Meniscal repair protocol pdf

The primary goal of this protocol is to protect the reconstruction while. In general, knee is protected with a brace, rom limited to protocol. Hospital has accepted this protocol as our standard protocol for the management of patients sp arthroscopic partial medial or lateral meniscectomy. It is designed for rehabilitation following arthroscopic meniscal repair. Rehabilitation guidelines for meniscal repair there are two types of cartilage in the knee, articular cartilage and meniscus cartilage.

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. 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. Common tears include longitudinal, parrotbeak, flap, bucket handle, and mixedcomplex. Optimum return to sport does not mean to return as fast as possible. It is important to recognize that all times are approximate and that progression should be based on careful monitoring of the patients functional status. 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. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making.

Rehabilitation guidelines for meniscal repair uw health. Hospital has accepted this protocol as our standard protocol for the management of patients sp meniscal repair. Lowe this rehabilitation protocol was developed for patients who have isolated meniscal repairs. The primary function of the articular cartilage is to. Small clinical studies support rehabilitation protocols that allow early motion. The intent of this protocol is to provide the clinician with a guideline of the post. Articular cartilage is made up of collagen, proteoglycans and water which lines the end of the bones that meet to form a joint. Within this framework there are specific guidelines for activity progression which directly relate to tissue tolerance and directional preference of movement.

Rehabilitation of meniscal root repairs follows a linear periodization protocol based on progressive loading of the repair. 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 post operative rehabilitation course of a patient that. Tears are noted by how they look, as well as where the tear occurs in the meniscus. Microsoft word arthroscopic meniscal repair protocol. Meniscal repair postoperative rehabilitation protocol.

Rehabilitation exercises a meniscus tear is a common knee joint injury. Rehabilitation guidelines for meniscal repair of root and. 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. Acl reconstruction with meniscus repair postoperative physical therapy protocol. Modifications to the protocol may be necessary dependent on location of repair, concomitant injuries or procedures performed. The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear. 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. Rehabilitation guidelines for meniscal repair of root and complex tears there are two types of cartilage in the knee. The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. Knee arthroscopy with meniscal root repair meniscus. 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.

For the final 3 phases, consisting of muscle endurance, strength, and power and returntosport. Anterior cruciate ligament acl and meniscus repair. Specific changes in the program will be made by the. As tolerated should be understood to include with safety for the reconstructionrepair. An athlete who returns to sport without functional stability being restored, is. Meniscal repair postoperative rehabilitation protocol orthoindy. Meniscus repair and transplant protocol the noyes knee. Meniscus repair rehabilitation the following protocol is a guideline for rehabilitation following meniscus repair. The gundersen sports medicine meniscus repair rehabilitation program is an. There are two types of cartilage in the knee, articular cartilage and meniscus cartilage. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of. Meniscus repair rehabilitation program gundersen health system. Additional studies are needed to better clarify the interplay between tear type, repair method and optimal rehabilitation protocol.

Acl reconstruction, pcl reconstruction, chondroplasty precautions. The first 6 weeks are focused on nonweight bearing nwb protection, followed by 2 to 3 weeks of gradual progressive wb. Manual stretching for extension with overpressure or recurvatum. The orthopedic surgeon may modify the time frames and weight bearing status, as necessary, to allow adequate healing time.

Meniscal repair guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Conclusions there is a lack of consensus regarding the optimal postoperative protocol following meniscal repair. 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. Noyes knee institute rehabilitation protocol for meniscus repairs and transplants 12 34 56 78 912 4 5 6 712 brace. 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. No loaded knee flexion beyond 450 for 4 weeks no loaded knee flexion beyond 900 for 8 weeks. Right left knee medial lateral meniscal repair phase i 08 wks. If you have questions, contact the referring physician.