Lowe this rehabilitation protocol was developed for patients who have isolated meniscal repairs. The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear. B this protocol applies only to isolated meniscal repairs. Book a free consult for patients outside of the bay area 4155633110. Toe touch 12 body weight 34 to full toe touch 14 body weight. Meniscus repair rehabilitation protocol general guidelines use the cryotherapy cuff continuously for the first 72 hours, then as needed thereafter ensure that the cuff never contacts the skin directly apply to the knee after performing rehabilitation exercises for the first 6 weeks. Rehabilitation guideline lane bailey, phd, pt disclosures usdod. Thus, any scheme for effective repairs can be based on the pre repair and post repair evaluation of concrete structures 10. Anterior cruciate ligament acl and meniscus repair rehabilitation protocol general notes. General time frames are also given for reference to the average individual.
As tolerated should be understood to include with safety for the reconstruction repair. One high standard, three local partners for more information go to. The outcome of meniscal repair has been good to excellent with regard to functional restoration and return to play rtp. Pdf functional rehabilitation after medial meniscus repair. Other materials for repair and rehabilitation of concrete there are several other materials which can also be used for repairs of certain structures.
For peripheral or rim tears, early range of motion rom and weight bearing are instituted because. Meniscus repair rehabilitation meniscus repair rehabilitation this rehabilitation protocol was developed for patients who have isolated meniscal repairs. If an acl reconstruction and meniscus repair are performed, follow the meniscus repair program for. Immediate postsurgery days 17 ice, compression, elevation. For repairs to existing foundations, special chemical grouts have been developed which will ensure the compaction of the soil below and provides protection to the reinforcing steel in the foundations. Common tears include longitudinal, parrotbeak, flap, bucket handle, and mixedcomplex. Try to hold this position for 5 minutes, three times a day. Key factors in determining progression of rehabilitation after meniscal repair anatomic site of tear suture fixation too vigorous rehabilitation can lead to failure location of tear anterior or posterior other pathology pcl, mcl, or acl injury. Leak repair clamps may be seal welded to the pipeline after installation providing the pipe conforms to dimensional tolerances as per pipeline material specifications. Bledsoe style brace for concomitant gr iii mcl injury if present d. Jan 16, 2017 rehabilitation follow meniscus repair rehabilitation after surgical debridement of the meniscus is pretty straightforward.
If the knee will not straighten fully, you can place a weight 2 to 5 pounds on the thigh, just above the kneecap. Therefore, in the case of reinforcing steel corrosion, simple repairs typically fail prematurely since nothing is done to mitigate or stop the primary deterioration. The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. 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. Meniscus repair rehabilitation shady grove orthopaedics. Rehabilitation guidelines for meniscal repair of root and. This makes it attractive for use in varied exposure conditions. Symptoms of an acute meniscus tear include swelling, pain along the joint line, catching, locking and a specific injury. Rehabilitation guidelines for meniscal repair uw health. The primary goal of this protocol is to protect the reconstruction while. Lie on your back with a rolled up towel under your heel or sit in a chair with the heel on a stool as shown in the figure. The exposed sutures can be secured and held out of the way with skin tape. This process involves multiple disciplines and the application of.
Edema control continue edema control until edema resolves typically 4. Rehabilitation and return to play following meniscal repair. Please read and follow the instructions in the meniscus repair. Twin cities orthopedics 4010 west 65th street edina, mn 55435 phone. The post repair assessment is a tool with the engineer to evaluate whether the parent material and the repair material have obtained bond or whether the cracks or the voids have been filled up by the grouting materials. This protocol fig 1 describes the rehabilitation program after repair of longitudinal tears located in the central or peripheral portion. Meniscus repair rehab protocol orthopaedic medical group of. Rehabilitation following meniscus repair memorial hermann. The rehabilitation guidelines are presented in a criterion based progression. Tears are noted by how they look, as well as where the tear occurs in the meniscus. This protocol provides you with general guidelines for initial stage.
Apr 26, 2017 repair techniques generally include removal of damaged concrete and placement of new concrete in its place. Athletes represent the most demanding subgroup of patients as they have high expectations to return to their preinjury level of activity and in doing so they place maximum stress on any meniscal repair. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. This describes what to do prior to your first clinic follow. Rehabilitation guidelines for meniscal root repair please note that these instructions are general guidelines to be followed.
The acl protocol should be followed unless otherwise noted on prescription if acl meniscal repair done jointly. Selection of repair materials for concrete 6 rehabilitation and retrofitting methods. Repair techniques generally include removal of damaged concrete and placement of new concrete in its place. Higher numbers of repetitions 15 20 favor increased muscle endurance while building muscle strength as well.
Rehabilitation protocol for meniscus repair massachusetts. 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. Acl reconstruction protocol1 northwestern medical center. Chief, division of sports medicine associate professor of orthopaedic surgery tel. If an athlete suffers a meniscal root tear, the three options for treatment include. Most of the time, rest, ice, and pain meds are enough to help you feel better. It is no means intended to be a substitute for ones clinical decision making regarding the.
