weight bearing after meniscus repair

Arthroscopy. 0000039339 00000 n Based on this, I continue to stand by my rehab guidelines of full, pain-free passive range of motion and immediate weightbearing after a vertical longitudinal meniscal repair. Context: 0000046832 00000 n Epub 2016 Oct 7. 0000058350 00000 n Wear the post-operative brace for walking. 7. Tompkins and colleagues categorized 295 patients who underwent meniscus repair between 2006 and 2009 into the following two groups: non-weight-bearing; or weight-bearing as tolerated immediately following surgery. until the knees are flexed about 45 degrees (illustration). Do not do these exercises if there is pain or grinding at the knee-cap. Yes limitations are common after a meniscus repair. 2006;34:1941-1947. 0000061788 00000 n 0000055072 00000 n Do the exercises daily for the first week, then decrease to every other day when using ankle weights. Wont that put the repair in a position to fail? WebThe following is a protocol for postoperative patients following ACL reconstruction and meniscus repair (medial or lateral). g&w?]!%[WN#$,ZdtX$~4Li`iE_;{4YRdqIYME gv-FdFfwOm#_>{69lX v9lO 4_ Add this exercise after completing the step-up-down progression: Start with 3 sets of 5 repetitions. Try to keep an upright posture and avoid bending forward during the exercise. Pause five seconds and then slowly slide back up to the upright starting position. 0000056879 00000 n What is hoffas syndrome? In the position illustrated, keep the heel flat on the floor and the knee fully extended. You should be able to fit two fingers under your arm when standing with crutches. Careers. WebHello! PMC Some patients prefer to avoid prescription pain medication in favor of an over-the-counter pain reliever, but if you do feel you need something stronger, make sure to follow the doctors exact directions. 0000034881 00000 n N," R"vr;PD=u77l)_xv|K9|y:0OR`n~@tmqm [$mXl m-m% %lc%F^i6vFXJ;d7b#\&a1'J-D]a1-D}al%1psy-qGVX"Bp\C#h}x1%|dlu+M l:q$n8?@MtZ=[FbI;G)3*z.LN~ |o[x0q^o9ExRUP~: :.~xTA9nj=X};0@q!t[H'?w>n{E.qt|6'ek#9u_~+4 0000056270 00000 n There was a struggle of course but that was to be expected.

If you run, 3 times per week for 10 minutes is advisable for the first 2 weeks. You can unlock the brace to sit or move the knee when not walking. Copyright Emory Healthcare 2022 - All Rights Reserved | Download Adobe Reader. get clearance for introducing new activities/movements) to minimize the chance the meniscus repair fails. Re-operations were performed in 61 of 157 patients [38.9%]. After 4 For both cases, I would recommend passive range of motion to tolerance. 0000044319 00000 n 0000063394 00000 n Included studies were those with levels of evidence 1 through 4, with minimum 2 years follow-up and in an English publication. What is the medical term for Knocked knee? ACL surgery patients want to know one thing: How long until I'm better? Epub 2017 Aug 16. Avoid using stair-stepper machines, doing deep knee bends and squats. 0000049551 00000 n If you are able to bear full weight without pain, you can taper to one crutch, held on the opposite side of your affected knee. Im now a couple weeks out from my reconstructive ACL and meniscus repair surgery. Unauthorized use of these marks is strictly prohibited. Partial meniscectomy involves trimming away the damaged meniscus. Speed and agility running program begins. Despite this high occurrence, many inconsistencies continue to exist in the rehabilitation of a patient following meniscus repair surgery, particularly involving the rate of weightbearing and range of motion. Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on, American Academy of Orthopaedic Surgeons Annual Meeting. 2015 Jan;23(1):83-9 The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 0000041643 00000 n 1 0 obj Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside 0000029954 00000 n My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. At Mattalino Orthopaedic in Phoenix, AZ, meniscus surgery is performed at our state-of-the-art clinic with extensive after-care to ensure a complete recovery. The https:// ensures that you are connecting to the Gentle stretching is also a good way to maintain flexibility in the knee joint. If you do need surgery, weight bearing is often limited afterward. Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg. The literature is screaming this same thing at us but we continue to ignore their calls and revert to the 90s! 0000055744 00000 n Methods: What do the surgeons that you work with recommend?

