Meniscal Tear

Meniscal Tear 2017-07-05T13:58:39+00:00

This protocol is intended to be a general outline only.  The physician reserves the right to either advance or delay this protocol as deemed necessary.

Guidelines for Ambulation / TROM Guidlines

  • Bilateral axillary crutches to be used immediately post-op.
  • Small/Stable Repairs:
    • Maintain NWB with brace locked in extension for 4 weeks
    • WBAT with TROM locked in extension weaning from crutches.
    • Once crutches have been discontinued, advance to locking TROM to removing brace.  Patient must demonstrate excellent quadriceps control.
  • For large/unstable repairs:
    •  maintain NWB with brace locked in extension for 6-8 weeks
    • WBAT with TROM locked in extension , wean from crutches.
    • Once crutches have been discontinued, advance to locking TROM to removing brace.  Patient must demonstrate excellent quadriceps control.
  • TROM brace to be worn and locked in 0o extension with all ADL’s for time as listed above.
  • TROM may be removed for bathing and exercises.
  • TROM brace may be unlocked for slight flexion in sitting for short periods of time and for driving.

Precautions

  • No closed-chain knee flexion for first eight weeks.
  • No resisted hamstring exercises (open or closed chain) for first three weeks.
  • No squats or lunges for 4 months past 45 degrees of flexion.
  • Knee flexion ROM performed in supine or prone to tolerance is OK after restrictions are removed.
    • Knee Flexion only to 90 degrees for the first 4-8 weeks pending size of repair.  To be indicated on PT RX.
  • No running till 4 months post-operative.
  • No cutting, agility work until 4 months post-operative.

 

Exercises from day 1 to 4 months:

  • Frequency: 1 – 2x/week until ROM is achieved, then 1x/week as needed.
  • Bike can be performed within ROM restrictions and can progress as needed.
  • Perform LE exercises as you would for a standard meniscectomy patient, while staying within guidelines listed above.

4 months to Discharge:

  • Elliptical work can begin.
  • Begin walk, jog, run program.
  • Begin agility and cutting work.
  • Functional sports or activity program to be completed prior to discharge.