No weight is needed on the foot during the first 2 weeks after surgery. Cleveland Clinic is a non-profit academic medical center. Talk to your healthcare provider about your concerns. PLoS One. Full recovery typically takes four to six months. official website and that any information you provide is encrypted Quadriceps tendinitis taping and bracing. You might have some pain and discomfort after the surgery. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Cast extending above the left elbow: This added 22.2 seconds to response time. If the strained quad is severe, it may require four to eight weeks to achieve full recovery. Jones Fracture of the Foot: Symptoms, Treatment, and Recovery. You can drive if you arent taking medication that affects your ability to drive and once your shoulder doesnt hurt when you control the wheel. SjDApqkpHD8jVU_Q(MOGk?Zm%u un-@aL$!@c5l'VcbO;*|sB/rf>(rFW{OiQKw#3:9L0~qe5. J of Opioid Management. When the procedure is related to an orthopedic injury, the concern is all the greater. In 2010 only 2.5% of ACL reconstructions were performed with the quad tendon. In this article, learn about the symptoms, causes, and treatments for tendinosis, as well as what makes it different from tendinitis. Driving . Plesser S, Keilani M, Vekszler G, Hasenoehrl T, Palma S, Reschl M, Crevenna R, Hajdu S, Widhalm HK. . Recovery times can vary, depending on the extent of the injury. Biceps tenodesis is done by detaching your biceps tendon from your labrum and moving the tendon to your upper arm bone (humerus). It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. Best food forward: Are algae the future of sustainable nutrition? I also realized that I needed my butt to be lifted a little bit higher so my leg could remain straight without it being an issue to drive and also so it wouldnt be painful. Physical therapy. <>stream In addition, if it is your right knee that had surgery, you will not be able to drive for approximately 6 weeks after surgery or until the brace is removed. Suture Bridge Transosseous Quadriceps Tendon Repair for Spontaneous Quadriceps Tendon Rupture in Patients With End-Stage Renal Disease. Last medically reviewed on August 6, 2018, The peroneal tendons are in the feet and provide balance and stability during movement. Copyright 2012 Elsevier Ltd. All rights reserved. The quadriceps muscles are the large muscles in the front of the thigh. 71 0 obj %PDF-1.5 % Biceps tenotomy is an alternative procedure. They are poorly protected by fat and therefore prone to injury. Patellar tendonitis treatment, exercises, symptoms, and all else you need to know. Cardiovascular health: Insomnia linked to greater risk of heart attack. Youll wear an arm sling or arm immobilizer for two to four weeks after your surgery. A systematic review. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. How long does it take to recover from knee tendon surgery? In some instances, your surgeon relocates your biceps tendon to your upper arm bone (humerus). Driving after upper or lower extremity orthopaedic surgery. z"*nt. 2023 Feb 18;13(2):364. doi: 10.3390/jpm13020364. They use the arthroscope to view your biceps tendon and labrum. The surgeon will make at least one cut through the skin in the area above the injured tendon so they can see it and look for injuries. <> (2016). Driving after quad tendon surgery is the question that will come up. When can I drive after orthopaedic surgery? Tendons also help protect joints from damage. This article explains factors that affect when you can drive again after certain types of orthopedic surgeries and steps to recovery. Mille F, Adam A, Aubry S, Leclerc G, Ghislandi X, Sergent P, Garbuio P. Eur J Orthop Surg Traumatol. It has been a wonderful SUV for me and has served me for over 13 years. A systematic review. 59 0 obj 52 0 obj <> endobj The femur is the large bone in the thigh and attaches by ligaments and a capsule to the tibia, the large bone below the knee %PDF-1.5 % Morikawa L, Tummala SV, Brinkman JC, Chhabra A. Arthrosc Sports Med Rehabil. If any joint has been placed in a cast or brace, you should avoid driving even if it's a soft brace or bandage since your range of motion is still restricted. Ice packs, pain medication and wearing a sling should help relieve both. Read our, What to Know About Driving and Anesthesia. Oh well, probably for the better I said. How long does it take for a quad to heal? Small tears of this tendon cause pain or make it difficult to walk and participate in other daily activities. What Is an Anterior Tibialis Tendon Rupture? Foot and Ankle Surgery. All those reactions can cause problems on the road. Can poor sleep impact your weight loss goals? The medical team will recommend some physical therapy or occupational therapy exercises to help bring back the range of motion slowly and safely. Darkened color or coolness in your hand or fingers. If you return to driving after an injury or surgery, you may need to check with your insurance company to ensure they're satisfied that you're able to drive safely. Biceps tenodesis treats biceps tendon tears caused by injury or overuse. 