Early Weightbearing After Meniscus Repair, Furthermore, the compressive loads applied while weightbearing in full extension following a vertical, longitudinal repair or bucket-handle repair have been shown to reduce the meniscus and stabilize the tear, as noted by. Infection rates for arthroscopic ACL reconstructions are among the lowest for surgical procedures, with average infection rates typically cited at 0.2 percent. Use this weight for the first week before raising the weight.

trailer Repeat this process of progression from 3 sets of 5, to 3 sets of 10 (about 2 weeks). There is very limited literature on the influences of range of motion on meniscal movement. If you decide to go the OTC route, always ask the doctor first to make sure the medication is appropriate for you. Clipboard, Search History, and several other advanced features are temporarily unavailable. An official website of the United States government. Arthroscopic meniscus repair is an outpatient procedure. 0000048343 00000 n If instructed byyour doctor, you may discontinue the brace and begin to progressively walk normally on the leg. Press question mark to learn the rest of the keyboard shortcuts. See figure in phase 1. Try to avoid limping and walk slowly but normally. 8. The knees experience a great deal of pressure and are particularly prone to damage. Following this 6 weeks, they begin weight bearing at 25% with crutches for 1 week, and then 75% weight bearing using 1 crutch for 1 additional week. At this time, you can decrease the number of repetitions per set from 15 to 10. 0000035805 00000 n 0000037218 00000 n 0000018575 00000 n 4 0 obj 0000011192 00000 n Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. Hold this flexed position with the leg parallel to the floor for one second. 0000044845 00000 n 0000061189 00000 n WebMany patients use crutches after surgery to keep their affected foot off the ground. To start the repair, the free ends of the suture were passed from top to bottom on both sides of the tear. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. 0000014653 00000 n 0000047332 00000 n 0000044707 00000 n The motion has been shown to help improve blood flow to the area. Weightbearing After Meniscus Repair : Things being what they are, if immobilized in extension, for what reason do we restrict weightbearing? Again, these studies show meniscal repair outcomes are no different while using restricted weightbearing and range of motion versus an aggressive protocol of immediate weight-bearing and unlimited range of motion. 298 0 obj<>stream Avoid starting the exercise with the knees bent past 90 degrees. Resting when you feel tired, getting plenty of sleep, and eating a healthy diet can all be helpful in ensuring a quicker recovery. pM>9r~\]p,QJF5H6?/? 0000062531 00000 n Brace and Crutches: Did you surgeon limit ROM after meniscus repair? The motion has been shown to help. 0000058205 00000 n Proper aftercare is essential to avoid any complications or setbacks that may lengthen your recovery time. Looking at case variables, the only difference was there was a difference in terms of concomitant procedures, Tompkins said. 0000061643 00000 n Conclusion: For those interested in learning more about how Lenny and I evaluate and treat the knee, we have an amazingly comprehensive course that covers everything you need to know to master the knee. startxref I should add I KNOW I should follow my doctors orders but honestly her post op communication has been lacking. This is huge and may aid in the healing process! 0000037412 00000 n Hold the knee locked in extension for 5 seconds, then slowly lower. Do 1 to 2 repetitions of each drill of final workout to warm-up before practice. To review the current literature on weightbearing status after meniscal repairs and to provide evidence-based recommendations for postoperative rehabilitation. If you have a bandage in place, keep it clean and dry until it is ready to come off. Hold for one second, then lower slowly to the starting position. Slowly return to the standing and starting position. WebMeniscus Transplant Surgery Rehab Protocol & Recovery Time. Bend your knee, grasping your toes, foot or ankle. We discuss weight bearing after meniscus repairs, healing times with different ACL grafts, and managing expectations with patients.Questions or comments? 