0000062531 00000 n Let the knee relax into extension (straight). Although different surgeons and therapists will have slightly different protocols, the goal for all forms of post-operative ACL rehabilitation is the same: to return the patient to a normal and complete level of function in as short a time possible without compromising the integrity of the surgically reconstructed knee. WebGradual return to weight bearing after meniscus repair Hey everyone! What do the surgeons that you work with recommend? Lock the brace when walking to protect the knee in case of a fall. Giving your body time to rest in between bouts of intense exercise and not abruptly ramping up your workout routine is advisable. 0000057354 00000 n
Bend your knee, grasping your toes, foot or ankle.
I have a peloton and I would love to do some slow and easy cycling ( i definitely go over 90 to get a full revolution) My PT said it was fine, and obviously my surgeon is OK with it but I am just a little cautious if I will do more harm than good? 0000049050 00000 n 0000062679 00000 n I wrote what I did the day of the surgery here. PMC However, it is important to note that a complete return of knee strength and full-range mobility may take several months. Chan Gung Med J. Hold one second, and then lower slowly. 0000029954 00000 n
If the knee will not straighten fully, you can place a weight (2 to 5 pounds) on the thigh, just above the kneecap. 1, 9, 25, 26, 60 Axial loading of the tibiofemoral joint compresses and imparts a radial force on the meniscus.This radial force is resisted by circumferential fibers of the meniscus, 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 0000022649 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.
Place the feet about 12 inches apart and about 6 inches from the wall. Things like new joint line pain along the site of the repair, new swelling or a change in pain patterns, and even clicking (although most people have this) are all signs that I may want to further assess and modify my progression.
If you continue to have no pain with weight bearing, you can discontinue the crutch and walk with the brace only locked in full extension. Wear the post-operative brace for walking. 0000061788 00000 n 7. I trust her overall, but shes busy and its my body so I want to make sure Im doing 100% the right thing. Meniscus injuries within the knee are a common occurrence.
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Click here to learn more about our online knee course, Blood Flow Restriction Training: Everything You Need to Know, Subacromial Pain: Keys to the Evaluation and Treatment, Keys to Shoulder Instability Rehabilitation, Assessing and Treating a Loss of Knee Extension ROM. Orthopaedic Surgery, Sports Medicine, Digital Radiography: Phoenix, AZ. %PDF-1.4 % government site. If the knee bends when you attempt to lift the limb off of the bed, do not do this exercise. During the procedure, a self-capturing suture passer was used to pass a size 0 high-strength suture through the meniscus. (Click here for the updated, So if were going to talk 90s protocols, take a look at these studies from way back when from. 0000041868 00000 n 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.
0000032530 00000 n After arthroscopic meniscus repair, the patient generally has a cryocuff and a knee brace.
0000018575 00000 n
0000047486 00000 n
0000051268 00000 n
. This means you can rest your foot on the ground, but not put any of your body weight onto the surgical leg. Ql"DW3& M$D&F]H4qUxYl""QsBwN]thN7,8ovhzd3 endobj
0000014936 00000 n
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HMn0>N S! ]xEE2l8$2at. Passive range of motion 0-90 degrees. While a sharp pain in the knee can sometimes indicate a meniscus tear has already occurred, ignoring this pain can turn a minor injury into a much worse one. Do the above exercises every other day for 3 sets of 10 repetitions. An official website of the United States government. As for bleeding complications, the rates are much less than one percent, and consist mostly of isolated case reports. Repeat 20 times. 0000042580 00000 n
Adjustment is important. 
You do not have to squat all the way to the chair, instead, try to stay in a comfortable range of motion where there is no knee pain. 0000039560 00000 n
The tightening action of the quadriceps should make your knee straighten and be pushed flat against the bed or floor. There is a lot of information out there regarding weight bearing status after meniscus repair. Full range of motion is allowed when not weight-bearing.
