Order an MRI scan or X-ray, if necessary. These imaging studies allow your provider to see elaborate pictures of the inside of your knee area. Tell you what time to stop eating and drinking the night before your operation. Before your surgery, a healthcare provider will carefully screen the donated meniscus for any symptoms of infection.
What Happens During Meniscus Replacement in Turkey?
During meniscus replacement in Turkey, surgeons usually perform a meniscus transplant using a common method called knee arthroscopy by inserting a tiny camera through a small incision. The camera shows images of the inside of your knee on a screen. Using the images as a guide, tiny tools into another incision will be inserted. Your provider removes any part of the meniscus that’s still in the knee and puts the healthy meniscus in place. They use stitches or screws to connect the meniscus to the shinbone and the knee joint capsule.
An anesthesiologist can help explain the details of your particular surgery. An orthopedic surgeon will perform the surgery. The operation may take a couple of hours. A healthcare provider (anesthesiologist) will give patient medicine to make him or her sleep through the process and won’t feel any pain or discomfort during the surgery. Patient’s biotic signs, like heart rate and blood pressure, will be monitored during the operation.
After cleaning the affected area, surgeon will make a small incision through the skin and muscle of your knee. Doctor will insert a very small camera through this incision, using this camera to guide the surgery. Using very small instruments inserted through the incision, anesthesiologist will remove any remaining meniscus. Next, specialist will surgically sew the donated meniscus into the joint space. The healthcare provider might use screws or other devices to hold the meniscus in place. Your surgeon will make other repairs, if necessary. The surgeon will close the layers of skin and muscle around your knee.
What Happens After Meniscus Replacement in Turkey?
It is important to know what will happen after meniscus replacement in Turkey. Surgeon will inform when patient can go home after surgery and how to care for incision. Patient may be able to go home the same day, or may stay for a short time in the hospital. In recovery, a patient needs to use crutches for about four to six weeks.
Meniscus surgery recovery includes rest and physical therapy (PT). When patient is ready, specialist will recommend a customized PT program. Special exercises and stretches will strengthen the muscles around your knee and improve your range of motion. Healthy Türkiye will arrange the best physical therapy.
Good Candidate for Meniscus Replacement in Turkey
A meniscus replacement isn’t suitable for patients in every country including Turkey. To determine if you qualify for this procedure, your doctor will consider several factors, including:
Age, activity level and overall health: Surgeons perform this procedure on active people under age 40 or 50 who do not have knee arthritis. Teenagers can have the surgery, but specialists usually recommend waiting until the bones finish growing. The surgery is more successful in patients who are physically active and maintain a healthy weight.
Anatomy of the knee: To be eligible for a meniscus transplant, you must be missing part of the meniscus or have a meniscus tear. But the other parts of your knee should not have been damaged. The surgeon will examine your knee to check for proper alignment and stability in the ligaments (soft tissues that connect bones to bones).
Arthritis: If you have arthritis, you may not qualify for a meniscus transplant. If the cartilage in the knee has worn down too much, the procedure might not be successful.
Recovery from Meniscus Replacement in Turkey
Meniscus replacement recovery time in Turkey takes depends on the operation, usually lasting the first 6 weeks. The main priorities during this period are to check out inflammation and swelling. In recovery time patients have these processes:
Weight Bearing: It can be taught how to use elbow crutches before you leave the hospital. These are to help you to be non-weight bearing for the first 4 weeks after meniscus surgery. You must not get any weight through your operated leg until after 4 weeks after your operation as guided by your consultant.
Knee Bending: For the first 6 weeks, bending is limited to 90 degrees. Beyond that will compromise healing of the transplant.
Bracing: After a meniscal transplant in Turkey, you will be fitted with a brace to help limit your range of movement and also ensure you with some support. The brace should be worn day and night for the first two weeks after surgery. After this two weeks period, the gusset can be removed at night to sleep.
Ice Treatment: Ice treatment after your surgery is very important, aiming to put the swelling of your knee under control. You should use an ice pack or Cryocuff on your knee for 15-20mins every two hours during the day for the first 7-10 days after your surgery. It is expected that your knee will keep swelling for up to 3 months after your surgery, and icing helps reduce that swelling.
