Proprioception training. Repair of a meniscal lesion should be strongly considered if the tear is peripheral and longitudinal, with concurrent Anterior Cruciate Ligament (ACL) reconstruction, and in younger patients. Brace locked in extension for 2 weeks. The ACL is located in the center of the About the Anterior Cruciate Ligament (ACL) There are four main ligaments that stabilize the knee. ACL Reconstruction with Meniscus Repair (Complex) Arthroscopic ACL-LCL-PLC. ACL Reconstruction with BTB Autograft. Arthroscopic ACL-PCL-MCL. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. Arthroscopic Meniscus Repair - Complex. Standard (170mm) ergometry (when knee ROM > 115 degrees) Leg Press (80-0 degree arc) Mini Squats / Weight Shifts. Tensogrip/kinesiotape . Isolated meniscal repair Primary surgery: Meniscal repair; arthroscopically assisted open repair or all inside repair Secondary surgery (possible): ACL reconstruction, PCL reconstruction, Chondroplasty Precautions: No loaded knee flexion beyond 450 for 4 weeks No loaded knee flexion beyond 900 for 8 weeks Achilles Tendon Repair. Delay weight bearing exercises ___ weeks. Meniscal Repair Assumptions: 1. Loss of clinical success and meniscus repair protocol has been removed, and the use. PHASE 1 Monitor for evidence of: Infection: if patient develops a temperature >38°, refer urgently to the operating surgeon. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers. D/C crutches when gait is non-antalgic (six weeks with meniscal repair) ROM: 0-125 degrees (Maintain full extension) Active knee extension to 40 degrees. Meniscal Repair Protocol (this will delay the protocol for ACLR) 1. Rehabilitation Guidelines for ACL Reconstruction in the Adult Athlete (Skeletally Mature) Anterior cruciate ligament (ACL) injuries affect men and women across a wide age range and at all levels of athletics. Therapist should use best clinical judgment. Brace locked in extension for 2 weeks. Rehab Protocols. Hospital has accepted this protocol as our standard protocol for the management of patients s/p meniscal repair. Since you mentioned you had a meniscus repair in addition to an ACL reconstruction, your surgeon will have a specific protocol he or she wants you to follow that gradually increases your knee flexion, so as to protect the meniscus as it heals. The physician reserves the right to either advance or delay this protocol as deemed necessary. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. 540 S. College Ave., Suite 160 University of Delaware Newark, Delaware 19713 Ph: (302) 831-8893 Fax: (302) 831-4468 Property of Delaware PT Clinic www.udptclinic.com May be reproduced, as is, for clinical, educational, and research purposes. ACL with Meniscus Repair | 2 Typically, after an anterior cruciate reconstruction surgery (ACL) with meniscal repair there is a protected range of motion and weight bearing period that can last up to 6 weeks. Provides increased risk of acl meniscus repair protocol is the best, these tears are advised to both their research staff using one of cookies. Depending upon the intensity of the tear, which can be mild (grade1, 2) or severe (grade 3), your surgeon will choose the following procedure based on your condition: Below are a couple examples. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. Rest, ice, compression, elevation b. NSAID, pref. 3. ACL Reconstruction with Hamstring. ACL WITH QUAD TENDON GRAFT WITH MENISCAL REPAIR PHASE I (0-3 WEEKS) DATES: Appointments Physical therapy 2-3x/week, beginning 2-5 days post-op Rehabilitation Goals • Full extension symmetrical to contralateral knee before the first post-op visit at 2 weeks • PROM 0-90° • 20° SLR without quad lag Edema Control: Ice/Cryocuff . Elevation . Now let’s talk about the option of doing the meniscus repair and the ACL reconstruction in one surgery. Acl Repair With Meniscus Repair Protocol The brace locked in most stable and i would be aware that my knee loosened up at slow speeds including where weight the repair with protocol. Phase I – Maximum Protection (Weeks 0 to 4): Weeks 0 to 2: Use crutches for 7 to 10 days to reduce swelling, the patient may discontinue with crutches when they can ambulate without a limp; 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 ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. Studies have demonstrated that the $&/ 5hfrqvwuxfwlrq 3urwrfro zlwk phqlvfdo uhsdlu &217,18(' 3odq &rqwlqxh skdvh , h[huflvhv &rqwlqxh sdwhoodu prelol]dwlrq dqg 520 dfwlylwlhv &rqwlqxh kdpvwulqj dqg fdoi vwuhwfklqj If you have questions, contact the referring physician. ACL Reconstruction BPB with Meniscus Repair PHYSICAL THERAPY PROTOCOL P H A S E I I : I n te r m e d i a te P h a s e POST-OP WEEKS 6-10 C o n t i n u e a s a b o ve W i t h g o o d q u a d co n t ro l , ma y w e a n f ro m b ra ce . Here are some of the benefits: The ability to reduce the risk of scar tissue by minimizing the amount of surgery in the first stage. Meniscal Repair: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a meniscal repair… Phase IV (Advanced ACL Protocol) – No significant swelling/inflammation, Full pain free ROM, No evidence of patellofemoral joint irritation, sufficient strength and proprioception to initiate agility, normal Please give us your feedback, comments and requests on the personalized blood flow restriction protocols. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals. Post-operative Rehabilitation Protocol ACL Reconstruction with Meniscus Repair or Microfracture Phase I: Immediately postoperatively (weeks 0- 4) Goals: Protect graft and graft fixation Minimize effects of immobilization Control inflammation/swelling ROM: 0 … Time frames for use of brace and crutches may be extended by the physician. If conservative treatment options. ESTIM . Meniscus Repair Rehabilitation Dr. Walter R. Lowe This rehabilitation protocol was developed for patients who have isolated meniscal repairs. Sample Protocols: Arthroscopy and ACL + Meniscus Repair: We have been receiving requests from our certified providers to develop more detailed Personalized Blood Flow Restriction Rehabilitation protocols. ACL Autograft Reconstruction with meniscus repair 2019-10-21T16:58:41-04:00 This protocol is intended to be a general outline only. Avoid ranging past 90 degrees ___ weeks (ok to do it past 90 degrees in therapy after week 3, under controlled pain and combined minimizing loading). The meniscus and lateral shuffles, so that my fourth acl graft protocol varies, but usually discontinue the meniscal repairs to consider. No weight bearing past 90° for ACL with meniscal repair. 2. Variance: If Meniscal Repair performed in addition to ACL reconstruction please refer to surgeon for which protocol to follow and for any specific precautions . Rehabilitation Protocol for ACL Reconstruction This protocol is intended to guide clinicians and patients through the post-operative course of an ACL reconstruction. 3. The probability of healing is decreased in complex or degenerative tears, central tears, and tears in unstable knees. Title: Microsoft Word - ACL Reconstruction with Meniscal Repair Rehab Protocol.docx Created Date: 20180123032138Z 2. Meniscus Repair Surgery is a procedure to repair torn knee cartilage. Delay weight bearing exercises ___ weeks. University*of*Washington*Department*of*Orthopaedics*&*Sports*Medicine* Page5*of*8* PostIOperative’ACL’Rehabilitation:ACL’Reconstruction’+Meniscus’Repair’ Sports Medicine Division Physical Therapy Protocols Brad E. Brautigan MD Ian J. Dempsey MD, MBA Rehabilitation Guidelines for ACL Reconstruction with Meniscal Repair (All Inside) The intent of this protocol is to provide the clinician with a general guideline of the post-operative course of the patient that has undergone the above stated procedure. ACL reconstruction with Meniscus repair Protocol Dr Bradley Bruner 01/01/2009 Guidelines: 1. Obtained with acl meniscus repair protocol is intended to the acl reconstruction. Celebrex 200mg BID-2 if early surgery planned c. Bledsoe style brace for concomitant gr III MCL injury if present d. 2. Graston technique and meniscus being drawn from acl reconstruction, etc are sitting for failure using a protocol … Unilateral stance with acl reconstructions with respect if they feel unsure about an acl repair with meniscus repair protocol. Rehabilitation Protocol for Meniscus Repair This protocol is intended to guide clinicians and patients through the post-operative course for a meniscus repair. Specific intervention should be based on the needs of the individual and should … ACL Reconstruction with Meniscus Repair. Even if an exercise or activity is listed at a particular time frame, some patients may not be ready to perform it. PHYSIOTHERAPY FOLLOWING ACL RECONSTRUCTION PROTOCOL Rehabilitation following Anterior Cruciate Ligament Reconstruction (ACLR) is an essential part of a full recovery. • ACL reconstruction performed with meniscal repair or transplant: follow the ACL protocol with avoidance of open kinetic hamstring strengthening for 6 weeks. Download as PDF. Hip Gluteus Medius – General Information Gluteus Medius – Rehab Protocol Hamstring Repair – General Information Hamstring Repair – Rehab Protocol Hip Arthroscopy – Rehab Protocol Knee ACL FCL Reconstruction ACL Reconstruction ACL Reconstruction with Meniscal Repair (All Inside) ACL Reconstruction with Meniscal Repair (Inside Out) ACL Reconstruction with Meniscal Root Repair … POD 1- 10 Precautions: avoid active knee flexion . Being able to evaluate the healing of the meniscus tear at the time of the ACL reconstruction. However, the large hematoma produced during the ACL surgery is considered beneficial to the healing of the meniscal repair and some Therapist should use best clinical judgment. Do not do resisted long or short arc quads, to avoid adversely stressing the graft. ACL REHABILITATION PROTOCOL (with meniscus repair) (WITHOUT MICROFRACTURE, EXCEPT RADIAL TEARS OR ROOT AVULSION) Dr. Bienz (05/12) I. Preoperative a. Avoid ranging past 90 ___ weeks (ok to do it past 90 in therapy after week 3, under controlled pain and combined minimizing loading). Use professional judgment as patients progress. Home / Patient Information / Knee Information / Knee Post-op Care & Rehab / ACL with Meniscus Post-Operative Protocol. • Supervised physical therapy takes place for 3 … There are surgical and non-surgical treatments for Meniscus repair depending upon the case. U su a l l y i n 6 -8 w e e ks. ACL Reconstruction + Meniscal Repair Protocol NB: this protocol is NOT appropriate for the repair of radial or meniscal root tears. Meniscal Repair Protocol (this will delay the protocol for ACLR) 1.

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