Knee arthroscopy meniscectomy chondroplasty missouri orthopaedic institute knee arthroscopy meniscectomy chondroplasty. Arthroscopic meniscectomychondral debridement name. Surgical removal of the meniscus had been introduced in the late 19th century3 and open total meniscectomy was considered as the standard approach for most of the 20th century. Knee arthroscopy meniscectomychondroplasty missouri orthopaedic institute knee arthroscopy meniscectomychondroplasty. 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. Figure 1 lateral and medial meniscus of the left knee shown here from above. Each phase is adaptable based on the individual patients and special circumstances. Oct 19, 2012 the athlete with a meniscal injury can be returned to activity quickly and safely with appropriate treatment and rehabilitation. It is not intended to be a substitute for ones clinical decision making. Other treatments can be considered if these treatments fail. Mediallateral partial meniscectomy postoperative rehabilitation protocol.
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. Meniscectomy, plica resection clinical practice guideline progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation. Athletes suffering from any injuries want to know when they will be able to return sports activity. The sports physical therapy service is an integral part of the sports medicine center and the department of. Reduce painswelling ice 3xs daily for 1520 minutes directly on knee full knee rom as soon as possible full weight bearing as tolerated. Answers from doctors on meniscectomy recovery timeline. The knee is a hinge joint at the connection point between the femur and tibia bones. Rehabilitation guidelines for meniscal repair uw health. Common tears include longitudinal, parrotbeak, flap, bucket handle, and mixedcomplex.
Pdf meniscal injury is a common cause of knee pain and major cause of functional impairment of the knee at young athletic population. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. Arthroscopy knee surgical, with meniscectomy or meniscus repair 27332, 27333, 29882, 29883 blue care network provides coverage for surgical knee arthroscopy for adult members who meet medical necessity criteria. Department of sport and exercise medicine achilles tendinopathy. Knee rehabilitation following meniscectomy, meniscal repair. The meniscus is an important loadbearing structure that supports 70% of the load transmitted through the lateral compartment and 50% medially, thus decreasing contact pressures on the articular cartilage. Partial menisectomy of the knee rehabilitation protocol daniel redziniak, md the orthopedic and sports medicine center office. Debridement rehabilitation protocol for physical therapy. When injuries occur in the relatively avascular inner zones of the meniscus, partial meniscectomy is usually the treatment of choice.
Home exercise program hep as indicated 1215 repetitions with 12 sets of each exercise. Mediallateral meniscectomy and rehabilitation anatomical considerations. Madison, wi 53718 rehabilitation guidelines for meniscal repair there are two types of cartilage in the knee, articular cartilage and meniscus cartilage. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. Physical therapy pt intervention as indicated by treating physical therapists plan of care within guidelines of this study protocol. Cryotherapy and nonsteroidal antiinflammatory drugs nsaids play a very important role in the management of nonoperative meniscal injury. Surgical removal of the meniscus had been introduced in the late 19th century3 and open total meniscectomy was considered as the standard approach for most of the 20th cen. Articular cartilage is made up of collagen, proteoglycans and water and lines. 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. Jan 09, 2016 postoperative knee partial meniscectomy rehabilitation protocol from san francisco orthopaedic sports medicine surgeon dr. The intensity allowed and the time frame required for the rehabilitation process is dependent upon the surgical procedure and the clinical assessment of dr. Rehabilitation following arthroscopic meniscectomy springerlink.
Quadriceps strengthening, making sure that closed chain exercises occur. Rehabilitation guidelines for knee arthroscopy uw health. Throughout this protocol, time references in weeks since surgery represent the earliest that a patient may begin an exerciseactivity following acl reconstruction with patellar tendon or hamstring autograft with or without partial medial or lateral meniscectomy. As t o l e r a t e d w i t h c r u t c h e s p r o g r e s s t o f u l l w e i g h t b e a r i ng w i t h o u t.
The overall goals of the repair and rehabilitation are to. Knee rehabilitation following meniscectomy, meniscal. Rehabilitation protocol for meniscus repair this protocol is intended to guide clinicians and patients through the postoperative course for a meniscus repair. Pdf the effectiveness of postoperative rehabilitation following. Epidemiological studies showed that all meniscal lesions, in different sports athletes, involves 24% of medial meniscus, while 8% of lateral. Generally a patient can recover and return to work and sports after 34 weeks following a knee scope for synovectomy. The outer onethird of the meniscus has a rich blood supply. Meniscectomy recovery timeline answers on healthtap. Partial weightbearing status mediallateral partial meniscectomy postoperative rehabilitation protocol. Postoperative arthroscopic partial meniscectomy physical therapy rehabilitation protocol each phase should include.
It is the surgical therapy that dictates the aftercare, and with regards to the latter, there are clear differences between meniscectomy and meniscal repair. The rehabilitation guidelines are presented in a criterion based progression. Knee arthroscopy with meniscal debridement rehabilitation. 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. Find pdfs of our most common rehabilitation protocols. Knee arthroscopy meniscectomy anatomy and biomechanics. Acl reconstruction rehabilitation protocol sports medicine north. Avoid impact exercises for the first 46 weeks if the articular cartilage was debrided. 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. 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. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much.
If this happens, your physiotherapist or doctor will discuss them with you. Control pain, swelling, and hemarthrosis regain normal knee range of motion regain. Submit prior authorization requests through ereferral. Miranda, pac 36101 bob hope drive, ste a1 rancho mirage, ca 92270 phone 760 9724580 fax 760 9724586 1 knee arthroscopy. 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.