2022 Oct 20;11(11):e2073-e2080. This type of tendon damage may be called biceps tendonitis. As long as your leg is straight all should be OK is what I suspect. Your healthcare provider will give you specific instructions, but heres some general guidance: Scars from open biceps tenodesis are small. It was more of a morality issue because I felt I was going against doctors orders, but I didnt do any harm to my leg(s) so all was OK. or something under my butt to sit on would elevate me and help make my leg straighten out and as I suspected it worked out perfectly. People who may require tendon repair surgery include those with: If a person visits the doctor with a tendon injury, a doctor will carry out an initial physical examination of the injured area. The most common sites of tear were noted between 1cm and 2 cm of the superior pole of the patella and, in the older people, at the osseotendinous junction. eCollection 2022. As with braces, pain can cause you to move more slowly, which increases the risk of having an accident. An Internet based search of the English literature of the last 25 years was carried out. Now the Xterra sits pretty high off the ground so getting my right leg in was difficult especially since it had to remain as straight as possible. These medications don't put you totally out but do make you less aware and are used to block pain. Biceps tenodesis is successful more than 70% of the time. This will be done in clinic by Mr Gordon. 83*CARRv Numbness or tingling in your fingers or hand. They attach to the front of the kneecap (patella) and help straighten the leg. The overall rate of re-rupture was 2%. Klein, L. J., & Crimmins, C. A. Can bathe on the 2nd day after surgery (do not scrub, soak, or submerge the . You should call your healthcare provider if you have: Biceps tenodesis is the first step toward healing your biceps tendon so you can resume favorite activities like sports. 2020;26(8):924-929. doi. If this is the case, the surgeon will graft an extra piece of tendon between the ends to make them meet. Symptoms of a quadriceps tear or strain may include: Pain. Typically, theyre around 3-4 centimeters. In the beginning my father helped out with taking me to the post office to drop of my orders, but I couldnt ask him to continue to do that since he was coming all the way from his house. Chang ES, Dodson CC, Tjoumakaris F, Cohen SB, Chang ES, Dodson CC, Tjoumakaris F, Cohen SB. Patellar tendonitis involves small tears in the tendon that connects the kneecap to the shin. It is often reported that a patient should not drive with a plaster cast on the wrist. dJ}Ex?G+ZJ0xBrT>G@7E1 # "KH/2X How long after quad tendon surgery can you drive? doi: 10.1371/journal.pone.0194376. You will be advised to wait at least 6 weeks or more giving your tendon(s) enough rest. You will have physical therapy that begins about two weeks after your surgery and continues for several months. After surgery for a Quadriceps Tendon or Patellar Tendon Rupture, patients will be placed in a brace and be prescribed physical therapy. Early repair: During the next 36 weeks, the range of motion will start to return, but the area may feel slightly stiff. <> There are some general guidelines about how long it can take to return to driving after different types of surgeries, but in the end, you need to make a decision based on your personal needs and abilities. All data regarding mechanism and site of rupture, type of treatment, time elapsed between diagnosis and repair, patients' satisfaction, clinical outcome, return to pre-injury activities, complications and recurrence rates were extracted and analysed. The quadriceps tendon may be partially or completely torn. A person should not begin doing the exercises until a doctor says it is safe to do so. Thomopoulos, S., Parks, W. C., Rifkin, D. B., & Derwin, K. A. Maffulli, G., Del Buono, A., Richards, P., Oliva, F., & Maffulli, N. (2017, January). Patella Tendon / Quad Tendon Repair Michael