How Long Non Weight Bearing After Meniscus Repair

Partial weightbearing condition (<l%), unless otherwise ordered past Dr.. Walk with crutches. Heel elevator in opposite shoe to normalize gait.
Surgical knee volition be in a hinged rehab brace locked in Total EXTENSION for iv weeks postop.
Regular cess of gait to avert compensatory patterns.
Regular transmission mobilizations to surgical wounds and associated soft tissue to decrease the incidence of fibrosis.
No straight palpation to surgical portals x 4 weeks. Consider the edge of the bandages every bit the "no touch zone" (approximately two inches in all directions). Meet Wound Care Protocol for full details.
No resisted leg extension machines (isotonic or isokinetic) at any time.
No high impact or cutting / twisting activities for at to the lowest degree 6 months postop.
No resisted lateral movement for 12 weeks.
One thousand.D./nurse followup visits at Day 2, Day 14, i month, 3 months, 6 months, and 1 year postop.
During the first four weeks: TWICE PER DAY: Without brace, allow GRAVITY Merely (passive only) to curve knee back as tolerated BUT NO More than THAN xc DEGREES for a good human knee stretch without increment in pain. Relax knee and stretch for 60 seconds.

Week one:

Nurse visit day 2 postal service-op to change dressing and review dwelling house program.
Water ice and elevation every 2 hours for 15-20 min each session.

Transmission

Soft tissue treatments for edema / pain control and to posterior musculature, ITB, add, quad, calf. No straight palpation of surgical portals x iv weeks.

Exercises

Straight leg raise exercises (lying, seated, and standing), quadriceps/adduction/ gluteal sets, ankle pumps.
Well-leg stationary cycling, upper body ergometer for cardio. Add upper body and core conditioning.
Daily edge of bed dangle for passive articulatio genus flexion (permit knee to hang in pain-free range with calorie-free stretch).

Goals

Decrease pain/edema.
Passive range of movement 0-lxx degrees.
Gait: partial weight bearing (<50%) with brace locked in extension. Crutches used for gait.

Weeks 2 - 4

Nurse visit at twenty-four hours 14 for suture removal and check-up.

Manual

Keep with soft tissue treatment for edema/pain, posterior musculature, iliotibial band, adductor, quadriceps, calf.

Exercises

Keep with previous, manual resisted exercises (i.e. PNF patterns) of the human foot, talocrural joint and hip. Body stabilization program, three limb plank. Single leg remainder and proprioceptive exercises.
Aerobic exercises (i.e. unilateral cycling, upper torso ergometer, Schwinn Air-Dyne with uninvolved leg and arms but, well body bike, single leg row automobile).

Goals

Decrease pain/edema.
Passive range of movement 0-ninety degrees.
Gait: Partial-weight bearing (<l%) with brace locked in extension. Crutches used with gait.

Weeks four - half dozen

One thousand.D. visit at four weeks post-op, will wean off the apply of rehab brace.

Manual

Stretching, exercises and manual treatments to improve range of motion (especially flexion). Initiate surgical portal scar mobilization if portals are completely airtight.

Exercises

Contain functional exercises (i.e. partial squats, calf raises, mini-footstep-ups, proprioception).
Stationary cycle depression cadency, low resistance.
Tedious walking on treadmill for gait training (preferably a low-impact treadmill).

Goals

Gait- unlock brace; wean off caryatid and crutches. Emphasize proper gait mechanics.
Passive range of motility 0-120 degrees.

Weeks 6 - 8

Manual

Proceed every bit needed for ROM, decrease pain, muscle guarding.

Exercises

Increase the intensity of functional exercises (i.e. charily increase depth of closed-concatenation exercises., Shuttle/leg printing). Do not overload airtight or open-chain exercises.

Goals

Gait- no limp nowadays, good mechanics.
Passive range of movement 0-135 degrees.
Tolerate 90/90 squat.

Weeks 8 - 12

Manual

Continue with soft tissue, articulation mobilizations as needed.

Exercises

Add together lateral grooming exercises (side-step ups, lateral stepping).
Introduce more progressive closed chain and agility leg exercises.
Patients should exist pursuing a dwelling programme with accent on sport/action-specific training.
Consider road cycling in saddle.

Goals

Total range of motion.
Initiate lateral preparation with no resistance.

Weeks 12 - 16

Complete three month sports test and initiate return to running program.
Low-bear upon activities until 16 weeks.
Increase the intensity of forcefulness and functional grooming for gradual return to activities.
Initiate resisted lateral training (theraband resisted side-stepping).

Goals

Preparedness for Sports Exam I for s/p three month checkup with Dr. Stone.
Complete and laissez passer Sports Examination 1.

Annotation: All progressions are approximations and should be used equally a guideline simply. Progression volition exist based on individual patient presentation, which is assessed throughout the treatment procedure.

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