Exercise After Meniscus Replacement: Please remember not to push flexion beyond 90 degrees for the first 6 weeks. Knee extension is to sit with a rolled towel under the ankle without anything underneath the knee, allowing gravity to help passively stretch the knee. Starting this for 2 mins and gradually build up as pain allows repeat 5 times daily. It is very important to regain full straightening of knee in the first 6 weeks.
Strengthening: Sitting or lying with your leg out straight, and push knee down firmly against the bed will be helpful. Please Hold for 5 seconds and repeat 10 times. Or Sitting on bed or floor, bending knee slightly, then pushing heel into the bed keeping knee slightly bent. Holding for 5 seconds and repeating 10 times will be beneficial.
After surgery, some of the patients initially struggle to regain good quadriceps control and activation. It may be issued a muscle stimulation device to help with this. It is advisable to use this as physiotherapists’ guidance. It is at your consultant and physiotherapists discretion if you will require this device by part of the rehabilitation program.
Alternative Methods to Speed up Recovery for Meniscus Replacement in Turkey
It is possible to speed up your recovery time for meniscus replacement in Turkey. The doctor can propose you additional or alternate information regarding knee pain and total knee replacement surgery, depending on your particular situation. If you have interrogations about your best method of action, schedule an appointment to discuss what’s right for you. Healthy Türkiye provides you to find answers about knee pain treatment options. Healthy Türkiye ensures you to learn about all recovery processes including meniscus replacement.
Physical Therapy
Meniscus injuries can often be managed by controlling the pain and swelling, as well as possibly working with a physical therapist to renew full knee strength and mobility. Your therapist or physician in Turkey can recommend ice and compression and ensure you with a special at-home exercise regime, or may use a treatment called neuromuscular electrical stimulation (NMES) to aid improve your strength. Medications like aspirin and ibuprofen may also be recommended to decrease pain and swelling.
Injections
The two most common injections used in Turkey that can be useful in reducing inflammation within the joint are cortisone injections and hyaluronic acid, originally derived from the combs of roosters, which can glib the knee joints and provide short-term relief. While injections temporarily reduce pain, they will not cure the meniscus tear.
Stem-Cell Therapy
Researchers have been developing stem-cell therapies that may help treat the injured tissue. During stem cell therapy , stem cells from your own body or some other source are injected into the injured knee, where they grow, differentiate, and assist with the healing of the meniscus. Keep in mind that while this type of therapy is promising, it is relatively new and is still considered experimental in some clinics. As such, most insurance won’t cover the expense, and it is unknown if this will be a long-term cure or how long the effects will last.
Meniscus Surgery
If an injury is rough or if symptoms persist after nonsurgical treatment, many turn to surgery to repair a meniscal tear: a partial meniscectomy if the meniscus can be removed or a meniscus repair if the tear can be sewn together. While meniscus surgery remains one of the most common orthopedic methods performed in Turkey, several recent studies have shown that surgery to repair a torn meniscus may not offer any benefit or pain reduction over physical therapy. In addition, those who undergo these surgeries have a much higher probability of getting a total knee replacement in their lifetime.
2024 Cost of Meniscus Replacement in Turkey
All types of medical attention, like meniscus replacement, are very affordable in Turkey. Many factors are also included in determining the cost of meniscus replacement in Turkey. Your process with Healthy Türkiye will last from the time you decide to have a meniscus replacement in Turkey until the time you are fully recovered, even if you are back home. The exact cost of a meniscus replacement procedure in Turkey depends on the type of operation involved.
The cost of meniscus replacement in Turkey does not demonstrate many variations in 2024. Compared to costs in developed countries like the United States or the UK, meniscus replacement costs in Turkey are relatively low. So, it’s no wonder patients from across the world visit Turkey for meniscus replacement procedures. However, the price is not the only factor affecting choices. We suggest looking for hospitals that are safe and have meniscus replacement reviews on Google. When people decide to seek medical help for meniscus replacement, they will not only have had low-cost procedures in Turkey, but also the safest and best treatment.
At clinics or hospitals contracted with Healthy Türkiye, patients will receive the best meniscus replacement from specialist doctors in Turkey at affordable rates. Healthy Türkiye teams provide medical attention meniscus replacement procedures, and high-quality treatment to patients at a minimum cost. When you contact Healthy Türkiye assistants, you can get free information about the cost of meniscus replacement in Turkey and what this cost covers.
