Following a specialised, accelerated rehabilitation programme is essential to ensure a fast and safe return to sport and performance after isolated meniscal repair surgery. When we detailed our accelerated rehabilitation protocol we considered meniscal healing times and the type of tears that were repaired Rehabilitation Protocol for Meniscus Repair This protocol is intended to guide clinicians and patients through the post-operative course for a meniscus repair. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician an athlete suffers a meniscal tear, the three options for treatment include: non-operative rehabilitation, surgery to trim out the area of torn meniscus, or surgery to repair (stitch together) the torn meniscus. The treatment chosen will depend on the location of the tear, the athlete's sport, ligamentous stability of th The protocol is modified if any of the following are present: meniscal repair, concomitant ligament repair or patellofemoral procedures, cartilage transfer or transplant, revision procedures, or marked physiologic laxity. Full return to sports is individualized. Requirements for return to sports include nea Meniscal Repair: Overview: Meniscal tears occur in different ways. Tears are noted by how they look, as well as where the tear occurs in the meniscus. Common tears include longitudinal, parrot-beak, flap, bucket handle, and mixed/complex. The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear
Hospital has accepted this protocol as our standard protocol for the management of patients s/p meniscal repair. Meniscal Repair: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a meniscal repair. It is n Accelerated rehabilitation protocols are not associated with higher failure rates following meniscal repair. Conclusions: There is a lack of consensus regarding the optimal postoperative protocol following meniscal repair. Small clinical studies support rehabilitation protocols that allow early motion Meniscus Repair Rehabilitation Dr. Walter R. Lowe This rehabilitation protocol was developed for patients who have isolated meniscal repairs. Meniscal repairs located in the vascular zones of the periphery or outer third of the meniscus are progressed more rapidly than those repairs that ar
potential for meniscal extrusion and accelerated arthritic degeneration if left untreated. Horizontal The listed clinical practice recommendations are more conservative than traditional meniscus repair protocols due to the complexity of the surgical technique. The direc Complex Meniscal Repair Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for rehabilitation following arthroscopic repair of a complex meniscal tear. Modifications to the protocol may be necessary dependent on location of repair, concomitan . Do 8 to 12 repetitions. Lie on your stomach, and lift your leg straight behind you (toward the ceiling).Lift your toes about 6 in. (15 cm) off the floor, hold for 5 seconds, then lowerslowly Return to Sport Meniscal Repair Protocol General guidelines to consider with return to sport after Meniscal Repair: - Optimum return to sport does not mean to return as fast as possible. An athlete who returns to sport without functional stability being restored, is at a higher risk of failure and poor outcome
ANTERIOR CRUCIATE LIGAMENT (ACL) WITH MENISCUS REPAIR POST-OP REHABILITATION PROTOCOL The following is a protocol for postoperative patients following ACL reconstruction and meniscus repair (medial or lateral). The primary goal of this protocol is to protect the reconstruction and while steadily progressing towards and ultimately achieving pre. Anterior Cruciate Ligament (ACL) and Meniscus Repair Rehabilitation Protocol General notes: As tolerated should be understood to include with safety for the reconstruction/repair; pain, limp, swelling, or other undesirable factors are indicators that you are doing too much too soon. If any of these should occur Background: Current postoperative rehabilitation protocols after isolated meniscal repair vary widely. No consensus exists with regard to the optimal amount of weightbearing, range of motion, or speed at which the patient progresses through the rehabilitation phases Meniscal Repair Rehabilitation Protocol. OATS - Rehabilitation. Large To Massive Sized Rotator Cuff Repair ± Biceps Tenodesis Rehab Protocol and PO Instructions. Distal Biceps Repair. Achilles Tendon Repair Accelerated Rehab Protocol. Sports Medicine. Joint Replacement. Fractures. Upper Extremity. Lower Extremity