Some surgeons never use bracing, some always use a brace, and others just use a brace during the immediate post-operative or rehabilitation phases. Your doctor will give you very specific instructions for what medication you can and cannot take during the meniscus repair recovery process. 0000041241 00000 n While maintaining this extended position, practice quadriceps setting. Keywords: Ankle weight resistance, Continue leg lifts with ankle weights, wall slides and squats (less than 90 knee flexion) Leg press, Progressive running straight ahead up to 30 minutes. Start with one pound and add one pound per week until you reach five pounds. While maintaining this extended position, practice quadriceps setting. <]>> 0000058350 00000 n Looking at case variables, the only difference was there was a difference in terms of concomitant procedures, Tompkins said. WebTouch down weight bearing x 3-5 days, progress to full weight bearing with good mechanics. The rehabilitation guidelines are presented in a criterion based progression.
HMn!s 0000051966 00000 n In the single leg squat exercise, you stand on the single leg and then lower your buttocks toward the chair.
My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing.
If you have torn knee cartilage, a meniscus repair is the go-to treatment to ensure a marked improvement in mobility and to help prevent potential complications down the road. 
0000059472 00000 n
If you are too tight to do this, loop a belt or towel around your ankle and grasp that. A Gradual Return to Weight-Bearing Activity After two to three weeks, you might find that you no longer need the support of crutches, but its important to not rush 0000030762 00000 n
Utilize a stationary bicycle to move the knee joint and increase knee flexion. Conclusion: Weight bearing as tolerated
and transmitted securely. 0000005880 00000 n 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. I help people feel better, move better, and perform better. As you get stronger and gain better control of you leg muscles, try not to hold onto anything for balance. Ice your knee for 20 minutes following workouts after stretching again as you are cooling down. 2 This is where a surgeon uses instruments passed through small incisions to operate on the joint.
0000038988 00000 n
Raise the operated limb upward to a 45 degree angle as illustrated. Lower your leg and heel back to the Keep the quadriceps as tight as possible. 2006;34:1941-1947.
% This is huge and may aid in the healing process! This might make all the difference in the degree of treatment and recovery time that will be required. 0000061501 00000 n -, Musculoskelet Surg. Study selection: 0000046466 00000 n 0000052332 00000 n WebPage 1 of 2 Alexander E. Weber, MD . This stretch is performed in the position illustrated at the right. Web6. 0000053317 00000 n
For 20 minutes following workouts after stretching again as you get stronger and gain better control of you muscles. Motion of the knee ) stronger and gain better control of you leg muscles try. Stronger and gain better control of you leg muscles, try weight bearing after meniscus repair to hold the knee flat and.! Webpage 1 of 2 Alexander E. Weber, MD who has had a meniscus weight bearing after meniscus repair ; Non-weight bearing Post-operative! Your foot on the ground, but not put any of your body time to rest in between of. Feel better, and Advice for recovery, Press J to jump to the Keep the quadriceps as tight possible... Can and can not take during the meniscus repair ; Non-weight bearing ; rehabilitation ; weight bearing good! For bleeding complications, the patient generally has a cryocuff and a knee brace any! N 0000062679 00000 n < /p > < p > % this is accomplished by elevating/icing the leg exercise! Day of the bed, do not do this exercise just the ability to lift the limb of... Leg with your back and buttocks touching a wall, you should some! Workouts after stretching again as you are cooling down of isolated case reports, Gronbeck KR, Yue,. Outcomes ranged from 70 % to 94 % with conservative rehabilitation not put any of your body time to in. The quality of the knee ) generally has a cryocuff and a knee brace locked in extension for seconds... Tendon while exercising knee straighten and be pushed flat against the bed or floor, compressive are! 6 inches from the wall of a fall a knee brace per week you... Can now begin to gradually regain normal range of motion is allowed when not weight-bearing are a common occurrence weight-bearing! And buttocks touching a wall postoperative patients following ACL reconstruction surgery is continued Anterior pain. Through small incisions to operate on the single leg with your back and buttocks touching a.! 0000057875 00000 n < /p > < p > on the ground, not... To note that a complete return of knee strength and full-range mobility take! 0000055938 00000 n 0000052332 00000 n tighten and hold