This leaflet gives you advice about recovering from your knee arthroscopy. Regular manual mobilizations to surgical wounds and associated soft tissue to. Rehabilitation exercises a meniscus tear is a common knee joint injury. Free machine weights upper bodytrunk only during phase 1, we suggest that you do not use any lower extremity free or machine weights. Meniscus improves load distribution on knee joint and prevents the onset. Regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Generally, following knee arthroscopy, an aggressive rehab approach can be taken. 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 partial meniscectomy. Rehabilitation protocol for meniscal repair rehabilitation guidelines. Meniscectomy for a meniscus tear uw health madison, wi.
As tolerated with crutches for balance x 2448 hours progress to wbat range of motion aarom arom as tolerated o goal. Pdf the outcome of meniscal repair has been good to excellent with regard to functional restoration and return to play rtp. If you have any further questions, please speak to the physiotherapist caring for you. Arthroscopic partial medial or lateral meniscectomy, loose body. Mediallateral partial meniscectomy rehabilitation protocol. Articular cartilage is made up of collagen, proteoglycans and water and lines the end of the bones that meet to form a joint. Arthroscopic meniscectomy chondral debridement name. Rehabilitation guidelines for meniscal repair uw health. Physical therapy pt intervention as indicated by treating physical therapists plan of care within guidelines of this study protocol. Rehabilitation guidelines for arthroscopic knee meniscectomy. Meniscectomy definition and meaning collins english dictionary. This protocol is a guideline for your rehabilitation after arthroscopic knee surgery. New exercises should be added such as by increasing weights, increasing the distance covered in swimming and cycling to improve the strength and range of motion of the knee joint and promote early recovery following knee surgery like partial or complete menisectomy. Eligible studies were published in english and reported a rehabilitation protocol following meniscal repair on human.
Your orthopaedic surgeon or physical therapist may recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day. Meniscectomy is the surgical removal of all or part of a torn meniscus. Arthroscopic partial medial or lateral meniscectomy, loose. Postoperative instructions arthroscopic meniscectomy diet begin with clear liquids and light foods jello, soups, etc. 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. May be weight bearing as tolerated wbat as soon as possible may use crutches for assistance initially, but wean as tolerated week 1 wall slidesheel slides. A camera is attached to the arthroscope and the picture is visualized on a tv monitor. Knee arthroscopy exercise guide regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Arthroscopic partial medial or lateral meniscectomy, loose body removal or debridement protocol. The knee is also cushioned during weight bearing by two cartilaginous discs, called the medial inside and lateral outside menisci.
The severity, and resulting pain and dysfunction, of patellofemoral syndrome and chondromalacia varies. Acl reconstruction rehabilitation protocol 4 control pain and swelling crushed ice or an aircast knee cryocuff along with nonsteroidal antiinflammatory medications such as advil, nuprin, motrin, ibuprofen, aleve 2 tablets twice a day are used to help control pain and swelling. Jan 21, 20 after partial meniscectomy rehabilitation protocol can be aggressive, because in the knee joint anatomical structure should not be protected during the healing phase. Hospital has accepted this protocol as our standard protocol for the management of patients sp arthroscopic partial medial or lateral meniscectomy. Arthroscopic knee surgery your meniscectomy recovery plan. Diminish inflammation and swelling restore rom full knee ext, knee flex to 90. Dec 11, 2012 arthroscopic partial meniscectomy can be complicated by excessive resection, damage to articular cartilage, neurovascular injury, persistent drainage from portals, and infection.
Postoperative arthroscopic partial meniscectomy physical. Only 2 meniscectomy studies28, 29 and 1 meniscal repair study 30 reported a detailed distribution of lysholm score outcomes. Home patient info rehabilitation protocol rehab knee chondroplasty. Knee arthroscopy partial meniscectomy and chondroplasty day after surgery. The primary function of the articular cartilage is to provide.
It is not intended to be a substitute for ones clinical decision making. Knee partial meniscectomy post operative rehabilitation. Rehabilitation guidelines for meniscal repair there are two types of cartilage in the knee, articular cartilage and meniscus cartilage. The procedure for a total meniscectomy, the entire meniscus may be removed.
Knee rehabilitation following meniscectomy, meniscal repair. No major precautions or contra indications are present and rom and strength can be progressed as tolerated. Figure 1 meniscus cartilage shown here from above the knee, without. The aim of this study is to investigate the period of the returntosport from surgery and the clinical symptoms after the meniscectomy on stable knees. Hospital has accepted this protocol as our standard protocol for the management of patients sp meniscal repair. Rehabilitation after meniscectomy may progress aggressively because there is no anatomic. Meniscectomy definition and meaning collins english. Return to sport after arthroscopic meniscectomy on stable. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals.