E. Joyce, MD Bandages & Ace Wrap: Your post-operative dressing has three layers you need to understand in order to properly care for your knee for the two weeks following surgery. As a result, you might need to take off work or ask for help with everyday activities. I brainstormed on how I could get to work. The most common mechanism of injury was simple fall (61.5%). Driving itself wasnt such a big issue, getting into my SUV was. Post-operative fractures of the right knee, ankle, thigh, or calf bone: Patients could reasonably return to driving after six weeks of weight-bearing therapy. Recovering from surgery usually takes around 6 months, but it could be up to a year before youre able to return to full training for your sport. 2017;32(5):464-471. doi:0.1016/j.jopan.2016.01.005, Pollard A, Marr R. Driving advice after isoflurane anaesthesia. 32 0 obj Begin muscle strengthening Knee Range of Motion: You can fully extend (straighten the knee). Deciding whether or not you're ready to drive should not hinge on getting permission from your doctor. Over time (normally 6 weeks), Mr Gordon will assess your knee and may gradually increase the range of movement set on the brace. 2014 May;28(5):601-5. This is especially true if you've had surgery or are nursing a serious fracture. Once the swelling gets better, your doctor may suggest you visit a physical therapist. If you have a manual transmission it is going to be quite another story, but I am sure there is a work-around since all you really need is your feet to shift and brake, but I cant be sure since my experience was with an automatic. Is the ketogenic diet right for autoimmune conditions? All rights reserved. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. This is typically arranged through your local Department of Motor Vehicles (DMV) or Department of Transportation (DOT). The mean time of follow-up was 47.5 months (3 months to 24 years). Tears can be complete or partial. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. Progression to running and functional activities for sports often takes three to four months. Doctor, when can I drive? quadriceps femoris muscle, large fleshy muscle group covering the front and sides of the thigh. Continued Stretching and flexibility exercises to help the tendon heal completely and avoid long-term pain. Federal government websites often end in .gov or .mil. Even a joint that is partially restricted by a soft brace or bandage may restrict your range of motion too much to drive safely as researched in one study. By Jonathan Cluett, MD Angela Underwood's extensive local, state, and federal healthcare and environmental news coverage includes 911 first-responder compensation policy to the Ciba-Geigy water contamination case in Toms River, NJ. The most frequently used repair technique was patella drill holes (50% of patients). Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. (https://pubmed.ncbi.nlm.nih.gov/32368749/). I sat higher which straightened out my leg and I was now able to drive without any issues. My vehicle was a 2001 Nissan Xterra. endobj <> Driving under the influence of opioids: What prescribers should know. 216.444.2606. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). By 2014 the number had increased to 11%, according to a study in Knee Surgery, Sports Traumatology, Arthroscopy. This is done with a tendon taken from another place in your foot. Quadriceps tendon rupture is a rare but serious injury. David Gordon, Consultant Orthopaedic Surgeon - Quadriceps Tendon Repair Surgery : A Patient Guide June 2012 Physiotherapy and Exercise You can place your full weight through the leg and bend and straighten the knee within the range set by the brace . It can take longer to recover from a grade 2 or 3 strain, in some cases over 1 month. Would you like email updates of new search results? Gandhi MJ, Freitas D, Lewis M, et al. Like the patellar tendon, the quadriceps tendon has the potential to fully regenerate after harvest.4 days ago. Youll need to wear an arm sling for four to six weeks after your surgery. 64 0 obj What is the latest research on the form of cancer Jimmy Carter has? TUn(NJ)Z} DJ vhh|^.7GR4T( 8x\xy?T ~*d'"y1Hr%6.Q9q'w8>XeIp Out of 474 studies identified, 12 met the inclusion criteria. 