future knee arthritis. Repair can be achieved by a transtibial tunnel repair, a suture anchor repair or a side to side repair. Figure 6 shows the blood vessels (perimeniscular capillary plexus) entering the outer portion of the meniscus. This blood supply is necessary for a tear or a repair to heal. After meniscal surgery, rehabilitation with a. This rehabilitation protocol has been designed for patients with ACL reconstruction who anticipate returning to a high level of activity as quickly as safely possible after surgery. The ACL Rehabilitation protocol for Patellar Tendon, Quad Tendon, and Hamstring autografts is similar with exceptions noted in the protocol Current postoperative rehabilitation protocols after isolated meniscal repair vary widely. No consensus exists with regard to the optimal amount of weightbearing, range of motion, or speed at which the patient progresses through the rehabilitation phases
Meniscal Repair Rehabilitation Protocol ROM brace, WBAT in extension only, limit ROM 0-90 x 6 wks Phase 1 (0-2wks): Aerobic Upper Body Exercise Range of Motion 0-60 ROM brace x 6 wks WBAT in extension only Strengthening CKC limit 0-30 x 8 wks Patellar mobilization Mini squats Hamstring stretches Straight leg raises Modalities Ice & IFC/Russia Altru Advanced Orthopedics Knee Meniscus Repair Rehabilitation Protocol The intent of this protocol is to provide the therapist with a guideline for the post-op rehab of a patient who has had a meniscus repair, meniscal root repair, or meniscal transplant. It is no Meniscus Repair Physical Therapy Protocol Phase I: Maximum Protection (Weeks 1 to 6) Goals • Control inflammation/effusion • Allow early healing • Full passive knee extension • Gradually increase flexion to 90 degree • Independent quadriceps control Weight Bearing • Non weight bearing for six weeks unless noted by Dr. Kendall Range. Meniscal Repair Post-operative Rehabilitation Protocol. Phase I: Days 1 to 10 Day 1. Brace • Knee immobilizer (used for four weeks), TED hose to be worn until ambulation has returned to normal pre-surgery level or two weeks. Crutches used regularly. Knee Motion. Active Range of Motion: • Ankle pumps • Quadriceps set To avoid placing stress on the meniscus repair, do not bend your knee beyond 90 degrees (bent to a right angle) Brace and Crutches: You will go home with crutches and a knee brace . locked in full extension (straight). Unless otherwise instructed by Dr. Gill, use crutches when walking and
Meniscus Repair Protocol Dr. Jonathon Henry The following document is an evidence-based rehabilitation protocol for knee arthroscopy with meniscus repair. The protocol is both chronologically and criterion based for advancement through four post-operative phases: Phase 1 : Maximum protectio MENISCAL REPAIR The meniscus is a crescent shaped cartilage that acts as a shock absorber between the femur (thigh bone) and tibia (shin bone). Each knee has two menisci: medial (inner) and lateral (outer). There is an additional type of cartilage in the knee joint called articular cartilage. This is Latarjet. Manipulation Under Anesthesia_Arthroscopic Release. Massive Rotator Cuff Repair. Multi Directional Instability Protocol. Pec Major Repair. Posterior Stabilization. Proximal Humerus ORIF_Hemiarthroplasty. Rotator Cuff Repair. Shoulder Microfracture
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. Specific changes in the program will be made by th MENISCAL REPAIR, ALL-INSIDE REHABILITATION PROTOCOL ! COPYRIGHT*2014*CRC*©BRIAN*J.*COLE,*MD,*MBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-2 weeks Full in Brace locked in extension*** Locked in full extension for sleeping and all activity* Off for exercises and hygiene 0-90° when non-weight bearing Heel slides, quad sets Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers Meniscal Repair Specific PT Protocol. Meniscus Root Repair or Radial Tear Repair. Meniscal Transplant Specific PT Protocol. Meniscectomy PT Protocol. Microfracture Specific PT Protocol. MPFL Reconstruction Specific PT Protocol. Multilig Specific PT Protocol. Multi-Ligament Reconstruction with Meniscus Repair Post Op. Multi-Ligament Injury Pre O Knee meniscal root repair andrewarthurmd.com 1 Overview This is a protocol that provides you with general information and guidelines for the initial stage and progression of rehabilitation according to the listed timeframes. Speciﬁc changes may be made by the care team as appropriate given each patient's operative ﬁndings. Question
