1. Health
You can opt-out at any time. Please refer to our privacy policy for contact information.

Rehab For Meniscus Repair

Proper Post-Surgical Rehab is Key to Success

By

Updated June 02, 2014

Rehabilitation following a meniscus repair is more significant than if the torn piece of meniscus is simply removed. If removed, the patient is usually up and walking within a day or two of surgery, and back to normal activities within a few weeks. Following a meniscus repair, the rehab is more extensive.

Exactly what rehabilitation is needed depends on several factors, and you should always check with your doctor prior to initiating or changing your post-operative rehab in any way. This is especially important because there are other procedures that may be performed at the same time as the meniscus repair that may alter the normal post-operative rehab schedule.

Typical Rehab Schedule

There is quite a lot of controversy in the sports medicine world as to "the best" rehabilitation from meniscus repair surgery. Traditionally, the rehab was very slow, with activities restricted for many months after surgery. More recently, a faster rehab has been attempted. However, there is still no consensus, and many surgeons vary in their recommendations. Always follow your doctor's specific instructions for post-operative rehab.

The most common rehab after meniscus repair is listed here. It is about 'middle of the road' between very conservative and very aggressive.

  • Immediately Post-Operative
    Upon awakening in the recovery room, patients are placed in a knee brace. The brace used may either be a knee immobilizer or a hinged knee brace. A knee immobilizer holds the knee fully extended, while a hinged knee brace can allow for controlled motion of the knee. If a hinged knee brace is used, it is locked with the knee fully straight.

    Patients are given crutches, and instructed to walk with the crutches. Most often, patients will be allowed to place weight on the operated leg so long as the knee is held fully straight (either with a knee immobilizer or a hinged knee brace locked in extension).

  • The Early Days
    Patients can remove the knee brace or immobilizer while not walking, and bend the knee up to about 60 degrees. Patients should continue to use a brace whenever walking, and only place weight on the leg if the knee is held fully straight by the brace.

  • After One Month
    After a month or so, more motion is allowed. Patients can walk with the knee in the brace, but no longer locked in extension. Strenuous activities are still restricted as the meniscus continues to heal.

  • 3-4 Months
    By 3 to 4 months, most surgeons will allow return to full activities and no longer protect the knee. Patients must slowly return to sports and competition, but they no longer have restrictions on motion and do not require the use of a brace.
As stated before, this is just one example of a possible rehab protocol after meniscus repair surgery. Many surgeons differ in their preference, and depending on other work that may have been done at the time of surgery the rehab can vary significantly. Always follow your doctor's specific instructions, and if you have questions about your rehab ask your doctor's opinion.

Sources:

Laible C, et al. "Meniscal Repair" J Am Acad Orthop Surg April 2013 vol. 21 no. 4 204-213

Related Video
Early Arthritis Symptoms
  1. About.com
  2. Health
  3. Orthopedics
  4. Hip & Knee
  5. Knee Conditions
  6. Meniscus (Cartilage) Injury
  7. Meniscus Repair Rehab from Surgery

©2014 About.com. All rights reserved.

We comply with the HONcode standard
for trustworthy health
information: verify here.