Meniscus replacement 2024 cost in the UK is around £4.000.
Meniscus replacement 2024 cost in the USA is around $5.700.
Meniscus replacement 2024 cost in Turkey is between $2.500 and $4.000.
Price of Meniscus Replacement in the UK
Price of Meniscus Replacement in the USA
Price of Meniscus Replacement in Turkey
Why Is Meniscus Replacement Cheaper in Turkey?
One of the main considerations before traveling abroad for meniscus replacement is the cost-effectiveness of the whole process. Many patients think that when they add flight tickets and hotel expenses to their meniscus replacement costs, it will become very expensive to travel, which is not true. Contrary to popular belief, round-trip flight tickets to Turkey for meniscus replacement can be booked very affordably.
In this case, assuming you are staying in Turkey for your meniscus replacement, your total travel expense of flight tickets and accommodation will only cost less than any other developed country, which is nothing compared to the amount that you are saving.
The question “Why is meniscus replacement cheaper in Turkey?” is so common among patients or people simply curious about getting their medical treatment in Turkey. When it comes to meniscus replacement prices in Turkey, there are 3 factors allowing for cheaper prices:
The currency exchange is favorable for whoever looking for meniscus replacement has a euro, dollar, or pound;
The lower cost of living and cheaper overall medical expenses such as meniscus replacement;
For meniscus replacement, incentives are given by the Turkish Government to medical clinics working with international clients;
All these factors allow for cheaper meniscus replacement prices, but let’s be clear, these prices are cheaper for people with strong currencies (as we said, euro, dollar, Canadian dollar, pound, etc).
Every year, thousands of patients from all over the world come to Turkey to get meniscus replacement. The success of the healthcare system has increased in recent years, especially for meniscus replacement. It’s easy to find well-educated and English-speaking medical professionals in Turkey for all kinds of medical treatment such as meniscus replacement.
Why Choose Turkey for Meniscus Replacement?
Turkey is a common choice among international patients seeking advanced meniscus replacement. Turkey’s health procedures are safe and effective, with a high success rate, like meniscus replacement. The increasing demand for high-quality meniscus replacement at affordable prices has made Turkey a popular medical travel destination. In Turkey, meniscus replacement is performed by highly experienced and trained doctors with the most advanced technology in the world. meniscus replacement is done in Istanbul, Ankara, Antalya, and other major cities. The reasons for choosing meniscus replacement in Turkey are as follows:
High-quality hospitals: Joint Commission International (JCI) accredited hospitals have dedicated meniscus replacement units that are specially designed for patients. International and national strict protocols provide effective and successful meniscus replacement for patients in Turkey.
Qualified experts: The expert teams include nurses and specialist doctors, together to carry out meniscus replacement according to the patient’s needs. All the included doctors are highly experienced in performing meniscus replacement.
Affordable price: The cost of meniscus replacement in Turkey is affordable compared to Europe, the USA, the UK, Singapore, Australia, etc.
The high success rate: Highly experienced specialists, the best available technology, and stringently followed safety guidelines for post-operative care of the patient, resulting in a high success rate for meniscus replacement in Turkey.
Is Meniscus Replacement Safe in Turkey?
Did you know Turkey is one of the most visited destinations for meniscus replacement in the world? It is ranked as one of the most popular tourist destinations for meniscus replacement. Over the years it has also come to be a very popular medical tourism destination, with many tourists coming in for meniscus replacement. There are so many reasons why Turkey stands out as a leading destination for meniscus replacement. Because Turkey is both safe and easy to travel to, with a regional airport hub and flight connections to pretty much everywhere, it is preferred for meniscus replacement.
The best hospitals in Turkey have experienced medical staff and specialists who have performed thousands of medical services such as meniscus replacement. All procedures and coordination related to meniscus replacement are controlled by the Ministry of Health in accordance with the law. Over many years, the greatest progress in medicine has been observed in the field of meniscus replacement. Turkey is known among foreign patients for its great opportunities in the area of meniscus replacement.
To emphasize, besides the price itself, the key factor in selecting a destination for meniscus replacement is certainly the standard of medical services, the hospital staff’s high expertise, hospitality, and the safety of the country.