Rehabilitation exercises a meniscus tear is a common knee joint injury. Mensical repairs located in the vascular zones of the periphery or outer third of the meniscus are progressed more rapidly than those repairs that are more complex and. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much. Articular cartilage is made up of collagen, proteoglycans and water and lines the end of the bones that meet. Knee rehabilitation j cavanaugh, section editor rehabilitation following meniscal repair john t. In his epidemiological study conducted on 17,397 patients in germany and switzerland, soccer, followed by skiing, are the sport with an increased risk of meniscal injuries. Quality control all leak repair clamps are fully inspected and factory tested to 1. Knee joint is composed of incongruent articular surfaces, therefore it relies on other structures to provide both static and dynamic stability. Thus, any scheme for effective repairs can be based on the prerepair and post repair evaluation of concrete structures 10. Verma or either physician assistant supersede the instructions below and should be followed. Meniscus repair rehabilitation program gundersen health system.
Rehabilitation is initiated immediately postoperatively. Oct 11, 20 selection of repair materials for concrete 6 rehabilitation and retrofitting methods. Individualized standardized rehabilitation lind et al. We return the patients range of motion, strength and function per their symptoms and let pain and swelling guide the rehab process a very general guide but one often employed by many rehabilitation specialists. The following is a protocol for postoperative patients following an isolated meniscus repair. Repairs and rehabilitation of concrete structures for failure. As reported by majewski, injuries to the menisci are the second most common injury to the knee, with an incidence of 12% to 14% and a prevalence of 61 cases per 100,000 persons6. If you have questions, contact the referring physician. Rehabilitation protocol for meniscus repair this protocol is intended to guide clinicians and patients through the postoperative course for a meniscus repair. 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.
Frisbie memorial hospital marsh brook rehabilitation service wentworthdouglass hospital durham. The stability of the repair will determine the rehabilitation program. Mackler, pt, scd, alumni distinguished professor, university of delaware knee pain and mobility impairments associated with meniscal and articular cartilage tears can be the. 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. What is the difference between repair and rehabilitation.
Division of sports medicine, department of orthopaedic surgery, north shore university hospital, and orthopaedic associates of manhasset, manhasset, new york abstract increasing emphasis on the comprehensive reconstruction of the knee and on restoration of knee function after. Management and rehabilitation after meniscal injuries. A clinical commentary article pdf available in journal of orthopaedic and sports physical therapy 462. Op rehabilitation protocol the following is a protocol for postoperative patients following an isolated meniscus repair. Meniscal repair guidelines postoperative phase i week 06 the rehabilitation guidelines following meniscal repair at our institution are divided into three phases and are outlined in table 2. Matthew crawford this rehabilitation protocol was developed for patients who have isolated meniscal repairs. Specific changes in the program will be made by the. Refers to modification of a structure partly or wholly which is damaged in appearance or serviceability 1. 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 more complex and located in the avascular zone of the meniscus.
Control inflammationeffusion allow early healing full passive knee extension gradually increase knee flexion independent quad. Precautions and related issues the decision to repair a tear in the meniscus is based largely on the location of. Acl rehabilitation protocol with meniscus repair without microfracture, except radial tears or root avulsion dr. Jan 05, 2015 the post repair assessment is a tool with the engineer to evaluate whether the parent material and the repair material have obtained bond or whether the cracks or the voids have been filled up by the grouting materials. Functional rehabilitation after medial meniscus repair in. Rehabilitation guidelines and functional progression of isolated medial meniscus repair is not well documented in the literature. This does not apply to meniscal repair performed in conjunction with acl reconstruction.
To avoid placing stress on the meniscus repair, do not bend. Repair methods, however, do little to address the cause of deterioration. Dependent upon the location and size of the repair, weight bearing. Bledsoe style brace for concomitant gr iii mcl injury if present. There are two types of cartilage in the knee, articular cartilage and meniscus cartilage. The treatment chosen will depend on the location of the tear, the athletes sport, ligamentous stability of the. Repair, rehabilitation techniquessystems for concrete. Athletes represent the most demanding subgroup of patients as they have high expectations to return to their preinjury level of activity and in. Evidence based rehabilitation after meniscus repair lynn snyder. Specific time frames, restrictions and precautions are given to protect healing tissues and the surgical repair reconstruction. The journal of arthroscopic and related surgery 102.
Often times these tears can be diagnosed by taking a thorough history and completing a. Longleg postoperative x x x range of motion minimum goals. The first phase is designed to protect the repair and allow for maximal healing. Specific time frames, restrictions and precautions are given to protect healing tissues and the surgical repairreconstruction. The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving. Evidence based rehabilitation after meniscus repair. Knee arthroscopy with meniscus repair rehab protocol. Root tears are repaired whenever possible based on their importance in limiting future knee arthritis. Meniscus repair rehab protocol orthopaedic medical group. Although meniscus tears suitable for repair are infrequent, meniscal repair is preferable to meniscectomy. Toe touch 12 body weight 34 to full toe touch 14 body weight 12 to 34 body weight full p c p c c c. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears, allinside meniscal repairs. Due to the importance of the knee menisci, surgical repair of.