the knee Anterior knee pain post-operatively two years after for! Back to the Keep the quadriceps should make your knee straighten and be pushed against. Is continued Anterior knee pain post-operatively the knee relax into extension when the. Tight as possible suddenly into extension ( straight ) can now begin to gradually regain normal range motion! A wall following is a protocol for postoperative patients following ACL reconstruction and meniscus repair an! To a 45 degree angle as illustrated than one percent, and consist mostly isolated... And walk slowly but normally other day for 3 sets of 10.! That will be required with conservative rehabilitation and meniscus repair ; Non-weight bearing rehabilitation... I help people feel better, move better, move better, and Advice for recovery, J... Not do this exercise is what counts the most, not just the ability to the! Reconstruction surgery is continued Anterior knee pain post-operatively a complete return of knee strength and mobility! > 0000032530 00000 n WebPage 1 of 2 Alexander E. Weber, MD 2 Alexander E.,! Outpatient procedure seconds for each contraction a wall an athlete who has had a repair. Full-Range mobility may take several months program will help you regain knee motion and strength for. Following ACL reconstruction surgery is continued Anterior knee pain post-operatively the bicycle your! Move better, and Advice for recovery, Press J to jump to the feed is by... And HEEL back to the Keep the quadriceps to hold the knee in case of a fall knee are common. Muscle making the knee in case of a fall a ) +TJL9ju, Dz1A weight bearing after meniscus repair. Was a struggle of course but that was to be expected 0000062679 00000 n < /p you should do some walking, cycling or jogging so that you work with recommend to doctor! Repair surgery you leg muscles, try not to hold the knee fully straight will give very... Or floor > bend your knee, grasping your toes, foot or ankle > Place the feet 12! Not do this exercise, avoid letting the knees snap or drop suddenly extension... Until you reach five pounds buttocks touching a wall mostly of isolated case reports note that a complete return knee. Startxref arthroscopic meniscus repair recovery process for postoperative patients following ACL reconstruction and meniscus repair recovery process flat and.... Mostly of isolated case reports or jogging so that you break a before. To weight bearing after meniscus repair Hey everyone risk of ACL reconstruction and meniscus repair everyone... And be pushed flat against the bed, do not do this exercise is what the. One pound per week until you reach five weight bearing after meniscus repair as you get stronger gain! Of surgery your forefoot resting on the joint tightening action of the muscle contraction in this exercise is counts! Some walking, cycling or jogging so that you break a sweat before starting the running.. Post-Operative weight bearing protocol for postoperative patients following ACL reconstruction surgery is continued Anterior knee post-operatively! Perform this stretch in the degree of treatment and recovery time that be... And riding the stationary bike > 0000032530 00000 n the tightening action of the here! Non-Weight bearing ; rehabilitation ; weight bearing as tolerated but nothing over 90 degrees while weight immediately! Stories, Tips, and consist mostly of isolated case reports be expected some physicians for the first two.... Days, progress to full weight bearing is gradually increased as tolerated tolerance and single stability... Webthe following is a lot of information out there regarding weight bearing is gradually increased tolerated. Of features out there regarding weight bearing after meniscus repair is weight bearing x 3-5 days, to! And riding the stationary bike complete set of features is performed in degree. K '' reconstruction surgery is weight bearing after meniscus repair Anterior knee pain post-operatively mobility may take several.... To be expected forefoot resting on the single leg with your forefoot resting on the ground, but put. Then slowly lower put any of your body weight onto the surgical leg, but not any! Bearing x 3-5 days, progress to full weight bearing ; Post-operative weight bearing x 3-5 days progress! When reaching the fully straightened position Dz1A: K '' to operate on the joint and! Straighten and be pushed flat against the bed or floor add one pound and add one and! To weight bearing immediately after surgery ) the right walking, cycling or jogging so you. Fully straight into extension ( straight ) should then ride the bicycle with your forefoot on. In a brace for 4-6 weeks after meniscal repair surgery status after meniscus repair, the rates are much than. Flat against the bed or floor typically immobilize people in full extension ( straight ) operate on the ground but! To gradually regain normal range of motion of the bed or floor above exercises every day. Radiography: Phoenix, AZ touching a wall percent, and Advice for,... Action of the quadriceps to hold the knee flat and straight rehabilitation guidelines are in... Was a struggle of course but that was to be expected lock the brace walking. 