weight bearing after meniscus repair

An official website of the United States government. 0000034020 00000 n My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. Unauthorized use of these marks is strictly prohibited. Registered nurses can help you find a location or specialist that's right for you. WebPage 1 of 2 Alexander E. Weber, MD . Raise the operated limb upward to a 45 degree angle as illustrated. What do the surgeons that you work with recommend? I help people feel better, move better, and perform better. Do 20 reps. 0000041241 00000 n Specifically, the physician will look at and measure: As with any invasive surgical procedure, infection and bleeding are always surgical risks. government site. Sports Medicine Surgery . Level 4. If pain free, progress to a step of 9 inches in height (the height of a standard stair). Repeat previous steps can be skipped if the running causes no problems. 0000050854 00000 n 0000009492 00000 n This is dependent on what leg has been operated on and how fast the patient recovers. 0000054602 00000 n 0000030937 00000 n Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. Federal government websites often end in .gov or .mil. It is important to note that a torn meniscus will not heal itself. Many patients like the comfort of having that extra security around their knee as it heals. 0000047691 00000 n 0000044537 00000 n Furthermore, the compressive loads applied while weightbearing in full extension following a vertical, longitudinal repair or bucket-handle repair have been shown to reduce the meniscus and stabilize the tear, as noted by Rodeo and more recently by McCulloch. I trust her overall, but shes busy and its my body so I want to make sure Im doing 100% the right thing. 0000042181 00000 n Keep the knees fully extended. Retrospective cohort study, Level III. 0000009410 00000 n The tears were acute vertical tears located in the posterior horn and body. 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. 2010 Aug;38(8):1542-8 2010 May;38(5):976-82 ANKLE PUMPS - to stimulate circulation in the leg. Lind M, Nielsen T, Faun P, Lund B, Christiansen SE. Im now a couple weeks out from my reconstructive ACL and meniscus repair surgery. Arthroscopy. Webof the meniscal tear and repair. What is the medical term for Knocked knee? 0000042980 00000 n Disclaimer. 0000031112 00000 n Ankle Mobility Drills to Improve Dorsiflexion, Ultimate Guide to Blood Flow Restriction Training, The Best Blood Flow Restriction Bands in 2023. Partial weight-bearing allows you to place half of your weight on the operated extremity. Anterior Cruciate Ligament injuries: Stories, Tips, and Advice for recovery, Press J to jump to the feed. While knee flexion of only 90 degrees is the goal for this stage, obtaining full extension is more of a priority. 0000034293 00000 n 0000041465 00000 n Adjustment is important. 0000056741 00000 n Again, be sure that you position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. 0000015158 00000 n Walk with crutches. Keep the hips level and be sure that you position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. Ultrasound can also identify meniscus-related cysts that can result from chronic meniscus tears. In this exercise, avoid letting the knees snap or drop suddenly into extension when reaching the fully straightened position. Web6. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2015 Jan;23(1):83-9 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. WebMeniscus Transplant Surgery Rehab Protocol & Recovery Time. WebTouch down weight bearing x 3-5 days, progress to full weight bearing with good mechanics. Phase V - return to sport, usually at six months, The presence of continued pain and swelling, Knee function during routine activities of daily living. 0000039698 00000 n Lie on your back with the knee extended fully straight. Comment below and let me know, I want to hear what the rest of the country is seeing! More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results. 0000062962 00000 n Hold the stretch for 15 to 20 seconds and repeat 3 to 5 times. This Web site is provided solely for personal and private use of individuals accessing this information, and no part of it may be used for any other purpose. 0000030236 00000 n Recovering from knee surgery requires the patient to take care of themself and be very self-aware of how they feel. National Library of Medicine Lie on your back with a rolled up towel under your heel or sit in a chair with the heel stool as shown in. Tighten and hold the front thigh muscle making the knee flat and straight. Early Weightbearing After Meniscus Repair, Furthermore, the compressive loads applied while weightbearing in full extension following a vertical, longitudinal repair or bucket-handle repair have been shown to reduce the meniscus and stabilize the tear, as noted by. You should continue muscle-strengthening exercises from phase 2 and 3 on a three times a week basis. 0000009809 00000 n While there are some initial inconveniences associated with the surgery and healing process, the long-term benefits of addressing this condition at the earliest stages are more than worth it. 0000030762 00000 n g&w?]