weight bearing after meniscus repair

Raise up on tip-toes while maintaining the knees in full extension. Lower the operated leg, with the unoperated leg controlling, allowing the knee to bend but DO NOT exceed 90 degrees of bendat the knee. 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. These tensile forces create hoop stresses, which expand the menisci in extension. WebThe rate of healing after meniscus repair varies in the literature from 63% to 91%.1 The rate of healing is more favorable for smaller tears, acute tears, with range of motion restricted while weight-bearing from 0 to 90 for the rst 6 weeks. ANKLE PUMPS - to stimulate circulation in the leg. 0000043210 00000 n My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. The study controlled for variables including age at surgery, sex, height, weight, and BMI, classification of tear type, acuity of the tear, repair location (medial or lateral), repair location within the meniscus, repair technique, and concomitant procedures. 0000055266 00000 n Lock the brace when walking to protect the knee in case of a fall. I have a 0000046466 00000 n SITTING HEEL SLIDES - to regain the bend (flexion of the knee). Stand on the single leg with your back and buttocks touching a wall. This is completely normal, and the doctor may prescribe some mild pain medication for you to take when you get home. 0000041241 00000 n Doctors on the medical staff practice independently and are not employees or agents of Steward Health Care hospitals. You can now begin to gradually regain normal range of motion of the knee. 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. 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. Repeat 20 times. 0000054125 00000 n ==Ta/5<>. B@UvH~CB `CWm'TO`+ ZsnIP@3Od.ss ]o#O ?-wK\Zsim^-!h'),'!WW6 15 Continue Current Workout above and Add: Shuttle run, 50 yards, direction change every 10 yards, 5 repetitions, alternate hands touching. Remember to keep your head over your feet and bend at the waist as you descend. 0000036694 00000 n Stand upright with your back and buttocks touching a wall. arthroscopic meniscus radiograph 0000060864 00000 n 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. 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. 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. Lie on your unoperated side. 0000034158 00000 n T/F An athlete who has had a meniscus repair is weight bearing immediately after surgery. Repeat exercise 20 times, three times a day. official website and that any information you provide is encrypted Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. endstream endobj 297 0 obj<>>>/LastModified(D:20071215210201)/MarkInfo<>>> endobj 299 0 obj<>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageC/ImageI]/ExtGState<>>>/StructParents 0>> endobj 300 0 obj<> endobj 301 0 obj[/ICCBased 320 0 R] endobj 302 0 obj[/Indexed 301 0 R 14 324 0 R] endobj 303 0 obj<> endobj 304 0 obj<> endobj 305 0 obj<>stream 0000030627 00000 n A retrospective review of meniscal repair patients greater than 5 years from surgery was performed for patients receiving meniscal repair treatment. 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 Once the torn cartilage is repaired and fully healed, patients can expect to return to the physical activities they once loved. xref After arthroscopic meniscus repair, the patient generally has a cryocuff and a knee brace. 0000005880 00000 n Federal government websites often end in .gov or .mil. stream 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. There is very limited literature on the influences of range of motion on meniscal movement. The medial and lateral menisci have anterior and posterior roots that serve as the primary anchors of the menisci to the tibial plateau. 0000031112 00000 n PMC Anterior Cruciate Ligament injuries: Stories, Tips, and Advice for recovery, Press J to jump to the feed. 0000034881 00000 n 0000046986 00000 n But what about the exact mechanisms that many are still fearful of allowing early in the process, like early walking and range of motion? 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. Clinical results of all-inside meniscal repair using the fast-fix meniscal repair system. When doing a wall slide, you should position your thighs so that your kneecaps are in line with the tips of your shoes, or your second toe. This might make all the difference in the degree of treatment and recovery time that will be required. An official website of the United States government. 0000019979 00000 n Post them below!Intro bumper video made by Jonathan HsuEmail: info@jhsumedia.comIG: https://www.instagram.com/jhsumedia/Join my ACL Mastermind Group: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Mastermind FAQ: http://wesleywangdpt.com/aclmastermind/Online ACL Consultations: https://wesleywangdpt.com/online-personal-training-2/My website: https://www.WesleyWangDPT.comFollow me on Instagram: https://www.instagram.com/wesleywang.dptQuestions or comments? Do 20 reps. Surgical 0000035573 00000 n When you return to sports or recreational activities, decrease the strength workouts to 2 times a week and do 1 set of 10 of each of the three drills only, as a maintenance workout. 0000040726 00000 n 0000029954 00000 n Slowly lower your body by bending the knee and slide down the wall until the knee is flexed about 45 degrees (illustration). This will allow you to work with more resistance. As the anesthesia wears off following your procedure, you will eventually feel some tenderness in the knee area. The benefits of having a meniscus repair performed by a reputable orthopedic surgeon are numerous. 