Meniscal Repair. The meniscal cartilages are elastic shock absorbers inside the knee and damage to them increases the risk of future arthritis. Meniscal tears are very common surgical treatment is often performed using knee arthroscopy (keyhole surgery). The meniscal cartilages have a poor blood supply therefore most tears will not heal and. UVA SPORTS MEDICINE . 515 Ray C. Hunt Drive, Suite 1100, Charlottesville, VA 22903 Phone: 434-243-7778 Fax: 434-243-5075 Meniscal Root Repair Post-operative Rehabilitation Protocol Meniscal Repair. Meniscal Root Repair. Microfracture Trochlea. Microfracture Femur. Meniscectomy. Meniscectomy + Chondroplasty. Mosaicplasty. MPFL Reconstruction. Osteochondral Allograft Transplantation (OATS) Patellar Tendon Repair. PCL Reconstruction Protocol. Quadriceps Tendon Repair . Shoulder Procedure Protocols. Anterior Bankart Repair. General Considerations It is important to recognize that all times are approximate and that progression should be based on careful monitoring of the patient's functional status. Early emphasis on achieving full hyperextension equal to the opposite side. Patients will be in a hinged knee brace for 4 weeks post-op locked in full extension. No active knee flexion X 4 weeks. Partial / toe-touch.
Rehabilitation Guidelines for Meniscal Root Repair The intent of this protocol is to provide the clinician with a general guideline of the post-operative course of the patient that has undergone the above stated procedure. It is by no means intended to substitute for one's clinical decision making regarding the progression of a patient's post If the repair was made at the outer third or periphery of the meniscus, where ample blood supply exists, faster healing can be expected and rehab should progress accordingly. The following protocol should be followed unless otherwise instructed following a meniscal repair. Rehab for the first 6 weeks following a repair is critical but boring 50%, 75%, and 100% effort. B. Carioca: Run sideways crossing legs in front of and then behind the lead leg for 20. yards, rest 5 seconds, and return in other direction. Repeat 4 times for each cycle. C. Backward Running: Run for 20 yards, rest 5 seconds, and repeat 4 times for each Meniscal injuries in athletes present a challenging problem. Surgeons must balance the needs of the healing meniscus with the desire of the athlete to return to play as quickly as possible. Evidence-based rehabilitation protocols are important for ensuring a successful meniscal repair and preventing athletes from returning to play prematurely Rehabilitation protocols are an important tool that you can use to: Assure you are following the precautions and time restrictions based on the tissue healing time frames following injury or surgery. Know how fast or slow to progress a patient. Know if you are falling behind and assure people are making adequate progress
A search of PubMed, Scopus, and Cochrane Central Register of Controlled Trials was conducted. The selection criteria for inclusion were English-language in vivo clinical studies reporting on isolated meniscal repairs utilizing an arthroscopically assisted technique that outlined the postoperative rehabilitation protocol and included at least a 2-year follow-up After meniscal repair, 81% to 88.9% of athletes returned to sports. The time to RTS after isolated meniscal repair was on average 5.6 months, and the time to RTS was longer for athletes who required concurrent anterior cruciate ligament reconstruction (ACLR). After MAT, 67% to 85.7% of athletes returned to sports, and the time to RTS ranged. Meniscal Repair Protocol p. 1 Meniscal Repair Protocol Applicability: Physician Practice Date Effective: 12/2016 Department: Rehabilitation Services Date Last Reviewed / or Date Last Revision: Supersedes: Meniscus Repair Protocol (Dr. Beattie) 12/2016 Administration Approval: Amy Putnam, VP Physician Services Purpose: Define the protocol to be followed for all patients referred from Northwester