All-Inclusive Packages for Meniscus Replacement in Turkey
Healthy Türkiye offers all-inclusive packages for meniscus replacement in Turkey at much lower prices. Extremely professional and experienced doctors and technicians carry out the high quality meniscus replacement. The cost of meniscus replacement in European countries can be quite expensive, especially in the UK. Healthy Türkiye provides cheap all-inclusive packages for a long and short stay of meniscus replacement in Turkey. Because of many factors, we can provide you with many opportunities for your meniscus replacement in Turkey.
The price of meniscus replacement differs from other countries due to medical fees, staff labor prices, exchange rates, and market competition. You can save much more on meniscus replacement compared to other countries in Turkey. When you purchase a meniscus replacement all-inclusive package with Healthy Türkiye, our healthcare team will present a list of hotels for you to choose from. In meniscus replacement travel, the price of your stay will be included in the all-inclusive package cost.
In Turkey, when you purchase meniscus replacement all-inclusive packages through Healthy Türkiye, you will always receive VIP transfers. These are provided by Healthy Türkiye, which is contracted with highly qualified hospitals for meniscus replacement in Turkey. Healthy Türkiye teams will organize everything about meniscus replacement for you and have you picked up from the airport and safely brought to your accommodation. Once settled in the hotel, you will be transferred to and from the clinic or hospital for meniscus replacement. After your meniscus replacement has been successfully completed, the transfer team will return you to the airport in time for your flight home. In Turkey, all packages of meniscus replacement can be arranged upon request, which relaxes the minds of our patients. You can reach out Healthy Türkiye for everything you need to know about meniscus replacement in Turkey.
The Best Hospitals in Turkey for Meniscus Replacement
The best hospitals in Turkey for meniscus replacement are Memorial Hospital, Acıbadem International Hospital, and Medicalpark Hospital. These hospitals attract patients from all over the world seeking meniscus replacement due to their affordable prices and high success rates.
Best Doctors and Surgeons in Turkey for Meniscus Replacement
The best doctors and surgeons in Turkey for meniscus replacement are highly skilled professionals who offer specialized care and advanced procedures. With their expertise and state-of-the-art techniques, these specialists ensure that patients receive high-quality meniscus replacement and achieve optimal health results.
Frequently Asked Questions
Meniscus repair surgery is an outpatient surgery to reconstruct or remove a torn or damaged meniscus. This is a type of arthroscopic surgery, meaning a small camera and surgical tools are inserted through small incisions on the knee. The camera provides the surgeon with a clear view of the inside of the knee, while they use the surgical instruments to trim and repair the tear. Meniscal transplant is a simple surgery and you will only be left with small scars from the incisions that will fade over time.
For any recovery, it’s key to follow your doctor’s post-op instructions. Their advice might include keeping weight off your knee, icing and elevating it, and keeping your incision clean. You’ll also begin physical therapy in Turkey after meniscus surgery to strengthen your knee and the surrounding area.
Most patients are able to resume their regular activities between 4 and 6 weeks after surgery. As with any surgery, your surgeon will be able to tell you the best timeline for you and your recovery.
For most younger patients, the risk of needing a knee replacement is relatively small. However, for some older patients with large tears, there is a chance that a knee replacement might be eventually required. If these haven’t answered all your questions, get in touch with a Patient Care Adviser today, and they will talk you through every detail of your meniscal repair procedure.
Ask your provider when you can return to the activities you enjoy. Most people need to rest and stay off their feet as much as possible for about two weeks after meniscus transplant surgery. To give your new meniscus time to heal properly, you may need to take a break from sports or strenuous activities for six to 12 months.
It appears that most meniscus transplants would last 12 to 15 years and some may last longer.
Arthroscopic knee surgery can help alleviate the discomfort of a tear in the short term, but it may increase your risk of osteoarthritis later on. In arthroscopy, part of the meniscus is removed. As a result, the knee has considerably less support and absorbancy.
A doctor or physiotherapist will give you advice on when you can return to these activities. If you had a partial meniscectomy, you might be able to play sports in about 4 to 6 weeks. If you had a meniscus repair, it may be 3 to 6 months before you can play sports.
At 6 weeks after surgery, you can gradually resume your previous activities if you have full range-of-motion, full strength and no swelling. Utilize a stationary bicycle to move the knee joint and increase knee flexion.
Swelling or stiffness.
By 6 months after surgery, most people can perform more intense activities such as doubles tennis, heavier weightlifting, and more strenuous forms of dancing.