Partial Meniscectomy

ACUTE STAGE

  • Elevation of the limb when resting
  • P.W.B. / F.W.B.
  • Isometric exercises
  • Muscle pump exercises
  • Gentle flexion (within pain free limits)

SEVEN DAYS

  • Check wounds
  • Vastus Medialis exercises
  • Progressive mobilising and strengthening exercises eg, static bike, dips,(bilat, unilat), step ups, stair climber, knee flexion etc.

CONDITIONS FOR DISCHARGE

Discharge is usually between three to six weeks post-op.

  • No swelling
  • Full R.O.M.
  • Normal function for the individual patient
  • Patient is aware of the importance of continuing exercises
  • These techniques are designed to affect a degenerating joint surface by stimulating regeneration of fibrocartilage.
    It is vital that the affected area is not over-loaded whilst this recovery takes place (anything from six weeks to six months).
  • The tibio-femoral joint should be protected by a period of minimal weight-bearing (as dictated by the surgeon), followed by a period of gradually increasing partial weight bearing.
  • The patello-femoral joint should avoid loading (ie. flexion beyond 20’ in a weight bearing situation) by squatting, stairs or open kinetic chain activities with weights.
  • The joints respond well to movement, such as static cycling, as there are low joint compression forces. Patients may be advised to have a CPM machine at home for 4 -6 weeks
  • Occasionally braces may be used to help the patient adhere to the necessary protocol.
  • Patients should be advised that rehabilitation can be a lengthy process as intra-articular healing takes time.
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