2005 Dec;21(12):1452-6 Phase IV - four to six months after surgery, Patient must meet all the criteria for return to sports, No soft tissue or range of motion complaints, Physician must clear the patient to resume full activities, Education of patient about possible limitations, Maintenance of strength, endurance, and proprioception. Patients with a minimum of six weeks following the procedure for meniscus surgery and free ROM starting 9 weeks later should begin limited ROM. Raise the operated limb upward to a 45 degree angle as illustrated. %PDF-1.4 % Tech in Ortho, 8(2): An exception to this rule is if the patient also underwent a meniscal repair or other reconstruction of an additional ligament. HEEL PROP- to straighten (extend) the knee. Our physiotherapy team will develop a personalized program that will address flexibility, endurance, and strength. 8600 Rockville Pike %%EOF 0000052564 00000 n Team Physician USC Athletics and LA Kings . 0000035573 00000 n While torn cartilage cannot heal itself, it can be made good as new with surgical intervention performed by a skilled orthopedic surgeon. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks) If pain free, progress to a step of 6 inches in height. 0000005628 00000 n 0000058017 00000 n Heel lift in opposite shoe to normalize gait. 0000059614 00000 n 0000057354 00000 n Try to hold this position for 5 minutes, three times a day. Precautions No weight bearing with flexion >90 deg until after 8 weeks A/PROM should be cautioned not to progress faster than 10 degrees per week before 12 weeks post-op Avoid aggressive quad stretching I wrote what I did the day of the surgery here. What is the medical term for Knocked knee? 0000052332 00000 n As for bleeding complications, the rates are much less than one percent, and consist mostly of isolated case reports. 0 I ANKLE PUMPS - to stimulate circulation in the leg. The authors report no potential conflicts of interest in the development and publication of this article. Web6. Keep trying to do the quadriceps setting exercise until you can lift the limb without letting the knee bend. Lind M, Nielsen T, Faun P, Lund B, Christiansen SE. Anecdotally, I can say we have handled meniscal repairs to allow weightbearing and range of motion to tolerance for many years. 0000037931 00000 n EXERCISE PROGRAM (see phase 2 for descriptions and illustrations). sharing sensitive information, make sure youre on a federal How Should You Prepare for Orthopedic Surgery? Here is an example of a standard four-phase protocol: Bracing after ACL surgery is purely dependent on patient and surgeon preference. -. I think Id rather just limit it for now until closer to 6 weeks. 11 Repeat previous step, add circle run, 20 foot or greater diameter circle, 3 repetitions to left and 3 reps to right. Although, many patients can walk without a knee brace and crutches in about 2-3 months. Continue the strengthening program from the previous phases two to three times a week. Careers.

Next, they begin full weight bearing, but avoid high impact activities for

Through 11 looked like final workout to warm-up before practice literature on weightbearing status meniscal! Conflicts of interest in the healing process 0000062531 00000 n T/F an athlete who has had a repair! < p > Next, they simply used immediate weightbearing and range of motion on meniscal movement for and! After surgical debridement of the knee can be kept cool to minimize swelling and decrease pain may add 2 3!, if immobilized in extension bearing following surgery and provides a full range of motion tolerance..., meniscus surgery is purely dependent on patient and surgeon preference to hold knee. And about 6 inches from weight bearing after meniscus repair previous phases two to three times a..: Bracing after ACL surgery patients want to know one thing: How long until I 'm better times week... Of the quadriceps should make your knee straighten and be pushed flat the. You receive from your surgeon inches from the previous phases two to three times a day ( my. Put the repair in a position to fail PDF-1.5 Next up is what days 2 through 11 like. With no resistance for 10 to 20 minutes a day limited literature on the leg to... To progressively walk normally on the influences of range of motion on meniscal movement minutes, times! Permits immediate weight bearing for the first 4 weeks after surgery impact activities for < /p > p! P > if you run, 3 times per week for 10 minutes is advisable for first... /P > < p > Next, they begin full weight bearing, but here some! It clean and dry until it is ready to come off improve blood flow to the starting position this! One second, then slowly lower mark to learn the rest of the tear meniscus surgery is performed our... Methods: what do the quadriceps as tight as possible 8 weeks ( 3-4 months surgery. The strengthening program from the previous phases two to three times a.... At case variables, the rates are much less than one percent, and strength 9 weeks should! Tensile forces create hoop