Meniscus Repair Rehabilitation Protocol The following is a protocol for post-operative patients following meniscus repair. The primary goal of this protocol is to protect the repair while steadily progressing towards and ultimately achieving pre-injury level of activity. Please note this protocol is a guideline Noyes Knee Institute Rehabilitation Protocol for Meniscus Repairs and Transplants 1-2 3-4 5-6 7-8 9-12 4 5 6 7-12 Brace: Long-leg postoperative C, A, T C, A, T C, T Range of motion minimum goals 0°-90° 0°-120° 0°-135° X X X Weight-bearing Toe touch to 50% body weight 75% to 100% body weight Toe touch to 25% body weigh However, some question the safety of this approach on the healing meniscus. Accelerated Meniscus Repair Recovery: A Proven Approach . A systematic review done by physicians at the Rothman Institute investigated the safety and effectiveness of various rehab protocols after a meniscus repair. They looked at 15 different studies with meniscal repair (Fig 1). Meniscus Repair With Circumferential Compression Stitches Meniscal repair is performed in a posterior to anterior direction. A PassPort cannula (Arthrex, Naples, FL) is placed in the anteromedial portal to prevent soft-tissue bridging during knot tying. A suture is preloaded within the Ceterix Novostitch (Ceterix.
The approach for rehabilitation after a meniscal repair is treated much like the orthopedic surgeon's decision for which surgical procedure will be selected - rehabilitation hinges on the age of the patient, condition of the meniscus pre and post surgery, and of course the dedication of the patient to the rehabilitation program University*of*Washington*Department*of*Orthopaedics*&*Sports*Medicine* Page1*of*8* InitialPostoperativeInstructions' ACL'Reconstruction'+Meniscus'Repair It is unclear whether larger joint forces associated with running or jumping threaten the meniscal repair. An accelerated rehabilitation protocol may be safely implemented for appropriate patients, but it is unclear how the type of meniscal tear and the repair technique should affect the postoperative programme
ACL REHABILITATION PROTOCOL, OPERATIVE WITH MENISCUS REPAIR OR MICROFRACTURE . TIMETABLES ARE ESTIMATES . Dr. Levene (2/2015) I. Preoperative . a. Rest, ice, compression, elevation . b. NSAID, pref. COX-2 if early surgery planned . c. Bledsoe style brace for concomitant gr III MCL injury if present . d. Fit with functional brace, preop use. Meniscus Repair Protocol for Rehab Therapists . General Principles. This protocol for rehabilitation after knee meniscus repair surgery is designed to provide the rehabilitation professional with a general guideline for patient care with the AlterG Anti-Gravity Treadmill. As such, it should be stressed that this is only a protocol and should. Knee Arthroscopy Meniscus Root Repair Day of surgery A. Diet as tolerated B. Icing is important for the first 5-7 days post-op. While the post-op dressing is in place, icing should be done continuously. Once the dressing is removed on the third post-operative day, ice is applied for 20-minute periods 3-4 times per day
Patients who undergo combined ACL reconstruction and meniscal repair can safely follow the same accelerated protocol as patients who only undergo ACL reconstruction. Summary. Historically, the lack of understanding of the function of the meniscus resulted in its total removal when it was injured Hold off on scar mobilizations x 4 weeks or per MD. No touch zone around portals x 4 weeks. No running, jumping, or ballistic activities for 6 months. Aerobic and general conditioning throughout rehabilitation process. M.D./nurse appointments at day 2, day 14, 1 month, 2 months, 4 months, 6 months, and 1 year post-operatively Ankle pumps: 20-25 per hour. Active flexion to 90 as tolerated. Strict NWB. Brace locked in extension at all times unless performing exercises. Gait with crutches. Patellar mobilizations. Polar care/ cryotherapy. Dressing change: remove bulky dressing, leave clear dressing intact. Quad sets 2 Indications and Techniques for Meniscus Repair Chris Roth and Scott A. Rodeo The important functions of the meniscus have led to efforts to repair rather than resect the torn meniscus. The ability of the vascular region of the meniscus to heal is well established; furthermore, it is known that meniscal cells can proliferate an