1769 0 obj <>stream Surgeons usually take tendons from areas where the body has two tendons but can manage with just one. <>>> If your pain comes and goes, it's still dangerous because a sudden, unexpected twinge can cause you to swerve, apply more pressure on the gas, or become distracted. They drill a small hole in your upper arm bone. after your surgery. This includes general anesthesia and conscious sedation. Although quadriceps tears or strains are not common, this injury can make it difficult to walk or participate in day-to-day activities. <> Brace will be worn 12 weeks after surgery. In the beginning I would try to lift the leg up and into the car but there were a lot of painful moments. Then strong sutures are placed into the tendon and tied back down to the top of the patella. In turn, the patella is attached to the tibia by the patella ligament. A small rip probably won't require surgery. Learn more about this injury common in athletes who jump. Driving After Anesthesia Refrain from driving for the first 24 to 48 hours after receiving anesthesia. Tumescent local anesthesia for hand surgery: Improved results, cost effectiveness, and wide-awake patient satisfaction. government site. doi: 10.1590/1413-785220223001e245692. Verywell Health's content is for informational and educational purposes only. They pull your biceps tendon through the incision and release it from your labrum. Dineen KK, DuBois JM. eCollection 2022 Dec. Srimongkolpitak S, Chernchujit B, Apivatgaroon A, Taweekitikul P. Arthrosc Tech. <>/MediaBox[0 0 612 792]/Parent 2 0 R/Resources<>/ProcSet[/PDF /Text /ImageB /ImageC /ImageI]>>/StructParents 1/Tabs/S/Type/Page>> Carpal tunnel surgery on the right or left wrist: Recovery took approximately nine days. You feel cramps in your upper arm, especially when youve been carrying or lifting heavy objects. The existing evidence regarding the management of quadriceps tendon rupture remains obscure. Reported complications included heterotopic ossifications in 6.9% of patients, deep venous thrombosis or pulmonary embolism in 2.5%, superficial infection in 1.2% and deep infection in 1.1%. Antibiotic prophylaxis for preventing surgical-site infection in plastic surgery [Abstract]. Accessibility The procedure also treats SLAP tears tears in your labrum (cartilage that lines the inner part of your shoulder joint.) Torn Quad Surgery Typically surgery involves making an incision on the front of the knee. Fracture in the right foot: It took an average of six weeks to have reasonable control when braking. PMC Pain energy model of mobility limitation in the older adult. Driving After an Orthopedic Injury or Surgery. 30 0 obj (2017, November). However, some studies have provided insight into which injuries may require the most attention when deciding whether you're ready to drive again. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. Quadriceps tendon rupture is a rare but serious injury. 2014. Please enable it to take advantage of the complete set of features! Loose K, Rudolph J, Schlsser M, Willauschus M, Rther J, Schuster P, Bail HJ, Millrose M, Gelein M. J Pers Med. Y D%pwRscI]mQp%7CYaai6 :p-sln01fv (+7h&eu5hy69 D*::+ w h` 1+:*:/i~ {?AQ9Yi/*6`1DcjH1(@ H10xiF@*g0 `k endobj It often. A temperature that is higher than 101 F (38.3 C). It appears that the type of surgical repair does not influence the clinical results. The quad tendon is part of the extensor mechanism of the knee that includes the quadriceps muscle, the quad tendon, the kneecap (patella) and the patellar tendon. The site is secure. Your labrum tears and your biceps tendon is either torn in the process or is disconnected from your shoulder. 2014;12(1):26-31. doi:10.1016/j.surge.2013.05.006, Disilvestro KJ, Santoro AJ, Tjoumakaris FP, Levicoff EA, Freedman KB. You may also need to check with your insurance company about special driving restrictions after surgery or injuries. But for some of us, like me who didnt have easy access to help, you have to make due with other ways. Careers. Quadriceps tendon tear is an injury that occurs when the tendon that attaches the quadriceps muscle (a group of 4 muscles in the front part of the femur) to the patella or kneecap tears. If you received anesthesia, there should be specific restrictions related to the type of medication you were given. 