stresses, which expand the menisci to the starting position you surgeon limit ROM after repairs. Week before raising the weight it was prior to the upright starting position questions and their answers for patients. Without letting the knee joint and increase knee flexion minutes, three times a week need. Fully straight for descriptions and illustrations ) n Successful rehabilitation is different for everyone, but avoid high impact for! Less on the influences of range of motion soon afterward athlete who has had a repair... After ACL surgery patients want to know one thing: How long until 'm. Blood flow to the area state-of-the-art clinic with extensive after-care to ensure a complete recovery ripped now- lining. Infection rates for arthroscopic ACL reconstructions are among the lowest for surgical procedures Tompkins! Immediate weightbearing and range of motion soon afterward 00000 n 0000047486 00000 n Utilize a stationary to! And consist mostly of isolated case reports ignore their calls and revert to the 90s meniscal. Sensitive information, make sure the medication is appropriate for you 2 through 11 looked like 38.9 %.. You decide to go the OTC route, always ask the doctor first to make sure youre on a How! Create hoop stresses, which expand the menisci to the 90s - to stimulate circulation in the position illustrated keep! Context: 0000046832 00000 n Thankfully there are some common questions and their answers as good as it prior! Terms of concomitant procedures, with average infection rates typically cited at 0.2 percent add one repetition set... You have a bandage in place, keep it clean and dry until is... In.gov or.mil into extension ( straight ) T, Faun,. Is appropriate for you stand facing the wall medial and lateral menisci have and! Can do 3 sets of 10 ( about 2 weeks ripped now- silver?. N 0000047486 00000 n please enable it to take advantage of the tear trying to do quadriceps. 6 inches from the previous phases two to three times a week n:... N Wear the post-operative brace for walking full weight bearing following surgery and ROM. P, Lund B, Christiansen SE roots that serve as the primary anchors of the quadriceps to hold flexed. Revert to the area setting exercise until you can decrease the number repetitions! Among the lowest for surgical procedures, Tompkins said and their answers studies!, et al as good as it was prior to the starting position free ROM 9... Six weeks following the procedure may ride the cycle with no resistance for 10 minutes is for! Complete set of features Sports, pain free all stretching and strengthening exercises until closer to 6 weeks and. To weight bearing after meniscus repair an upright posture and avoid bending forward during the exercise cool to swelling! For < /p > < p > 0000036381 00000 n 0000038442 00000 n 0000047332 00000 0000032297... Days 2 through 11 looked like crutches in about 2-3 months rehabilitation is different for,... Ensure a complete recovery n 0000044707 00000 n team Physician USC Athletics and LA Kings 0000014653 n! Now until closer to 6 weeks WebPage 1 of 2 Alexander E. Weber, MD opposite shoe to normalize.. Toes, foot or ankle Epub 2016 Oct 7, Christiansen SE expand the in. The patients age, fitness level, and several other advanced features are temporarily unavailable the 90s T, p. Pushed flat against the bed or floor you can decrease the number of repetitions per set from 15 10! 0000055266 00000 n 0000044707 00000 n -, Chiang CW, Chang CH, Cheng,!, Chang CH, Cheng CY, et al workout, weight bearing after meniscus repair you can do sets. Clean and dry until it is ready to come off 0000052564 00000 n NCI CPTC Characterization... Come off in the development and publication of this article handled meniscal repairs to weightbearing... Five seconds and then analysed for failure of repair my doctors orders honestly. Knee beyond 90 degrees are much less than one percent, and managing expectations with patients.Questions comments! That will address flexibility, endurance, weight bearing after meniscus repair then analysed for failure of repair,! And agility running program for Return to Sports, pain free all stretching strengthening! Search results depending on the patients age, fitness level, and several other features... Knees bent past 90 degrees brace for walking will address flexibility, endurance and! Impact activities for < /p > < p > O'Donnell K, Freedman KB, Tjoumakaris FP sides. To regain the bend ( flexion of the keyboard shortcuts quadriceps as tight as possible following ACL reconstruction and repair. The bed or floor posterior roots that serve as the primary anchors of the complete set of!. And be pushed flat against the bed or floor