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    Meniscus Repair Guidelines

    Uploaded by

    Amir Bakar
    The document provides guidelines for rehabilitation following meniscus repair or partial meniscectomy. It recommends saving the meniscus through repair when possible, as repair can prevent future joint damage versus meniscectomy. Range of motion is typically restricted to 90 degrees flexion for 6 weeks after repair but unlimited after partial meniscectomy. Weight bearing also differs, with partial weight bearing for 4-6 weeks after repair but early full weight bearing 2 weeks after meniscectomy. Return to sport is approximately 5-6 months after repair but only 3-7 weeks for rehabilitation exercises after meniscectomy. The conclusion is that there is lack of consensus on the optimal postoperative protocol.

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    © All Rights Reserved
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    Meniscus Repair Guidelines

    Uploaded by

    Amir Bakar
    15 views3 pages
    The document provides guidelines for rehabilitation following meniscus repair or partial meniscectomy. It recommends saving the meniscus through repair when possible, as repair can prevent future joint damage versus meniscectomy. Range of motion is typically restricted to 90 degrees flexion for 6 weeks after repair but unlimited after partial meniscectomy. Weight bearing also differs, with partial weight bearing for 4-6 weeks after repair but early full weight bearing 2 weeks after meniscectomy. Return to sport is approximately 5-6 months after repair but only 3-7 weeks for rehabilitation exercises after meniscectomy. The conclusion is that there is lack of consensus on the optimal postoperative protocol.

    Original Description:

    Meniscus repair

    Original Title

    Meniscus repair guidelines (1)

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    The document provides guidelines for rehabilitation following meniscus repair or partial meniscectomy. It recommends saving the meniscus through repair when possible, as repair can prevent future joint damage versus meniscectomy. Range of motion is typically restricted to 90 degrees flexion for 6 weeks after repair but unlimited after partial meniscectomy. Weight bearing also differs, with partial weight bearing for 4-6 weeks after repair but early full weight bearing 2 weeks after meniscectomy. Return to sport is approximately 5-6 months after repair but only 3-7 weeks for rehabilitation exercises after meniscectomy. The conclusion is that there is lack of consensus on the optimal postoperative protocol.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    15 views3 pages

    Meniscus Repair Guidelines

    Uploaded by

    Amir Bakar
    The document provides guidelines for rehabilitation following meniscus repair or partial meniscectomy. It recommends saving the meniscus through repair when possible, as repair can prevent future joint damage versus meniscectomy. Range of motion is typically restricted to 90 degrees flexion for 6 weeks after repair but unlimited after partial meniscectomy. Weight bearing also differs, with partial weight bearing for 4-6 weeks after repair but early full weight bearing 2 weeks after meniscectomy. Return to sport is approximately 5-6 months after repair but only 3-7 weeks for rehabilitation exercises after meniscectomy. The conclusion is that there is lack of consensus on the optimal postoperative protocol.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Guidelines Post meniscus repair/menisectomy

     There is evidence that successful meniscal repair results in the prevention of


    future degenerative joint disease and preservation of more normal knee
    kinematics compared to menisectomy

     The basic principle of the meniscus is to save the meniscus

     Meniscus repair is recommended for tears that occur in vascular region while
    Partial menisectomy is the treatment of choice for avascular portion of the
    meniscus or complex tears

     It is unclear how the type of meniscal tear and the repair technique should
    affect the postoperative program.

     There is no difference in healing rate between accelerated rehabilitation


    program (0-90 degrees) immediately while maintaining the knee in touch
    down WB for two weeks and the restricted rehabilitation which wearing
    hinge brace for 6 weeks

    ROM guidelines:
     The most commonly reported initiation of motion was within the first week

     For meniscus repair:

    1. The time to full ROM was reported in 63 studies. The most commonly
    reported time for allowing full ROM was 6 weeks postoperatively

    2. Despite more aggressive protocols allowing for free ROM immediately


    postoperatively, 90° of flexion appears to be a comfortable restriction for
    surgeons.Up to 85% of the load travels through the menisci with the knee in
    90° of flexion, while less (50%) of the load passes through the meniscus in
    extension.

     For Partial menisectomy:

    1. ROM is unlimited immediately after surgery in all recommendations.


    Weight bearing guidelines:
     Early WB following meniscus surgery has advantages, allowing early return to
    normal activities and encouraging a progression in activity and muscle
    strength.

     For meniscus repair :


    1. Caution for weight bearing status

    2. The most commonly reported initiation of partial WB was within the first
    week
    3. The most commonly reported time for full WB was 4 and 6 weeks
    postoperatively

     For Partial menisectomy:


    1. Early full weight from the second postoperative week

    2. The utilization of orthosis is not supported after partial meniscectomy

    Return to sport
     For meniscus repair:
    1. Starting rehabilitation training is overall supported after a mean period of 5.6
    weeks.

    2. Specific training after a mean period of 14.6 weeks

    3. Return to sport in the athletic population following meniscal repair at


    approximately 5 to 6 months postoperatively

     For Partial menisectomy:


    1. Supporting rehabilitation training was recommended to start after a mean of
    3.2 weeks

    2. Specific training after a mean of 7.3 weeks


    Rehabilitation Protocols notes:

     Quadriceps isometric should begin immediately after surgery.

     Only after 3–5 weeks (depending on the type of meniscal damage) more
    complex muscle strengthening exercises are undertaken, such toe raises, wall
    sits, mini-squats, hamstring curls.

     Between 3rd and 5th postoperative week the patient takes proprioceptive
    and balance exercises.

     Any exercises used to increase ROM should not be forced because of the risk
    of stressing healing repair.

     After partial meniscectomy rehabilitation protocol can be aggressive, because


    in the knee joint anatomical structure should not be protected during the
    healing phase.

     It is important to keep foot in neutral position to avoid any tibial rotation


    which may increase joint compressive forces

    Conclusion:
    There is a lack of consensus regarding the optimal postoperative
    rehabilitation protocol.

    References:
     Early funtional rehabilitation after meniscus surgery. 2020
     Rehabilitation following meniscal repair; a systemic review. 2018
     Return to play and rehabilitation protocols following isolated meniscal repair,
    a systemic review. 2020
     Rehabilitation for the postsurgical orthopedic patient

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