Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date?

Koch, Matthias; Memmel, Clemens; Zeman, Florian; Pfeifer, Christian; Zellner, Johannes; Angele, Peter; Weber-Spickschen, Sanjay; Alt, Volker; Krutsch, Werner

doi:10.1155/2020/3989535

Cited by 17 publications

(17 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early functional rehabilitation and a nearly unrestricted start of weight-bearing and full range of motion are the current trends of rehabilitation after partial meniscectomy [20,21]. After partial meniscectomy, pain is a major limiting factor for patients before returning to full activity [14,22].…”

Section: Discussionmentioning

confidence: 99%

The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial

Yoon

Wan

Kim

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background This study aimed to evaluate the efficacy of viscosupplementation after arthroscopic partial meniscectomy. Method A randomized controlled trial of 47 patients who underwent arthroscopic partial meniscectomy was conducted between March 2020 and March 2021. Patients were randomized into two groups: a viscosupplementation group (n = 23) and a control group (n = 24). A single-dose intraarticular hyaluronic acid injection was used as viscosupplementation. The 100 mm visual analogue scale (VAS) for pain assessment was measured at baseline and at 1 day, 2 weeks, 6 weeks, and 3 months post-surgery. The International Knee Documentation Committee (IKDC), Tegner, Lysholm, and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores and range of motion (ROM) of the knee were measured at baseline, 2 weeks, 6 weeks, and 3 months. Results The 100 mm VAS score for pain was significantly lower in the viscosupplementation group at 2 weeks post-surgery (27.5 mm vs. 40.7 mm, P = 0.047). ROM was significantly greater in the viscosupplementation group than in the control group at 2 weeks (131.5° vs. 121.0°, P = 0.044) post-surgery. No significant differences were observed in the IKDC or in the Tegner, Lysholm, and WOMAC scores between the two groups. Conclusions Viscosupplementation after arthroscopic partial meniscectomy significantly reduced pain at 2 weeks post-surgery and improved ROM of the knee at 2 weeks post-surgery. There might be some benefits in terms of pain and functional recovery of viscosupplementation after arthroscopic surgery. Study design Randomized controlled trial; Level of evidence, 1. Trial registration This randomized controlled trial was registered at cris.nih.go.kr #KCT0004921.

show abstract

Section: Discussionmentioning

confidence: 99%

The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial

Yoon

Wan

Kim

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…After absolute immobilization, it is important to restore the ROM [ 32 ]. In a non-weight-bearing state, passive ROM has limitations in promoting active muscle contraction and mechanoreceptor activation; therefore, it is difficult to restore the functional movement patterns required in sports [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Aquatic Training and Bicycling Training on Leg Function and Range of Motion in Amateur Athletes with Meniscal Allograft Transplantation during Intermediate-Stage Rehabilitation

2022

View full text Add to dashboard Cite

Meniscal allograft transplantation (MAT) is a treatment modality for restoring knee function in patients with irreversible meniscal injury. Strengthening programs to promote functional recovery are treated with caution during the intermediate rehabilitation phase following MAT. This study analyzed the effects of aquatic training (AQT) and bicycling training (BCT) during the intermediate stage of rehabilitation in amateur athletes that underwent MAT. Participants (n = 60) were divided into AQT (n = 30) and BCT (n = 30) groups. Both groups performed training three times per week from 6 to 24 weeks following surgery. International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC) score, knee joint range of motion (ROM), isokinetic knee strength, and Y-balance test (YBT) performance were evaluated. All measured variables for the AQT and BCT groups improved significantly after training compared with pre-training values. The IKDC score and YBT were significantly higher for AQT than for BCT. The knee flexion ROM and isokinetic muscle strength were significantly improved in the BCT group compared to those in the AQT group. The AQT group exhibited greater improvement in dynamic balance, whereas BCT provided greater improvement in isokinetic muscle strength. AQT and BCT were effective in reducing discomfort and improving knee symptoms and functions during intermediate-stage rehabilitation following MAT in amateur athletes.

show abstract

“…In fact, the rehabilitation is dependent of several factors like the tear type location, type, repair strength and patient profile. An earlier functional rehabilitation without any restrictions can be instituted after a partial meniscectomy 74 . Similarly, small stable LM repairs do not need limitations of weight bearing or ROM and they can rehabilitate in a similar manner as for an isolated ACLR.…”

Section: Impact On Lateral Meniscus Surgery On Rehabilitationmentioning

confidence: 99%

Lateral Meniscus Tears in Acl Injured Knee

Tapasvi¹

2021

Hip Knee J.

View full text Add to dashboard Cite

Anterior cruciate ligament (ACL) tears can be associated with injuries to the lateral meniscus (LM) in about 20-30% cases. The lateral meniscus is more mobile than the medial and besides contributing to load transmission, it also stabilizes the knee in pivot-shift testing. The LM tears more often in the acute setting and its incidence does not rise in cases of chronic ACL instability. Lateral meniscus tears can be minor or major depending how severely the knee function gets impaired. Major tears are the complete radial tears, longitudinal bucket handle tears and posterior root tears. Male gender, high body mass index and contact injury mechanism are all risk factors for an LM tear. Anatomic factors which can contribute to LM tears include a high posterior tibial slope, varus malalignment and greater asymmetry between medial and lateral slopes. The lateral meniscus must be saved and repaired whenever possible to prevent residual knee instability and progressive lateral compartment arthritis, which can set in soon after a meniscectomy. The development of techniques and technology have rendered most tears amenable to repair. Longitudinal tears can be repaired by the all-inside or inside-out technique and the needles and devices must be inserted through a high anteromedial or transpatellar portal to prevent injury to the popliteal neurovascular structures. A lateral safety incision must always be used for inside-out repairs. Radial tears can be repaired by two horizontal sutures, a cross stich, a cross-tag or a hash-tag suture configuration. Lateral meniscus posterior root repairs are repaired by transtibial technique, either by drilling an independent anatomic tunnel or the sutures pulled out via the ACL tibial tunnel. The lateral meniscus has high healing rates and repairs yield improvement in functional outcome, beside delaying radiographic arthritis.

show abstract

Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date?

Cited by 17 publications

References 38 publications

The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial

The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial

Effects of Aquatic Training and Bicycling Training on Leg Function and Range of Motion in Amateur Athletes with Meniscal Allograft Transplantation during Intermediate-Stage Rehabilitation

Lateral Meniscus Tears in Acl Injured Knee

Contact Info

Product

Resources

About