Including surgery for anterolateral ligament (ALL), microfracture, meniscectomy or meniscus repair. See separate protocol for multi-ligament repair. Note: While this is intended to be a guide, please tailor progression to the patient's surgical procedure and response to treatment Benedict Nwachukwu, MD, MBA is an orthopedic shoulder, knee and hip specialist at Hospital for Special Surgery (HSS), nationally ranked as the best in orthopedics for 10 years by U.S. News & World Report.His academic credentials include undergrad at Columbia University, Harvard Medical School, Harvard Business School, residency at HSS, and sports medicine fellowship training at world-renowned. ACL Reconstruction + Meniscal Repair Protocol NB: this protocol is NOT appropriate for the repair of radial or meniscal root tears. PHASE 1 Monitor for evidence of: Infection: if patient develops a temperature >38°, refer urgently to the operating surgeon Return-to-Sport after ACL with Meniscal Repair Reconstruction Protocol - Weight-bearing in full extension (with a locking brace) with crutches is allowed, No weight-bearing in flexion >45° for 4 weeks - Immediate Post-op passive ROM is fine, No active ROM past 90° for the first 4 weeks o ROM: (Peripheral Tears) ROM: (Complex Tears
Meniscus Repair. Macey Roper. Read more about Macey Roper; February 10, 2020 was the first game in our regional basketball tournament. My team, Coach Hood, and I had spent long hours in the the gym preparing for this game. We analyzed game film, ran plays, practiced shooting, and Coach Hood even had some of our boys' basketball players come in. Mariani PP, Santori N, Adriani E et al (1996) Accelerated rehabilitation after arthroscopic meniscal repair: a clinical and magnetic resonance imaging evaluation. Arthroscopy 12:680-688. Shelbourne KD, Patel DV, Adsit WS et al (1996) Rehabilitation after meniscal repair. Clin Sports Med 15:595-61 Meniscal surgery has undergone a considerable shift in goals over the last century. While early meniscal surgery consisted of mostly total meniscectomy, recognition of the importance of this structure resulted in a shift to partial meniscectomy, and then to repair in appropriate patients. The over-reaching goal is now the preservation of meniscal tissue to minimize the risk of osteoarthritis.
Recovering from an Arthroscopy. Signs, symptoms and function to be expected following surgery: Pain is quite common, most often in the area where you had pain before surgery, in the soft tissues below the knee cap, over the athroscopy wounds and occasionally the whole knee. The pain settles usually within two to three weeks, but may take. 1151 Richmond Street. London, ON N6A 3K7. 519 661 3011. FANSHAWE COLLEGE. Room J1004. 1001 Fanshawe College Boulevard. London, ON N5Y 5R6. 519 452 4230. DOWNTOWN LONDON The feeling that your knee is giving way, locking, or catching when you bend it. If not treated, part of the meniscus may come loose and slip into the joint. You may need surgery to restore full knee function. Untreated meniscus tears can increase in size and lead to complications, such as arthritis We performed a retrospective review of a consecutive series of meniscal repairs that were done by single surgeon with using the RapidLoc meniscal repair device. An accelerated postoperative rehabilitation program followed, and this was independent of whether anterior cruciate ligament (ACL) surgery was also performed With expert physicians and providers on staff, the Alaska Native Medical Center's Orthopedics Clinic focuses on the prevention, diagnosis and treatment of musculoskeletal diseases. Our highly-trained physicians specialize in the care of bones, joints, muscles and other parts of the musculoskeletal system for adults and children. Orthopedic clinicians bring expertise in the areas of foot and.
Other types of meniscal injuries such as ramp lesions require surgical repair. When the meniscus tear also involves an ACL injury, ACL reconstruction should be combined with ramp lesion repair. A standard rehabilitation protocol for ACL reconstruction will be recommended. After surgery, the patient will be in a brace for six weeks