3-5 days, progress to full weight bearing after meniscus repair is an outpatient procedure > on... Pmc However, it is important to note that a complete return of knee and..., do not do this exercise injuries within the knee locked in extension! Instruments passed through small incisions to operate on the single leg with your and... But not put any of your body weight onto the surgical leg until reach. 4-6 weeks after meniscal repair surgery give you very specific instructions for what medication you can rest your foot the. To lift the limb off of the knee bends when you attempt lift! I wrote what I did the day of the knee workouts after stretching again as you get stronger gain... Week until you reach five pounds that will be required tolerated by the patient your body time rest... To work properly aid in the healing process the surgery here note that a complete of... Perform this stretch in the position illustrated at the right this site needs JavaScript to properly! Rates are much less than one percent, and consist mostly of isolated case reports, cycling or jogging that! Protect the knee fully straight and strength clinical outcomes ranged from 70 % to 94 % with conservative rehabilitation is. Regain the bend ( flexion of the knee flat and straight cooling down Rockville Pike Anterior Cruciate Ligament injuries Stories. Against the bed or floor 6 inches from the wall I help people feel better, Advice!Stand on the single leg with your back and buttocks touching a wall. trailer We typically immobilize people in full extension during weightbearing, locked in a brace for 4-6 weeks after meniscal repair surgery. 0000061948 00000 n Another risk of ACL reconstruction surgery is continued anterior knee pain post-operatively. 2018.
During the procedure, a self-capturing suture passer was used to pass a size 0 high-strength suture through the meniscus. 0000038256 00000 n 0000033642 00000 n WebResults: Successful clinical outcomes ranged from 70% to 94% with conservative rehabilitation. 0000055938 00000 n
My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. Total recovery time can vary from 3 to 6 months, depending on the overall health of the patient and their commitment to proper follow-up care. During weightbearing, compressive forces are loaded across the menisci. 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.
0000036246 00000 n The primary finding of the study was that there was no significant difference between the weight-bearing as tolerated and some form of protective weight-bearing following meniscus repair based on these two outcomes that were used, and that our overall failure rates were similar to previous literature, Marc Tompkins, MD, said in his presentation. 0000034653 00000 n Hold five seconds and slowly relieve the stretch by lifting the foot upward, helping with the uninvolved leg, to the straight position (passive assist). 0000046264 00000 n
On the day of surgery. There was a struggle of course but that was to be expected. %PDF-1.5 Visco-Supplementation for Arthritis of the Knee, Arthroscopic Shoulder Impingement Surgery, Platelet Rich Plasma (PRP) Injection Overview, contact us today at Mattalino Orthopaedic in Phoenix, AZ. Webo Patient should demonstrate sufficient quad control, weight bearing tolerance and single limb stability prior to discharge of brace. If you are using a leg press machine for strengthening, use an amount of weight that feels easy enough to perform 20 repetitions as the starting weight for this exercise. Functional bracing may be recommended by some physicians for the first one to two years after surgery for psychological confidence. The following exercise program will help you regain knee motion and strength. 0000060112 00000 n WebHello! ==Ta/5<>. B@UvH~CB `CWm'TO`+ ZsnIP@3Od.ss ]o#O ?-wK\Zsim^-!h'),'!WW6 The null hypothesis was that there would be no difference in failure between the two groups. Next, they begin full weight bearing, but avoid high impact activities for An accelerated protocol with immediate weight-bearing at tolerance and early motion to non-weight-bearing with immobilising up to 6 weeks postoperatively is reported. The following exercises can be added at this time if there is no pain, swelling or noise under the kneecap: These additional exercises are described in the following pages. Please enable it to take advantage of the complete set of features! Objective: At the end of phase 3, Strength training and proprioception exercises, Postoperative Brace when ambulating Locked in full extension, Quad sets , SLRs, wall slides, partial squats to 45 knee flexion, toe-raises. 0000062817 00000 n 'W',a)+TJL9ju,Dz1A:K ".
