Click here to download pdf rehabilitation after knee meniscus repair. If you have questions, contact the referring physician. The decision to repair a tear in the meniscus is based largely on the location of the tear. Orthopaedic surgery sports medicine meniscus repair postoperative rehabilitation protocol robert arciero, m. Rehabilitation guidelines for meniscal repair there are two types of cartilage in the knee, articular cartilage and meniscus cartilage.
Meniscus repair postoperative rehabilitation protocol. Dependent upon the location and size of the repair, weight bearing. Tears are noted by how they look, as well as where the tear occurs in the meniscus. Meniscal repair protocol missouri orthopaedic institute meniscal repair rehabilitation protocol seth l. Studies have shown that partial meniscectomy of a tear involving root of the medial meniscus are biomechanically equivalent to complete meniscectomy and therefor an attempt for surgical repair and meniscal preservation should be made in this type of tear 8. The primary function of the articular cartilage is to.
Variations are built into the rehabilitation protocol according to the type, location, and size of the meniscus repair, if concomitant procedures are. Instead, the clinician should combine basic scientific knowledge and. This is to protect the repair for the first 46 weeks, to allow the area to heal. Rehabilitation guidelines for meniscal repair of root and. The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear. Most of the time, rest, ice, and pain meds are enough to help you feel better. Tamara l young, atc, otc, med department of sports medicine diagnosis. Manual muscle testing may reveal a proximal or distal weakness or. Lowe this rehabilitation protocol was developed for patients who have isolated meniscal repairs. If a meniscus repair is performed, you will receive a brace to restrict the motion of your knee. Utilization of modified nfl combine testing to identify functional.
Acl reconstruction and meniscus repair physical therapy. Complex and radial meniscus tear protocols restricted weight. Instead, the clinician should combine basic scientific knowledge and physical. This meniscus repair reconstruction protocol is criterion based. Tens, ultrasound, cryotherapy and nmes are commonly used in a variety of clinical settings 8,9,10,11,12, the use of ice is the only method shown to be. Preop ttwb crutch gait instruction rom precautions flexion limited to 90 icing therapeutic exercises a. Variations are built into the rehabilitation protocol according to the type, location, and size of the meniscus repair, if concomitant procedures are performed, and if. Meniscus repair protocol center for sports medicine and. In general, knee is protected with a brace, rom limited to protocol as our standard protocol for the management of patients sp meniscal repair. Rom for knee flexion and extension quad sets antiphlebetic ankle exercise water precautions postop. Meniscal repairs located in the vascular zones of the periphery or outer third of the meniscus are progressed more rapidly than those repairs that are. Figure 1 meniscus cartilage shown here from above the knee, without the femur. Meniscus root repairs nonweight bearing with brace locked at 0 degrees okay to unlock brace while nonweight bearing i.
Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. Gallandkirby acl reconstruction with meniscus repair postsurgical rehabilitation protocol postop days 1 14 dressing. Noyes knee institute rehabilitation protocol for meniscus repairs and transplants 12 34 56 78 912 4 5 6 712 brace. Acl autograft reconstruction with meniscus repair 20191021t16.
Rehabilitation protocol for meniscus repair this protocol is intended to guide clinicians and patients through the postoperative course for a meniscus repair. Articular cartilage is made up of collagen, proteoglycans and water which lines the end of the bones that meet to form a joint. Physical therapy management of meniscus tears morphopedics. Meniscal repair rehabilitation protocol orthopedics ne. Instead, the clinician should combine basic scientific knowl edge and. This is more mobile than the medial meniscus and will combine with the m. Acl reconstruction protocol without meniscus repair.
Acl reconstruction protocol without meniscus repair general begin passive range of motion rom immediately after surgery unless instructed otherwise full extension is emphasized at each visit and for daily exercises weight bearing status. For more information go to meniscal repair protocol. Meniscal repair protocol1 northwestern medical center. Articular cartilage is made up of collagen, proteoglycans and water and lines the end of the bones that meet to form a joint. Meniscus repair and transplant protocol the noyes knee. After preparation is complete, the specific and preferred repair techniques are selected and carried out. Throughout this protocol, time references in weeks since surgery represent the. Discontinue crutches and brace when gait in nonantalgic about 6 weeks post op and patient has adequate quad control. Longleg postoperative c, a, t c, a, t c, t range of motion minimum goals 090 0120 05 x x x weightbearing toe touch to 50% body weight 75% to 100% body weight toe touch to 25% body weight.
Rehabilitation guidelines for meniscal repair uw health. If an athlete suffers a meniscal tear, the three options for treatment include. Post operatively these patients will need to avoid combined. Rehabilitation after meniscus repair surgery usually begins with early active range of motion and restoration of strength exercises, followed by a. A variety of rehabilitation protocols have been advocated. Kaar, md department of orthopaedic surgery sports medicine and shoulder service acl reconstruction with meniscus repair rehab protocol prescription patient name. Trephination and abrasion are particularly important in cases where a repair is performed in less vascularized zones.
Change dressing, keep wound covered, continue ted hose pod 710. The primary function of the articular cartilage is to provide. Manual muscle testing may reveal a proximal or distal weakness or muscle. Acl reconstruction w meniscus repair mizzou sports doc. Table ii standardized meniscal repair rehabilitation protocol for all meniscal tear repairs. Nwbtdwb brace locked in extension for ambulation brace when good quad control after 6 weeks dr exercise.
Conservative treatment for meniscal tears can be effective within 8 weeks 1 whereas therapy for postsurgical meniscus repair generally lasts about 15 weeks 7. Rehabilitation guidelines for meniscal repair of root and complex tears there are two types of cartilage in the knee. Define the protocol to be followed for all patients referred from northwestern. The physician reserves the right to either advance or delay this protocol as deemed necessary. These tears will typically be repaired in younger, active patients. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a meniscal repair. Bledsoe style brace for concomitant gr iii mcl injury if present. Manual muscle testing may reveal a proximal or distal weakness or muscle imbalance. Postoperative rehabilitation protocols shoulder shoulder arthroscopy general slap or anterior labral repair posterior labral repair rotator cuff repair cc ligament reconstruction latarjet procedure pec tendon repair pec tendon transfer total shoulder or reverse shoulder arthroplasty knee knee arthroscopy general knee microfracture or oats meniscus repair meniscus root repair mpfl. Partial weightbearing status md meniscus repair protocol 1160 kepler drive 1 p a g e green bay, wi 54311 9202885555 if an acl reconstruction is performed in conjunction with a meniscus repair, please follow meniscus repair protocol. An arthroscopic meniscectomy is a procedure to remove some or all of a meniscus from the tibiofemoral joint of the knee using arthroscopic keyhole surgery. Pt protocol meniscus repair michael j rytel, md greater pittsburgh orthopaedic associates phase 1. Tears in the peripheral third of the meniscus are more likely to heal due its vascular nature. Patients must demonstrate specific functional criteria at each physical therapy visit before progressing to more advanced interventions.
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