Rehabilitation Programmes Following Arthroscopic Meniscectomy in Athletes

Wheatley, William B.; Krome, Jonathan; Martín, David

doi:10.2165/00007256-199621060-00006

Cited by 21 publications

(24 citation statements)

References 20 publications

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“…The goals of postoperative rehabilitation following arthroscopic meniscal surgery are to resolve symptoms, restore function and prevent further injury [16]. Postoperative rehabilitation generally follows a progressive phasic approach although there does not appear to be a standard protocol.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation after arthroscopic meniscectomy: a critical review of the clinical trials

Goodyear‐Smith

Arroll

2001

International Orthopaedics

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We reviewed the literature on patient management following arthroscopic meniscal surgery. A critical appraisal of the literature produced 8 randomized controlled trials evaluating the use of non-steroidal antiinflammatory drugs or various forms of physiotherapy and pain control. Different treatments and outcome measures precluded meta-analysis. The limited evidence suggests that this is a relatively pain-free procedure with rapid recovery, and that in most cases simple analgesia in the first 1-2 days following surgery and a well-planned home-based exercise program should be sufficient. It is possible that routine daily non-steroidal anti-inflammatory drugs post-operatively for 3-6 weeks may enhance recovery rates. One study found that physiotherapy was beneficial for regaining muscle strength and on pain assessment but this did not translate into functional improvement. Descriptive studies are required to ascertain the types and duration of treatments being offered to patients after arthroscopic meniscectomy. Further research is needed to perform well-designed studies of current treatments that take into account predisposing factors and their impact on outcome, including use of prerandomization and real-life functional outcome measures.Résumé Nous avons revu la littérature concernant les traitements après une chirurgie méniscale arthroscopique. Une évaluation critique de la littérature a produit 8 essais contrôlés de patients randomisés, qui évaluaient l'usage post-opératoire de médicaments anti-inflammatoires non stéro, les différentes formes de kinésithérapie et le contrôle de la douleur. Les différents traitements et moyens de mesurer les résultats ont exclu la meta-analyse. Les différentes études suggèrent qu'il s'agit d'un procédé relativement sans douleur à récupération rapide et que, dans la plupart des cas, une analgésie simple les 2 premiers jours, accompagnée d'un programme d'exercices choisis à bon escient à domicile devrait suffire. Il est possible que l'administration post-opératoire routinière et quotidienne de médicaments anti-inflammatoires dé-pourvus de stéro, pris pendant 3 à 6 semaines, puisse améliorer la récupération. Une des études démontre le bénéfice de la kinésithérapie sur la puissance musculaire et l'évaluation de la douleur, mais sans amélioration fonctionnelle. Des études descriptives sont requises pour établir les types et durées de traitements offerts après une meniscectomie arthroscopique. Les futurs travaux de recherche sur les traitements actuels devront être dessinés de façon telle qu'ils tiennent compte des facteurs prédis-posants et de leur cause et effet sur les résultats, utilisant la méthode de pré-randomisation et mesurant les résul-tats selon la fonction réelle.

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Section: Introductionmentioning

confidence: 99%

Rehabilitation after arthroscopic meniscectomy: a critical review of the clinical trials

Goodyear‐Smith

Arroll

2001

International Orthopaedics

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“…The goals of postoperative rehabilitation are improvement of symptoms, functional recovery, and prevention of additional damage. Functional recovery refers to maintenance or recovery of range of motion (ROM), general condition, muscle function, and lower extremity neuromuscular coordination47). There are no standard protocols for postoperative rehabilitation.…”

Section: Rehabilitationmentioning

confidence: 99%

Meniscectomy

Jeong

Lee

2012

Knee Surg Relat Res

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To review the meniscus from a historical perspective especially on surgical management and general guidelines for arthroscopic meniscectomy procedures for various types of meniscal tears. We searched MEDLINE and PubMed for the years of 1980-2010 using the terms meniscus, meniscal repair, menisectomy, and arthroscopy. Orthopedic surgeons frequently encounter patients with pain or functional impairment of the knee joint and repair or resection of the injured meniscus is one of the most common orthopedic operative procedures. The object of meniscal surgery is to reduce pain, restore functional meniscus and prevent the development of degenerative osteoarthritis in the involved knee. Historically, total meniscectomy was a common procedure performed for meniscus tear symptoms. However, it has been reported that total meniscectomy has deleterious effects on the knee. In the past, the menisci were thought as a functionless remnant tissue. Currently, it is known that the meniscus is an important structure for knee joint function. Menisci provide several vital functions including mechanical support, localized pressure distribution, and lubrication to the knee joint. It is widely accepted that the function of the meniscus can be preserved through minimal excision. An arthroscopic partial meniscectomy preserving more of the meniscus is preferred over total meniscectomy. In recent decades, this shift toward arthroscopic partial meniscectomy has led to the development of new surgical techniques.

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“…6 Evidences show that in-home therapeutic exercises without professional supervision related to patients submitted to different knee surgeries present positive clinical results and can provide cost reduction. 7 But the majority of patients with TKA are elderly people and need physiotherapy support during the rehabilitation process. 8 A systematic review evaluated the efficiency of physiotherapy exercises after TKA.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Supervised and Unsupervised Models of Physical Therapy in Total Knee Arthroplasty: Systematic Review

Pesavento¹

2017

IPMRJ

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Rehabilitation Programmes Following Arthroscopic Meniscectomy in Athletes

Cited by 21 publications

References 20 publications

Rehabilitation after arthroscopic meniscectomy: a critical review of the clinical trials

Rehabilitation after arthroscopic meniscectomy: a critical review of the clinical trials

Meniscectomy

Comparison of Supervised and Unsupervised Models of Physical Therapy in Total Knee Arthroplasty: Systematic Review

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