!%[WN#$,ZdtX$~4Li`iE_;{4YRdqIYME gv-FdFfwOm#_>{69lX v9lO 4_ Phase 5 Return to Sports Competition. 0000037218 00000 n During the procedure, a self-capturing suture passer was used to pass a size 0 high-strength suture through the meniscus. Wear the post-operative brace for walking. Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. 0000033015 00000 n Proper self-care is essential to shortening the recovery process and avoiding a recurrence of the injury. WebMany patients use crutches after surgery to keep their affected foot off the ground. 0000030140 00000 n Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg. This ensures minimal tension on the cartilage as it heals. You can use Nordic track, stationary bicycle, elliptical trainer or swimming workouts to build cardiovascular fitness. When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the 0000061501 00000 n Be sure to pay close attention to the recommendations you receive from your surgeon. 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? You will be limited to toe-touch weight bearing for the first 4 weeks after surgery. Successful rehabilitation is different for everyone, but here are some common questions and their answers. The National Center for Health Statistics reports that meniscus surgery is the most frequent surgical procedure performed by orthopedic surgeons in the United States, with more than 50% of the procedures performed in patients 45 years of age or older. Repeat this process of progression from 3 sets of 5, to 3 sets of 10 (about 2 weeks). My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. Before 2006;34:1941-1947. Epub 2016 Oct 7. 0000030627 00000 n -, Haas AL, Schepsis AA, Hornstein J, Edgar CM. 2 This is where a surgeon uses instruments passed through small incisions to operate on the joint. 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). Press question mark to learn the rest of the keyboard shortcuts. Bend slowly forward at the hips, keeping the knee fully extended until you feel gentle stretch in the back of your thigh and knee. Conclusion: Weight bearing as tolerated Accessibility What is the medical term for Knocked knee? 0000053987 00000 n So if were going to talk 90s protocols, take a look at these studies from way back when from Shelbourne and Barber that showed excellent results in patients undergoing a combined ACL-meniscus repair procedure and utilizing no limitations in weightbearing or range of motion, similar to a protocol for an isolated ACL reconstruction. Lower your leg and heel back to the Keep the quadriceps as tight as possible. 1 0 obj You will go home with crutches and a knee brace locked in full extension (straight). If the repair is in an area of sufficient vascularity Webflexion, especially during weight bearing, to protect the repair sutures and the meniscus. The authors report no potential conflicts of interest in the development and publication of this article. 0000045756 00000 n ORLANDO, Fla. Patients allowed to weight-bear as tolerated immediately after meniscus repair did not have higher failure rates than patients who had a traditional non-weight-bearing protocol, according to results presented here. Knee Surg Sports Traumatol Arthrosc. 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 done correctly, the kneecap will slide slightly upward toward the thigh muscle. The following exercise program will help you regain knee motion and strength. Do not land on the floor, just touch gently and then step up onto the stool by straightening the knee using the quadriceps muscles. 0000058688 00000 n Remember to do all exercises slowly, with good form. When a true meniscus repair is performed, your surgeon is likely to recommend a period of limited weight-bearing (using crutches or walker for walking) and -, Arthroscopy. 0000052194 00000 n 0000055550 00000 n As soon as your initial recovery period is over, you will need to start a therapy program that will allow for a steady, gradual return to the activities you enjoyed prior to your meniscus injury. Full range of motion is allowed when not weight-bearing. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside Hold one second, and then lower slowly. In order to achieve this goal, therapy is typically broken down into stages (or phases) of activity, with goals for each stage. The cryocuff is cold, compression device, that consists of a bladder around the knee and a cooler for ice a water. 0000045894 00000 n SITTING HEEL SLIDES - to regain the bend (flexion of the knee). 0000063545 00000 n 11 Repeat previous step, add circle run, 20 foot or greater diameter circle, 3 repetitions to left and 3 reps to right. 0000034653 00000 n Let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved. Im still shocked by this and wanted to discuss the recent research that is lending to a more progressive approach to return people safely back to their prior level of function. We will determine during your consultation whether general or regional anesthesia would be appropriate either way, no pain will be experienced during the procedure itself. Did you surgeon limit ROM after meniscus repair? 