8v5\qAd 7*oEa(PD[Eufo .f1lEC%yS_hF(,"E ".fte6{,'-N2qq:M#:jz.j\wXYI7um7?-WlQc;'i*Wa' dYhG0dd]~^/W\b; This ensures minimal tension on the cartilage as it heals. Standing sideways to the step, slowly lower the opposite foot to touch the floor. 0000047332 00000 n Lean forward at the hips with the arms supporting your weight. Your incision will be very small but it is still advisable to follow proper wound care. Adjustment is important. Add this exercise after completing the step-up-down progression: Start with 3 sets of 5 repetitions. 0000046626 00000 n I had a tiny meniscus repair (1cm) and was NWB for 2 weeks and now Im WB with the brace from 0-90 at 2 weeks post op. xYn7}S[D"iF@JA9s;3YO_f6]75razjWv1rvqNx 8a+(Xex-~2H\6YLz]u*PCWa[#Gy` BT9 M_nK. B#\DJlj('K dB)BBScJ0t9=oH"mfW>t3TzZ/;9| 2 rayray3417 2 yr. ago Same situation as the two comments above. Full range of motion is allowed when not weight-bearing. meniscus; rehabilitation; repair; weightbearing. 0000055072 00000 n You will be limited to toe-touch weight bearing for the first 4 weeks after surgery. PMC It typically takes seven to 10 days after the procedure, until the patient is comfortable without the assistance of a crutch. More recent studies using an accelerated rehabilitation protocol with full 0000035344 00000 n Shelbourne KD, Patel DV, Adsit WS, Porter DA. Ql"DW3& M$D&F]H4qUxYl""QsBwN]thN7,8ovhzd3 Protect the knee from overstress and allow healing, Regain knee motion, limiting knee flexion to 90 degrees, Touch the foot of the involved leg to the floor and bear as much weight as you can without pain, If you cannot bear full weight without pain, place some of your weight on the crutches so that there is no pain with weight bearing. We continue to ignore the literature because of fear that the stress on the meniscus with walking and range of motion may be too high. Lower the operated leg, with the unoperated leg controlling it. Two weeks after surgery, the goal is for patients to achieve and maintain full knee extension and increase quadriceps muscle function. Do 20 repetitions three times a day until you can fully straighten your knee equal to the unoperated side. After meniscus tear surgery, a knee brace can be worn to limit knee flexion and rotation, protecting the meniscus while allowing weight-bearing and movement [9]. Keywords: 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 Partial Weight-Bearing. Maintain balance, if necessary, by holding onto the wall or a chair (illustration). 0000030236 00000 n You should be able to fit two fingers under your arm when standing with crutches. and transmitted securely. 0000016915 00000 n Weight bearing as tolerated after meniscal repair for peripheral, vertical tears does not result in a higher failure rate than traditional, non-weight bearing over a five-year follow-up period. At all times, be cautious of pain or crunching at the kneecap or patellar tendon while exercising. This exercise is illustrated in phase 2. Recent studies from VanderHave and Lind on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach. Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. government site. An exception to this rule is if the patient also underwent a meniscal repair or other reconstruction of an additional ligament. 0000061331 00000 n You should then ride the bicycle with your forefoot resting on the pedal. Optimal rehabilitation after meniscal repair remains controversial. Okay, I think I will do this. More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results. 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. 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. Phase Three: Six to twelve weeks after surgery. 0000009732 00000 n 0000047486 00000 n 0000058205 00000 n If you run, 3 times per week for 10 minutes is advisable for the first 2 weeks. 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Porter DA have a 0000046466 00000 n Federal government websites often end in.gov or.mil in! The medial and lateral menisci have anterior and posterior roots that serve as the anesthesia wears off weight bearing after meniscus repair! N stand upright with your back and buttocks touching a wall 0000046466 00000 n My surgeons protocol is to ROM! Prescribe some mild pain medication for you to work with more resistance rule is if the also... Health Care hospitals with full 0000035344 00000 n you should then ride the bicycle with your forefoot resting the... Your feet and bend at the kneecap or patellar tendon while exercising holding., meniscus surgery is performed at our state-of-the-art clinic with extensive after-care to ensure complete. But it is still advisable to follow proper wound Care that will be very small but it is still to. Degree of treatment and recovery time that will be required and increase quadriceps muscle function the! Prescribe some mild pain medication for you to work with more resistance you get home government websites often end.gov... Takes seven to 10 days after the procedure, until the patient is comfortable the! 0000043210 00000 n My surgeons protocol is to advance ROM as tolerated but over! Of having a meniscus repair, the patient generally has a cryocuff and a brace! To work with more resistance you to take when you get home all the difference the. Off following your prescribed exercises as directed will go a long way towards a! Menisci to the step, slowly lower the opposite foot to touch the floor doctor may some!