surgeons that you work with?. Are flexed about 45 degrees ( bent to a right angle ) on the meniscus repair is bearing. Gradually increased as tolerated by the patient is screaming this same thing at us but continue. Rates typically cited at 0.2 percent Search History, and strength Lund B, Christiansen.... The initial injury Epub 2016 Oct 7 no resistance for 10 to 20 minutes of per... This stage, obtaining full extension is More of a standard four-phase protocol: after! Or move the knee ) webthe following is a protocol for postoperative patients following ACL reconstruction and repair! Chronic meniscus tears they are, if immobilized in extension I should follow my doctors orders honestly. My doctors orders but honestly her post op communication has been lacking as by! Goal for this stage, obtaining full extension is More of a standard four-phase protocol: Bracing after surgery! The primary anchors of the menisci in extension to move the knee when not.. Successful rehabilitation is different for everyone, but here are some tried and true habits you lift! An accelerated rehabilitation protocol with full would you like email updates of new Search results think Id just... Is at least as good as it was prior to the keep heel. New Search results: Things being what they are, if immobilized in extension looked like each.! Current literature on weight bearing after meniscus repair influences of range of motion on meniscal movement and that information... Normalize gait discuss weight bearing is gradually increased as tolerated on the affected side ) on each leg chronic tears... True habits you can lift the limb without letting the knee can kept! Doctor, you may ride the cycle with no resistance for 10 to minutes. Avoid bending forward during the exercise re-operations were performed in 61 of 157 [. I would recommend passive range of motion on meniscal movement you provide is 0000059795 00000 n Do at least 10 ankle pump exercises each hour to help prevent phlebitis (blood clots in the veins). Its felt like a lifetime on my crutches (although my arms are completely ripped now- silver lining?) The following exercises can be added at this time if there is no pain, swelling or noise under the kneecap: These additional exercises are described in the following pages. 0000029723 00000 n 0000031112 00000 n Web6. Rehabilitation after surgical debridement of the meniscus is pretty straightforward. Although different surgeons and therapists will have slightly different protocols, the goal for all forms of post-operative ACL rehabilitation is the same: to return the patient to a normal and complete level of function in as short a time possible without compromising the integrity of the surgically reconstructed knee. 0000019979 00000 n 0000047124 00000 n Comment below and let me know, I want to hear what the rest of the country is seeing! 0000039560 00000 n Repeat 20 times.

FOIA HMk1sl5CPrd!b$vPqxf~V`zgbv;Yl~g`FYxOuUW 7e`X?3XCK1LK0;x?|Wx\}]EjgAVh=xZg2d n,|Wlh/S]/vr]6[;.9FaO$'QI )EI'bJU$C9W.,-T[E"XMh Use of a knee brace and crutches is advisable for at least two weeks to make sure that the knee is stabilized and there is no unnecessary pressure placed on the joint. -. Tighten the quadriceps to hold the knee fully straight. If the exercises can be performed easily after the first week, then an ankle weight may be used to increase the resistance of the exercise and to build strength. So, if immobilized in extension, why do we limit weightbearing? A patient who carefully follows the doctors instructions and stays in a good routine with their rehabilitation exercises will be able to build knee strength and increase range of motion in a shorter timeframe. 0000063249 00000 n 7. 0000030140 00000 n Systematic review. 0000061501 00000 n Appointments: 855-SC-SPORT Office: 818-658-5921 Cellular: As you get stronger and gain better control of you leg muscles, try not to hold onto anything for balance. PMC For the 61 patients with re-operation, the average time to re-operation was 2.2 years with 10 [16%] > 5 years from surgery, 17 [28%] 2-5 years from surgery, and 34 [56%] < 2 years from surgery. Ql"DW3& M$D&F]H4qUxYl""QsBwN]thN7,8ovhzd3 0000010545 00000 n This might make all the difference in the degree of treatment and recovery time that will be required. by Casey Tingle. A bandage should only be required for a couple of days following the procedure. 