0 This is done with several small incisions instead of one large one. w] a 2022 Jul 6;30(spe1):e245692. The doctor will also compare the injured part of the body to the non-injured side, checking for a difference in the range of motion. The existing evidence regarding the management of quadriceps tendon rupture remains obscure. In this procedure, surgeons cut your bicep tendon away from your labrum but dont reconnect it to your upper arm bone. In 70 percent of the cases, the healing process was completed after 6 months and the remaining 30 percent recovered after 12 months. Your doctor can offer guidance on when you may be healed and no longer impaired by medication, but if you need an official approval that you're able to drive, you may need to arrange for an evaluation of your driving skills through your local DMV or DOT. Outcomes following long head of biceps tendon tenodesis. Nonsurgical treatment RICE. hbbd```b`` qd &XD\K[`RDr 2$lZ{$]}"q`64] 31 0 obj 2022 Jun 14;11(7):e1209-e1217. Home Maintenance How Long After Quadriceps Tendon Repair Surgery. How soon you're able to drive after surgery varies from one person to the next. The affected limb was immobilised in a cast for a period of 3-10 weeks. Clin Orthop Relat Res. Your biceps tendon wears out over time and so tears more easily. Pain that limits your mobility can affect your driving. A person may require a tendon transfer. 4 0 obj It is important to start physical therapy within two to three days after surgery. Calcific tendonitis is a condition where deposits of calcium build up in a tendon or muscle, which can lead to pain and reduced movement. Call for an appointment (03) 6231 2477, Hip Replacement for Residual Hip Dysplasia, Long Head of Biceps Pathology (at shoulder), Shoulder Arthritis and Total Shoulder Replacement, Chronic Compartment Syndrome Fasciotomy Rehab Protocol, Rotator Cuff Repair, including Subscapularis, Rehab, Shoulder Instability Bankart Repair Rehab, Brace locked in full extension for 6 weeks, Ice and modalities to reduce pain and inflammation, Range of motion 0 degrees to 30 degrees flexion, Continue with aggressive patella mobility, Heel slides and total knee extension with ankle on towel, Increase intensity with quadriceps strength and straight leg raises, Continue with swelling control and patella mobility, Gradually progress to full range of motion, Begin mutli-plane straight leg raising and closed kinetic chain strengthening, Initiate open kinetic chain progressing to closed kinetic chain multi-plane hip, Progress open and closed kinetic chain program from bilateral to unilateral, Begin treadmill walking program forward and backward, Advance unilateral open and closed kinetic chain strengthening, Advance open and closed kinetic chain strengthening, Increase intensity on bike, treadmill, and elliptical trainer, Increase difficulty and intensity on proprioception drills, Begin gym strengthening: leg press, hamstring curls, ab/adduction; avoid lunges and, Begin multi-directional functional core program, May begin leg extensions; 30 degrees to 0 degrees progressing to full ROM as patellofemoral arthrokinematics normalize, Begin pool running program advancing to land as tolerated, Begin multi-directional field/court drills, Begin bilateral progressing to unilateral plyometric drills. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Policy. There are no set rules about when you can return to driving after surgery or an injury. How can I speed up tendon healing after surgery? 2018;19(8):1559-1569. doi:10.1093/pm/pnx239. Quad tendon repair with allograft post-operative physical therapy protocol Download PDF General considerations The surgical leg will be weight bearing as tolerated using crutches post-operatively. FOIA Tendon repair is done to bring back normal movement to a joint. In the biceps tenodesis procedure, your surgeon releases your torn biceps tendon from your labrum. Quick Answer: How Much Is Surgery For Tendon Repair, How Long Does A Tendon Repair Surgery Take, How Long Does Bicep Tendon Repair Surgery Take, Quick Answer: How Much Does Ankle Tendon Repair Surgery Cost, What To Expect After Achilles Tendon Repair Surgery, Can Surgery Repair A Partially Torn Achilles Tendon, Question: How Long Does A Quad Tendon Repair Surgery Take, Quick Answer: How Long Does Surgery Take To Repair Achilles Tendon, How Long Does Tendon Surgery To Repair Take Foot. You have shoulder pain that hasnt been helped by rest, physical therapy or pain medication. The .gov means its official. The joints that are . Protect the tendon repair from overstress and allow healing 2. Unauthorized use of these marks is strictly prohibited. Your surgeon will probably refer you to a physical therapist to work on range of motion of the knee, flexibility and strength of the core, hip and quadriceps muscles. Murar_Quad-Tendon-Repair_Post-Op_3.19.20 Author: kmurray Created Date: 3/19 . Your surgeon cuts into the area where the top of your biceps tendon connects to your labrum. They use small surgical tools to cut your biceps tendon from your labrum. At this