Return to sport meniscal repair protocol general guidelines to consider with return to sport after meniscal repair. Meniscal repair guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Small clinical studies support rehabilitation protocols that allow early motion. The gundersen sports medicine meniscus repair rehabilitation program is an.
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. Manual stretching for extension with overpressure or recurvatum. Optimum return to sport does not mean to return as fast as possible. Brace knee immobilizer used for four weeks, ted hose to be worn until ambulation has returned to normal presurgery level or two weeks. Rehabilitation protocol for meniscus repair this protocol is intended to guide clinicians and patients through the postoperative course for a meniscus repair. As tolerated should be understood to include with safety for the reconstructionrepair. Knee arthroscopy with meniscal root repair meniscus. Rehabilitation exercises appendix topic images meniscus tears quad sets straightleg raise to the front straightleg raise to the back hamstring curls heel raises heel dig bridging shallow standing knee bends meniscus tear. The following is a protocol for postoperative patients following an isolated meniscus repair.
Modifications to the protocol may be necessary dependent on location of repair, concomitant injuries or procedures performed. Specific changes in the program will be made by the. Tears are noted by how they look, as well as where the tear occurs in the meniscus. Dependent upon the location and size of the repair, weight bearing. Anterior cruciate ligament acl and meniscus repair rehabilitation protocol general notes. Acl reconstruction with meniscus repair postoperative physical therapy protocol. Hospital has accepted this protocol as our standard protocol for the management of patients sp meniscal repair. Meniscus repair rehabilitation program gundersen health system. Meniscal repair postoperative rehabilitation protocol orthoindy.
Microsoft word arthroscopic meniscal repair protocol. 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. It is designed for rehabilitation following arthroscopic meniscal repair. The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. An athlete who returns to sport without functional stability being restored, is.
Rehabilitation guidelines for meniscal repair there are two types of cartilage in the knee, articular cartilage and meniscus cartilage. How well the knee will heal and whether surgery will be needed depends in large part on the type of tear see figure in appendix and how bad the tear is. Knee arthroscopy with meniscal root repair meniscus radial tear repair the intent of this protocol is to provide a general framework for meniscal root repair rehabilitation. Arthroscopic partial medial or lateral meniscectomy, loose body removal or debridement protocol. Meniscus repair and transplant protocol the noyes knee. The primary function of the articular cartilage is to. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. Articular cartilage is made up of collagen, proteoglycans and water and lines the end of the bones that meet to form a joint. No loaded knee flexion beyond 450 for 4 weeks no loaded knee flexion beyond 900 for 8 weeks. Meniscal repair rehabilitation protocol rom brace, wbat in extension only, limit rom 090 x 6 wks phase 1 02wks. Knee arthroscopy with meniscus repair rehab protocol longitudinal bucket handle tears this protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement.
Common tears include longitudinal, parrotbeak, flap, bucket handle, and mixedcomplex. Hospital has accepted this protocol as our standard protocol for the management of patients sp arthroscopic partial medial or lateral meniscectomy. The primary function of the articular cartilage is to provide. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of. Dependent upon the location and size of the repair, weight bearing status postoperatively as well as the intensity and time frame of functional activities may vary. Knee arthroscopy with meniscus repair rehab protocol. The orthopedic surgeon may modify the time frames and weight bearing status, as necessary, to allow adequate healing time. Articular cartilage is made up of collagen, proteoglycans and water which lines the end of the bones that meet to form a joint. Meniscal repair protocol brigham and womens hospital. Acl reconstruction, pcl reconstruction, chondroplasty precautions. Rehabilitation exercises a meniscus tear is a common knee joint injury. Rehabilitation guidelines for meniscal repair of root and. Rehabilitation of meniscal root repairs follows a linear periodization protocol based on progressive loading of the repair.
There are two types of cartilage in the knee, articular cartilage and meniscus cartilage. Noyes knee institute rehabilitation protocol for meniscus repairs and transplants 12 34 56 78 912 4 5 6 712 brace. Rehabilitation guidelines for meniscal repair of root and complex tears there are two types of cartilage in the knee. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much. Within this framework there are specific guidelines for activity progression which directly relate to tissue tolerance and directional preference of movement. The first 6 weeks are focused on nonweight bearing nwb protection, followed by 2 to 3 weeks of gradual progressive wb. Meniscus repair rehabilitation the following protocol is a guideline for rehabilitation following meniscus repair. Lowe this rehabilitation protocol was developed for patients who have isolated meniscal repairs. 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. The primary goal of this protocol is to protect the reconstruction while.
Anterior cruciate ligament acl and meniscus repair. In general, knee is protected with a brace, rom limited to protocol. The intent of this protocol is to provide the clinician with a guideline of the post. Additional studies are needed to better clarify the interplay between tear type, repair method and optimal rehabilitation protocol. It is important to recognize that all times are approximate and that progression should be based on careful monitoring of the patients functional status.
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