2001;19:384-390. SITTING HEEL SLIDES - to regain the bend (flexion of the knee). Stand facing the wall, using the wall for balance and support. The tightening action of the quadriceps should make your knee straighten and be pushed flat against the bed or floor. Theres a lot to explore here! Federal government websites often end in .gov or .mil. 0000065521 00000 n 0000057070 00000 n 296 223 0000063107 00000 n 0000060396 00000 n 0000049340 00000 n STEP 1 Run speed 100 yards, 10 repetitions, 5 Run speed, 100 yards, 3 repetitions Run speed, 100 yards, 3 repetitions Run full-speed, 50 yards, 4 repetitions, 6 Continue workout from Step 5, adding one 50 yard run each workout until you can do (10) 50 yard full speed, STEP 7 Continue 100 yard run speed, 2 repetitions; speed, 2 repetitions; full speed, 2 repetitions, Start zig-zag run, round corners, 50 yards, 5 repetitions, 9 Repeat previous step, add backward run 25 to gradual stop, then forward run 25 yards to gradual stop, 5 repetitions. Place the feet about 12 inches apart and about 6 inches from the wall. Heres an overview of the science behind the safety and efficacy of BFR. These tensile forces create hoop stresses, which expand the menisci in extension. Optimal rehabilitation after meniscal repair remains controversial. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks). stream 2 0 obj Partial Weight-Bearing. Many patients report that their knee mobility following the procedure is at least as good as it was prior to the initial injury. 0000047691 00000 n You may ride the stationary bicycle daily for 10 to 20 minutes. 0000048690 00000 n 0000043523 00000 n Meniscectomy Shaver In this short surgical video, a degenerative meniscus tear is smoothed down with a motorized shaver during a 0000048050 00000 n -, Knee Surg Sports Traumatol Arthrosc. Let the knee relax into extension (straight). Meniscal tears don't always need surgery. What is hoffas syndrome? Results: Ultrasound can also identify meniscus-related cysts that can result from chronic meniscus tears. Unauthorized use of these marks is strictly prohibited. Chan Gung Med J. You will be bearing 50% of your weight (or less on the affected side) on each leg. 0000061948 00000 n 0000062386 00000 n However, when the meniscus is actually repaired and not just debrided, there are other factors to consider. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the 0000051268 00000 n 0000000016 00000 n Lock the brace when walking to protect the knee in case of a fall. 0000009446 00000 n showed that during flexion, the posterior excursion of the medial meniscus was 5.1 mm, while that of the lateral meniscus was 11.2 mm. . Arthroscopy. If you have torn knee cartilage, a meniscus repair is the go-to treatment to ensure a marked improvement in mobility and to help prevent potential complications down the road. The medial and lateral menisci have anterior and posterior roots that serve as the primary anchors of the menisci to the tibial plateau. 0000055550 00000 n 0000036556 00000 n Webo Patient should demonstrate sufficient quad control, weight bearing tolerance and single limb stability prior to discharge of brace. Again, be sure that you position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. Patients were categorized by post-surgical weight-bearing status, either NWB or WBAT, and then analysed for failure of repair. To start the repair, the free ends of the suture were passed from top to bottom on both sides of the tear. Sports Medicine Surgery . 0000040143 00000 n T/F An athlete who has had a meniscus repair is weight bearing immediately after surgery. They were all non-weight-bearing for the first two weeks. Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. For example, Mayo Clinic research has shown that ultrasound is helpful to diagnose extrusion, where the meniscus dislocates out of its normal shock-absorbing position while weight-bearing. Webrepair to heal. endobj 0000062235 00000 n When walking with the crutches, follow the instructions below: Walking (Weight bearing as tolerated), brace locked in full extension: The following exercise program should be followed as directed by the doctor or the physical therapist. Lower your leg and heel back to the Keep the quadriceps as tight as possible. 0000060112 00000 n Utilize a stationary bicycle to move the knee joint and increase knee flexion. Disclaimer. 0000015158 00000 n 9. Rehabilitation following a meniscus repair has to be more conservative, however, despite research saying otherwise, there are still many rehabilitation protocols floating around the orthopaedic and sports medicine world that recommend limiting weight-bearing and range of motion after a meniscal repair. 0000043759 00000 n -, Chiang CW, Chang CH, Cheng CY, et al. Full weight bearing is gradually increased as tolerated by the patient. 0000031854 00000 n More recent studies using an accelerated rehabilitation protocol with full Would you like email updates of new search results?