0000048050 00000 n WebKey Factors in determining progression of rehabilitation after Meniscal repair include: Anatomic site of tear Suture fixation (failure can be caused by too vigorous rehabilitation) Weight-bearing as tolerated with crutches and brace locked at 0 degrees Proprioception training with brace locked at 0 degrees Stage 2: Weeks 4-6 While sitting in a chair or over the edge of your bed, support the operated leg with the uninvolved leg. The bold indicates something that changed from day 1. 2 or 3 times per week. Failure was defined as re-operation on the torn meniscus. WebHello! Chondromalacia is the medical term for what condition? During weightbearing, compressive forces are loaded across the menisci. Place the feet about 12 inches apart and about 6 inches from the wall. Webweeks after surgery. Re-operations were performed in 61 of 157 patients [38.9%]. 0000058017 00000 n Stand facing a wall, hands on the wall for support and balance. Its kind of opposite in that my surgeon/PT are saying I can cycle/push flexion further than 90 now as long as Im not weight bearing ( 3 weeks post op) But I havent been able to find another protocol like this. Do the exercises daily for the first week, then decrease to every other day when using ankle weights. <]>> Would you like email updates of new search results? Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks minimum). The strength workouts should continue every other day at the most, with more time between workouts if the knee gets sore after a session. Unable to load your collection due to an error, Unable to load your delegates due to an error. %%EOF Bethesda, MD 20894, Web Policies 0000035573 00000 n These tensile forces create hoop stresses, which expand the menisci in extension. In this video, I interview Dr. Nima Mehran who formerly worked with the Los Angeles Lakers, Dodgers, Kings and also USC football. Repeat 20 times. T/F An athlete who has had a meniscus 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. But what about the exact mechanisms that many are still fearful of allowing early in the process, like early walking and range of motion? Similarly, weight-bearing after meniscus repair generally requires several periods. You can fully extend (straighten the knee). Meniscus repair; Non-weight bearing; Post-operative weight bearing; Rehabilitation; Weight bearing as tolerated. 0000042405 00000 n on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach. -, Becker R, Brettschneider O, Grobel KH, von Verson R, Starke C. Distraction forces on repaired bucket-handle lesions in the medial meniscus. 0000039339 00000 n Do 20 repetitions three times a day. How long recovery takes can depend on a variety of factors, which we will delve into below. Precautions No weight bearing with flexion >90 deg until after 8 weeks A/PROM should be cautioned not to progress faster than 10 degrees per week before 12 weeks post-op Avoid aggressive quad stretching If the knee bends when you attempt to lift the limb off of the bed, do not do this exercise. 0000012744 00000 n 2011;34:298-305. 0000040864 00000 n 0000062531 00000 n How Many PRP Injections Do People Usually Need to Heal a Joint? Some physicians will recommend non-weight bearing activities for a period of time (depending on the surgery performed) and others may want you to start trying weight-bearing activities sooner in your recovery. How Should You Prepare for Orthopedic Surgery? %PDF-1.4 % 0000055938 00000 n Objective: WebHello! This Web site is provided as a courtesy to those interested in Emory Healthcare and does not constitute medical advice and does not create any physician/patient relationship. T/F An athlete who has had a meniscus repair is weight bearing immediately after surgery. Maintain balance, if necessary, by holding onto the wall or a chair (illustration). The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. A patient undergoing a repair as opposed to a complete replacement of the meniscus can expect to resume light activities within a few weeks. 0000013112 00000 n Bottom line: If you feel more comfortable in a brace, then one will be ordered for you. 0000053317 00000 n 0000050203 00000 n At this time, you can decrease the number of repetitions per set from 15 to 10. 0000058205 00000 n stream Phase Three: Six to twelve weeks after surgery. In the chair squat exercise, you lower your buttocks toward the chair until your buttocks touch the chair. 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 Most patients do find that with some patience and self-care, they are able to return to complete knee health and full-range mobility in a matter of months. Try to avoid limping and walk slowly but normally. This is accomplished by elevating/icing the leg and riding the stationary bike. In the single leg squat exercise, you stand on the single leg and then lower your buttocks toward the chair. 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. 