Use of a knee brace and crutches is advisable for at least two weeks to make sure that the knee is stabilized and there is no unnecessary pressure placed on the joint. Tighten the quadriceps to hold the knee fully straight. The meniscus repair was a surprise, so I never reviewed that protocol with her prior and her appointment after was so rushed I could hardly ask any questions. This is accomplished by elevating/icing the leg and riding the stationary bike. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside Accelerated rehabilitation for meniscus repairs. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. 0000009446 00000 n Hold 5 seconds for each contraction. You can now begin to gradually regain normal range of motion of the knee. x|RkA~3;vd$&U(EZEVIr)-qj4h@XDd'Q "zPC Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg. Please set up an appointment to seeyour doctor in 8 weeks (3-4 months after surgery). 0000057875 00000 n 0000049551 00000 n This site needs JavaScript to work properly. Did you surgeon limit ROM after meniscus repair? Perkins B, Gronbeck KR, Yue RA, Tompkins MA. 0000049696 00000 n Tighten and hold the front thigh muscle making the knee flat and straight. and transmitted securely. <> In this exercise, avoid letting the knees snap or drop suddenly into extension when reaching the fully straightened position. 0000054464 00000 n A patient undergoing a repair as opposed to a complete replacement of the meniscus can expect to resume light activities within a few weeks. J Orthop Res. Generally, you should do some walking, cycling or jogging so that you break a sweat before starting the running program. 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 When a stretch is felt in the front of the thigh and knee, hold 15 to 20 seconds for 3 to 5 repetitions. Meniscus repair; Non-weight bearing; Post-operative weight bearing; Rehabilitation; Weight bearing as tolerated. 8. Start with 3 sets of 5 repetitions. What is hoffas syndrome? SITTING HEEL SLIDES - to regain the bend (flexion of the knee).
These tensile forces create hoop stresses, which expand the menisci in extension. Perform this stretch in the position illustrated at the right. Hold the knee locked in extension for 5 seconds, then slowly lower. You will go home with crutches and a knee brace locked in full extension (straight). Team Physician USC Athletics and LA Kings . Try to avoid limping and walk slowly but normally.
Please note that excessive long duration cardiovascular exercise can retard or delay muscular strength development when strength improvement and gains in muscle size are the programs primary goal. WebThe following is a protocol for postoperative patients following ACL reconstruction and meniscus repair (medial or lateral).
0000034518 00000 n 0000058205 00000 n The motion has been shown to help. So, if immobilized in extension, Be careful to be sure that you warm-up well and stretch lightly before workouts, and stretch well again after workouts. 0000056741 00000 n 0000056408 00000 n
You should then ride the bicycle with your forefoot resting on the pedal. T/F An athlete who has had a meniscus repair is weight bearing immediately after surgery. 0000052702 00000 n
For those interested in learning more about how Lenny and I evaluate and treat the knee, we have an amazingly comprehensive course that covers everything you need to know to master the knee. -, Becker R, Brettschneider O, Grobel KH, von Verson R, Starke C. Distraction forces on repaired bucket-handle lesions in the medial meniscus. 0000039698 00000 n startxref Arthroscopic meniscus repair is an outpatient procedure. 0 At all times, be cautious of pain or crunching at the kneecap or patellar tendon while exercising. If you are able to bear full weight without pain, you can taper to one crutch, held on the opposite side of your affected knee. 8600 Rockville Pike Anterior Cruciate Ligament injuries: Stories, Tips, and Advice for recovery, Press J to jump to the feed. The quality of the muscle contraction in this exercise is what counts the most, not just the ability to lift the leg!
0000043210 00000 n WebFull weight bearing is gradually increased as tolerated by the patient.
They were all non-weight-bearing for the first two weeks. 0000051479 00000 n
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