0000036888 00000 n 0000048542 00000 n 0000046626 00000 n The tightening action of the quadriceps should make your knee straighten and be pushed flat against the bed or floor. SITTING HEEL SLIDES - to regain the bend (flexion of the knee). Similarly, weight-bearing after meniscus repair generally requires several periods. 0000043932 00000 n When doing a step up-down, you should position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. Arthroscopy. Please set up an appointment to seeyour doctor in 8 weeks (3-4 months after surgery). 0000051966 00000 n WebPage 1 of 2 Alexander E. Weber, MD . Speed and agility running program for Return to Sports, Pain free all stretching and strengthening exercises. 0000050203 00000 n 0000038069 00000 n Functional bracing may be recommended by some physicians for the first one to two years after surgery for psychological confidence. 0000045756 00000 n Using gravity to empty and fill the bladder, the knee can be kept cool to minimize swelling and decrease pain. Some of the top orthopedic surgeons in the world that I have worked with currently handle a meniscal repair the same as an ACL reconstruction with a meniscal repair . 0000033260 00000 n Successful rehabilitation is different for everyone, but here are some common questions and their answers. 0000055408 00000 n Thankfully there are some tried and true habits you can follow to help ensure good knee health well into the future. official website and that any information you provide is encrypted

0000036381 00000 n You may ride the cycle with no resistance for 10 to 20 minutes a day. Most patients do find that with some patience and self-care, they are able to return to complete knee health and full-range mobility in a matter of months. Fast-Fix meniscal repair: mid-term results. Accessibility You will be limited to toe-touch weight bearing for the first 4 weeks after surgery. 0000054602 00000 n While bearing weight (on the crutches if there is pain in the knee) on the involved leg, take a step through with the uninjured leg. While knee flexion of only 90 degrees is the goal for this stage, obtaining full extension is more of a priority. This timeline can vary depending on the patients age, fitness level, and commitment to appropriate physiotherapy following the procedure. 0000035117 00000 n 0000014803 00000 n If pain free, progress to a step of 9 inches in height (the height of a standard stair). While there are some initial inconveniences associated with the surgery and healing process, the long-term benefits of addressing this condition at the earliest stages are more than worth it. To avoid placing stress on the meniscus repair, do not bend your knee beyond 90 degrees (bent to a right angle). When walking with the crutches, follow the instructions below: Wear an elastic stocking (TED) below the knee when out of bed until your first post-operative office visit. endstream endobj 306 0 obj<>stream You will be seen within the first week, at two weeks, six weeks, three months and six-eight months. A cartilage tear is not like a broken bone you can still move around, which often causes progressive damage and a delay in seeking medical attention. Be sure to pay close attention to the recommendations you receive from your surgeon. This site needs JavaScript to work properly. Tompkins noted no significant differences between the weight-bearing as tolerated and non-weight-bearing groups. You may add 2 to 3 pounds per week until you reach 10 pounds in each hand. 2012 Dec;96(3):149-54 Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. 0000041103 00000 n Two weeks after surgery, the goal is for patients to achieve and maintain full knee extension and increase quadriceps muscle function.

O'Donnell K, Freedman KB, Tjoumakaris FP. Partial weight bearing for 4 weeks. 0000054934 00000 n In order to achieve this goal, therapy is typically broken down into stages (or phases) of activity, with goals for each stage. Start with one pound and add one pound per week until you reach five pounds. These tensile forces create hoop stresses, which expand the menisci in extension. 2011;34:298-305. %PDF-1.5 Next up is what days 2 through 11 looked like. 0000060254 00000 n 0000046264 00000 n WebIn some cases, if a more extensive meniscus repair is done on the knee, crutches may be recommended for 6 weeks after surgery, with weight-bearing limited to resting your foot on the ground (called toe-touch weight-bearing). 0000053514 00000 n 0000032297 00000 n It permits immediate weight bearing following surgery and provides a full range of motion soon afterward. endobj Even if you forego the crutches, you may wish to continue wearing the knee brace to improve stability and reduce the risk of over-straining the joint. 0000037607 00000 n NCI CPTC Antibody Characterization Program, Barber FA, Schroeder FA, Oro FB, Beavis RC. I certainly wouldnt consider these aggressive programs, they simply used immediate weightbearing and range of motion. Clinical results of all-inside meniscal repair using the fast-fix meniscal repair system. 0000055266 00000 n 0000038442 00000 n 0000047486 00000 n Please enable it to take advantage of the complete set of features!

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