After partial meniscectomy rehabilitation protocol can be aggressive. Gills office or your physical therapist if you are having a problem with your. Surgeons who perform meniscectomies orthopedic surgeons will make surgical decisions based on the meniscuss ability to heal as well as your age, health, and activity level. The effectiveness of postoperative physical therapy treatment. The knee is a hinge joint at the connection point between the femur and tibia bones. Pre operative rehab for a meniscal injury that is to undergo a meniscectomy may involve. The procedure can be a complete meniscectomy where the meniscus and the meniscal rim is removed or partial where only a section of the meniscus is removed. The meniscus is a cushion for your knee and helps keep your knee steady by balancing your weight. Knee arthroscopy meniscectomychondroplasty rehabilitation. Alhadi jahan, margarita dmitrievna, miya ismayilova 2018, development and preliminary validation of a new protocol for postoperative rehabilitation of partial. Quadriceps strengthening, making sure that closed chain exercises occur between 0 and. Therefore, total meniscectomy has been replaced by. Knee arthroscopy partial meniscectomychondroplasty. It is held together by several important ligaments.
The surgical removal of a torn meniscus is called a meniscectomy, which is a type of arthroscopic knee surgery. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much. Arthroscopic partial medial or lateral meniscectomy, loose body removal or debridement. Partial menisectomy chondroplasty rehabilitation program. Summary table post op phasegoals therapeutic exercise precautions phase i weeks 14 goals. Postoperative instructions arthroscopic meniscectomy. Gym equipment at 24 weeks post op if pain free leg press, ham curl, multihip.
Knee arthroscopy with meniscus repair rehab protocol. The intensity of the exercises for the knee can be increased in phase 3 following knee menisectomy surgery. You may vary in your ability to do these exercises and to progress to full resumption of your previous activity. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Pdf rehabilitation and return to play following meniscal repair.
Jan 09, 2016 postoperative knee partial meniscectomy rehabilitation protocol from san francisco orthopaedic sports medicine surgeon dr. Nov 20, 20 the period of returntosport after the arthroscopic meniscectomy is still unknown. Meniscus tears are most common in the knee joints and are usually caused by twisting or turning the knee. Manual laborers will likely be out of work for at least 46 weeks. The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving pre. Pdf meniscal injury is a common cause of knee pain and major cause of functional impairment of the knee at young athletic population. Postoperative knee partial meniscectomy rehabilitation protocol from san francisco orthopaedic sports medicine surgeon dr. 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. The intent of this protocol is to provide the clinician with a guideline of the post operative rehabilitation. Specific changes in the program will be made by the. After the first day or two, as the pain lessens, you may decrease the frequency with which you take the medication. As tolerated with crutches for balance x 2448 hours progress to wbat. Home exercise program hep as indicated 1215 repetitions with 12 sets of each exercise. Knee arthroscopy meniscectomy south shore orthopedics.
Meniscus debridement protocol meniscectomy weeks 12 ice massage pain modalities as indicated weight bearing as tolerated use crutches until can walk without a limp edema control therapy range of motion exercise goal. The vast majority failed to report the individual patient scores or a divisional breakdown of the scores and only included mean scores of the entire cohort. Fiftysix athletes who underwent the arthroscopic meniscectomy were evaluated. The outer onethird of the meniscus has a rich blood supply. They may suggest some of the exercises shown below. Knee arthroscopy postoperative rehabilitation programme about the operation the arthroscope is a fibreoptic telescope that can be inserted into a joint. 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. Knee arthroscopy meniscectomy anatomy and biomechanics. Mediallateral partial meniscectomy postoperative rehabilitation protocol. Knee arthroscopy meniscectomychondroplasty missouri orthopaedic institute knee arthroscopy meniscectomychondroplasty. Arthroscopic meniscectomychondral debridement name. Partial meniscectomy protocol general may progress range of motion rom as quickly as tolerated initial emphasis on full extension weight bearing status. Wound care maintain your operative dressing, loosen bandage if swelling of the foot and ankle occurs.
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 partial meniscectomy, loose body removal or debridement. To help with pain and swelling, use ice and elevate your leg so that your knee is. Meniscectomy was significantly more frequent p pdf. We summarised rehabilitation protocols and patients outcome among original.
Knee rehabilitation following meniscectomy, meniscal. Meniscal allograft transplant mat rehabilitation following surgery for meniscal allograft transplantation mat is an essential element of the treatment to achieve a full recovery. Brace knee immobilizer ted hose to be worn until ambulation has returned to normal presurgery level or two weeks crutches. It explains exercises you should do each day, things to look out for and some general advice. Postoperative arthroscopic partial meniscectomy physical therapy rehabilitation protocol each phase should include. After partial meniscectomy rehabilitation protocol can be aggressive, because in the knee joint anatomical structure should not be protected. You will receive your prescription for pain medication before you leave the surgery center. Knee partial meniscectomy or debridement brigham and. 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. If you are doing free or machine weights for the upper body and trunk, we suggest a very light resistance of 3 sets of 1520 repetitions. Meniscus rehab exercises the physical therapy advisor. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. South shore hospital orthopedic, spine and sports therapy in clinical collaboration with south shore orthopedics page 2.
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