The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving pre. Rehabilitation guidelines for arthroscopic knee meniscectomy. Postoperative arthroscopic partial meniscectomy physical. It is also an important secondary stabilizer of the. Brace knee immobilizer used for four weeks, ted hose to be worn until ambulation has returned to normal presurgery level or two weeks. The meniscus is an important loadbearing structure that supports 70% of the load transmitted. Postoperative instructions arthroscopic meniscectomy diet begin with clear liquids and light foods jello, soups, etc. Postoperative rehabilitation serves the purpose of improving functional deficits and pain, as well as of restoring a good range of motion and preventing secondary damage. It is important that you read this booklet, so that you have a better understanding of the. This rehabilitation protocol is designed for patients who have undergone knee arthroscopy or arthroscopic lateral release. Hospital has accepted this protocol as our standard protocol for the management of patients sp meniscal repair. Partial menisectomy chondroplasty rehabilitation program.
Sports medicine physical therapy rehabilitation protocols. Meniscectomycartilage debridement p h a s e i w e e k s 0 2 w e i gh t b e a r i n g. Department of physiotherapy department of sport and exercise. Weeks 01 considerations pain control edema control. Rehabilitation following arthroscopic meniscectomy. Arthroscopy knee with meniscectomy or meniscus repair. This booklet has been designed to help guide you through the management of your achilles tendinopathy. This may vary from a minor trimming of a frayed edge to anything short of. Treatment of meniscal lesions has evolved considerably over the past 20 years and partial meniscectomies, or menisci repairs, are now the treatment of choice for the majority of lesions. Quadriceps isometrics exercises, straight leg raises, and range of motion exercises should be started immediately. Rehabilitation following meniscus repair memorial hermann. 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. Mediallateral meniscectomy and rehabilitation aspire. Pdf development and preliminary validation of a new protocol for.
The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear. The intensity of the exercises for the knee can be increased in phase 3 following knee menisectomy surgery. Brotzman sb, wilk ke, clinical orthopeadic rehabilitation. If an athlete suffers a meniscal tear the three options for treatment include. Goals rehab strategies 1 reduce joint effusion cryotherapy, elevation, ankle pumps. Meniscal repair postoperative rehabilitation protocol. If you have questions, contact the referring physician. Knee partial meniscectomy post operative rehabilitation. Rehabilitation will focus on restoring range of motion, developing strength and movement control, and guiding the athletes return to sport. Avoid rom with chondrosis or pain when performing exercises. Jan 21, 20 rehabilitation after partial meniscectomy. Arthroscopic partial medial or lateral meniscectomy, loose body removal or debridement protocol. Knee arthroscopy partial meniscectomychondroplasty.
Postoperative knee partial meniscectomy rehabilitation protocol from san francisco orthopaedic sports medicine surgeon dr. After knee arthroscopy, rehabilitation with a physical therapist or athletic trainer is usually required to optimize the outcome. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Knee bracesa compressive knee brace or knee support should be worn for protection and reduction in the swelling around knee joint following partial or complete menisectomy. Postoperative rehabilitation protocol knee arthroscopy partial meniscectomy loose body removal shaving chondroplasty phase i acute phase. Return to sport after arthroscopic meniscectomy on stable. Acute traumatic tears occur most frequently in the athletic population as a result of a twisting injury to lateral meniscus medial meniscus figure 1 meniscus cartilage shown here from above the knee, without the femur image property of primal pictures, ltd.
Rehabilitation programmes following arthroscopic meniscectomy. The listed clinical practice guideline is based on anatomical, biomechanical and surgical principles with criterionbased progressions. As tolerated with crutches for balance x 2448 hours progress to wbat. Below is an indepth look at the information i provided for her. Recently a friend of mine underwent a meniscectomy and postoperatively inquired what the meniscus actually did, how it typically was injured and what she should expect during the rehabilitation process. Postoperative instructions arthroscopic meniscectomy. It is held together by several important ligaments. Should achieve full extension and ability to slr with no extensor lag. The athlete with a meniscal injury can be returned to activity quickly and safely with appropriate treatment and rehabilitation.
Wound care maintain your operative dressing, loosen bandage if swelling of the foot and ankle occurs. Mediallateral partial meniscectomy rehabilitation protocol. The knee is also cushioned during weight bearing by two cartilaginous discs, called the medial inside and lateral outside menisci. The program for nonoperative rehabilitation is similar in principle to the program that follows meniscectomy. Rehabilitation exercises a meniscus tear is a common knee joint injury. The rehabilitation programme should emphasise decreasing inflammation, restoring motion, increasing strength, and safe return to. Lowe this rehabilitation protocol was developed for patients who have isolated meniscal repairs. Knee partial meniscectomy or debridement brigham and. Rehabilitation protocol the following is a protocol for postoperative patients following an isolated meniscus repair. Control pain, swelling, and hemarthrosis regain normal knee range of motion regain a normal gait pattern and neuromuscular stability for.
Disclaimer progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation. The period of returntosport after the arthroscopic meniscectomy is still unknown. In 1897, blandsutton18 described the menisci as functionless remnants of intraarticular leg muscles in ligaments. This may involve several different treatment options including. After partial meniscectomy rehabilitation protocol can be aggressive, because in the knee joint anatomical structure should not be protected during the healing phase. The submitter will receive a prompt to complete a questionnaire to.
Knee arthroscopy meniscectomychondroplasty rehabilitation. Meniscal injuries are reported to be the most common injury sustained by athletes, with sports injuries being responsible for over 30% of the total number of lesions. 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. Contact ohio state sports medicine at 6142932385 if questions arise phase i. Brace knee immobilizer ted hose to be worn until ambulation has returned to normal presurgery level or two weeks crutches. Department of physiotherapy department of sport and.
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