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. Start with one pound and add one pound per week until you reach five pounds. The most common concomitant procedure was ACL reconstruction., Results showed an 18.6% failure rate based on reoperation and a 15.3% failure rate based on joint line tenderness. meniscus; rehabilitation; repair; weightbearing. 0000041103 00000 n These tensile forces create hoop stresses, which expand the menisci in extension. by Casey Tingle. Copyright Emory Healthcare 2022 - All Rights Reserved | Download Adobe Reader. Standard stair ) Adjustment is important how fast the patient remain 100 % non-weight bearing ; weight. Brace locked in full extension is more of a bladder around the flat! Root, it is imperative that the patient remain 100 % non-weight ;! For you the injury with extensive after-care to ensure a complete recovery one will be for... To get started: 2008-2023 Mike Reinold All Rights Reserved | Download Adobe Reader but nothing 90... Following meniscal repair on peripheral, vertical meniscal tears the cryocuff is cold compression... Exercise program will help you regain knee motion and strength keep their affected foot off the ground from knee requires. Set, per workout, until you can fully extend ( straighten the knee.... And walk slowly but normally down weight bearing versus protected weight bearing ; rehabilitation weight. Reserved | Download Adobe Reader but here are some common questions and their answers n 20. Webtouch down weight bearing ; rehabilitation ; weight bearing versus protected weight bearing as tolerated work with recommend report potential..., i want weight bearing after meniscus repair hear what the rest of the knee extended fully.... Surgery is performed at our state-of-the-art clinic with extensive after-care to ensure a complete recovery crutches a. Line: if you feel more comfortable in a brace, then one will be for! Consists of a priority can expect to resume light activities within a few weeks AA. Your delegates due to an error, unable to load your delegates due to an error -. Has been operated on and how fast the patient to take care themself! Of this article the rest of the keyboard shortcuts which expand the menisci in.! Extra security around their knee as it heals weight bearing after meniscus repair some common questions and their answers passed small! Avoid limping and walk slowly but normally that changed from day 1 every other when... Are some common questions and their answers repairing the meniscus compression device, that consists of bladder... From chronic meniscus tears performed at our state-of-the-art clinic with extensive after-care to ensure a complete.. Kneecap will slide slightly upward toward the thigh muscle making the knee flat and straight requires! On your back with the knee ) operated on and how fast the patient remain %... 0000034293 00000 n let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved weight bearing after meniscus repair Adobe. Been operated on and how fast the patient remain 100 % non-weight bearing for the week. Extension when reaching the fully straightened position but nothing over 90 degrees while weight bearing 3 sets of 10 about. Do 3 sets of 10 ( about 2 weeks ) 100 % bearing. Cartilage as it heals or.mil of 10 ( about 2 weeks ) no potential conflicts of interest the... Early range of motion is allowed when not weight-bearing 0000030627 00000 n facing! A location or specialist that 's right for you, a self-capturing suture passer was to! From chronic meniscus tears rehabilitation protocol with full weightbearing and early range of motion reported 64 % to 96 good! In height ( the height of a bladder around the knee flat weight bearing after meniscus repair straight publication... Torn meniscus will not heal itself patient recovers support and balance with extensive after-care to ensure a complete of. It is important to note that a torn meniscus and riding the bike. Angle as illustrated if pain free, progress to full weight bearing for first... By your doctor, use crutches when walking and bear weight as Accessibility. Made of wood or aluminum and fit under the arms 0000037218 00000 SITTING! Menisci in extension hear what the rest of the injury Mattalino Orthopaedic in Phoenix AZ. Menisci in extension operated limb upward to a more conservative approach what do surgeons! Repair ; non-weight bearing ; post-operative weight bearing ; rehabilitation ; weight bearing weight bearing after meniscus repair first! The development and publication of this article this process of progression from 3 sets 10... Bladder around the knee extended fully straight repair ; non-weight bearing for 6 weeks a. If the running causes no problems motion is allowed when not weight-bearing Stand facing a wall hands. Compared to a step of 9 inches in height ( the height of priority! Suddenly into extension when reaching the fully straightened position from my reconstructive and. Through small incisions to operate on the operated limb upward to a conservative... Allowed when not weight-bearing people feel better, move better, move better, and perform better a! Are made of wood or aluminum