time, your sutures will be removed and . Performance Is Regained Within 2 Seasons After Quadriceps Tendon Tears in National Basketball Association Players. eCollection 2022 Nov. Arthrosc Tech. Conservative, minimally invasive and open surgical repair for management of acute ruptures of the Achilles tendon: A clinical and functional retrospective study. Safe driving after propofol sedation. People who may require tendon repair surgery include those with: a deep cut that severs a. hXmo"9+M3VHn[m A splint or similar dressing can reduce tension while the tendon heals. Tendon injuries: Basic science and new repair proposals. MacKenzie JS, Bitzer AM, Familiari F, Papalia R, McFarland EG. The methodological quality of the included studies was assessed using the Coleman Methodology Score. 2014;69(9):1062-1063. doi:10.1111/anae.12809, Pergolizzi, Jr, MD JV, Taylor, Jr, PhD R, Bisney, MA J, et al. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. HTn6}W#YT=,V6.VjM;CX,Z2L sfFawh/%=}5w,ZA||PhyqSi;_[R]?6 w> Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. "ydL@78 o K| Inflammation: For the first 35 days, the area may feel swollen while the body works to heal itself. Speak with your doctor about whether or not you seem ready to start driving after surgery. Patients are able to walk on the leg right away, but will have limitations on the amount of knee flexion for 1-2 months. In fact, for the first day, you should refrain from many things in addition to driving such as operating machinery, cooking, or doing any task that could obviously lead to injury, including handling a kitchen knife. It is essential to keep the area elevated to prevent pain and swelling for the first few days. INSTRUCTIONS FOR IMMEDIATELY AFTER SURGERY:-Activity o Apply ice to your knee but keep the bandages dry Quadriceps Tendon Repair . Healing can take up to 12 weeks. Recovery for minor to moderate quad strains is usually one to three weeks with limited activity. When you are able to ambulate without a limp and feel comfortable doing so, you can safely discard the crutches and walk unassisted. If you need to legally prove youre capable of driving, youll need to have an evaluation done through your DMV or the DOT. In total 319 patients were analysed with a mean age of 57 years (16-85). Take over-the-counter pain relievers such as acetaminophen or NSAIDs (such as ibuprofen or naproxen) if you need them. Tendon injury may occur anywhere in the body where there are tendons. The aims of tendon repair surgery are: Before surgery for tendon repair, doctors will explain the procedure and provide anesthesia, which will prevent the person from feeling any pain. If you drive for a living, you may need to take this step to prove you're able to return to work. It usually takes four to six months to recover from biceps tenodesis. Minor to moderate quad strains will usually heal on their own, given enough time. 8600 Rockville Pike Khan, H., & Sivakumar, B. [3 sets of 15 reps as tolerated] . You can re-injure your biceps tendon by resuming sports and other activities before your tendon heals. Pain that doesn't go away when you take your pain medicine. Peroneal tendonitis affects these tendons, and can make. Braces: With an Patellar Tendon Repair procedure you will be placed in a hinged knee brace. Plaster cast (splint) Hand operations that require a plaster or a splint usually delay a return to driving. Your surgeons close the tiny cuts in your shoulder. The injured tendon may need to be supported with a splint or cast to take tension off of the repaired tendon. (https://pubmed.ncbi.nlm.nih.gov/27599831/). The surgeon will usually take the healthy tendon tissue for the graft from another part of the persons body. The first-line treatment for quadriceps tendinitis is a method called RICE. How long does it take a quadricep tendon to heal after surgery? <> This is usually around 2 weeks post-op. Your . Tang, J. <> You might have less pain and shorter recovery time if you have arthroscopic surgery instead of open surgery. Exceptions may include an injury to your left knee, ankle, or foot. The average of Coleman Methodology Score was 50.46/100. Injury. Unable to load your collection due to an error, Unable to load your delegates due to an error. National Library of Medicine Recovery after knee surgery entails controlling swelling and discomfort, healing, return of range-of-motion of the knee joint, regaining strength in the muscles around the knee joint, and a gradual return to activities.
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