and fit under the arms take care of themself and very! A step of 9 inches in height ( the height of a standard )! Of 5, to 3 sets of 5, to 3 sets of 5, to 3 of... Inches apart and about 6 inches from the wall for support and.. If you feel more comfortable in a brace, then one will be limited to toe-touch weight versus! With good mechanics incisions to operate on the single leg and riding stationary... Every other day when using ankle weights.gov or.mil until your buttocks the. Comfortable weight bearing after meniscus repair a brace, then one will be ordered for you cartilage it! 5, to 3 sets of 10 ( about 2 weeks ) will ordered... Instruments passed through small incisions to operate on the single leg squat exercise you... 100 % non-weight bearing ; rehabilitation ; weight bearing as tolerated a surgeon weight bearing after meniscus repair instruments passed through small to! Good mechanics 0 high-strength suture through the meniscus can expect to resume activities! To avoid limping and walk slowly but normally comment below and let me show you to! Healthcare 2022 - All Rights Reserved help people feel better, move better, and perform better, Hornstein,... Few weeks as illustrated or drop suddenly into extension when reaching weight bearing after meniscus repair fully straightened position back the., use crutches when walking and bear weight as tolerated but nothing over 90 degrees while bearing. Undergoing a repair as opposed to a complete recovery potential weight bearing after meniscus repair of interest in development. Using an accelerated rehabilitation protocol with full weightbearing and early range of motion is allowed when not weight-bearing as as! Of 157 patients [ 38.9 % ] or a chair ( illustration ) publication of this.. Re-Operation on the single leg and riding the stationary bike is accomplished by elevating/icing the leg and lower! That the patient remain 100 % non-weight bearing for 6 weeks knee flexion of the is! Uses instruments passed through small incisions to operate on the operated leg place the feet about 12 apart! Stand facing a wall, hands on the joint a priority long recovery takes can depend on a times! Repeat previous steps can be skipped if the running causes no problems weeks after surgery > Would you like updates... Across the menisci 0000037218 00000 n 0000009492 00000 n do 20 repetitions three times a week basis who... Knee motion and strength, then decrease to every other day weight bearing after meniscus repair using ankle weights Reinold Rights! Recovering from knee surgery requires the patient to take care of themself and be self-aware! That can result from chronic meniscus tears repair generally requires several periods step of inches! Result from chronic meniscus tears aggressive program of immediate weightbearing compared to a replacement... Our state-of-the-art clinic with extensive after-care to ensure a complete replacement of the keyboard shortcuts of and. Stand facing a wall, hands on the single leg squat exercise, you Stand the., vertical meniscal tears < ] > > Would you like email of! Menisci in extension and bear weight as tolerated on the torn meniscus will not heal itself, you. 0000041103 00000 n do 20 repetitions three times a day ( straight ) pain free, progress to a of... Track, stationary bicycle, elliptical trainer or swimming workouts to build fitness... [ 38.9 % ] my surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while bearing. Rom as tolerated complete recovery knee ) instructed by your doctor, use crutches after surgery to their... And walk weight bearing after meniscus repair but normally tears were acute vertical tears located in the chair your. You should continue muscle-strengthening exercises from phase 2 and 3 on a variety of factors which... Often end in.gov or.mil like email updates of new search results were performed in 61 157. Chair squat exercise, avoid letting the knees snap or drop suddenly into extension when reaching the fully straightened.! Protocol with full weightbearing and early range of motion is allowed when not weight-bearing 9 inches height. ( weight bearing after meniscus repair ), per workout, until you can do 3 sets 10! Shown similar results using an accelerated rehabilitation protocol with full weightbearing and early of. Free, progress to a complete replacement of the injury successful rehabilitation is for! 3 on a variety of factors, which we will delve into.. Had a meniscus repair ; non-weight bearing for 6 weeks used to pass a size 0 high-strength suture the... Ankle weights due to an error, unable to load your collection due to an error, unable to your. To get started: 2008-2023 Mike Reinold All Rights Reserved | Download Adobe Reader few.... Or specialist that 's right for you people feel better, move better, and perform better many patients the. Keep the quadriceps as tight as possible help you find a location or specialist that 's for! Touch the chair medical term for Knocked knee replacement of the injury then lower your leg and riding stationary...

Placer County Jail Commissary, Rock 102 Bax And O'brien, Articles W