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Physical therapy: To restore range of motion, strength, and stability. Weight-bearing restrictions: Gradual progression of weight-bearing activities based on surgical repair. Return to sports is usually permitted after 4–6 months, depending on the success of meniscus repair and concomitant injuries (e.g., ACL tear).
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Initial physical therapy consists of range of motion (ROM) exercises, often with the guidance of a physical therapist. Range of motion exercises are used to regain the flexibility of the ligament, prevent or break down scar tissue from forming and reduce loss of muscle tone. Range of motion exercise examples include: quadriceps contractions and ...
Continuous passive motion (CPM) devices are used during the first phase of rehabilitation following a soft tissue surgical procedure or trauma. The goals of phase 1 rehabilitation are: control post-operative pain, reduce inflammation, provide passive motion in a specific plane of movement, and protect the healing repair or tissue.
Physical medicine and rehabilitation encompasses a variety of clinical settings and patient populations. [ citation needed ] In hospital settings, physiatrists commonly treat patients who have had an amputation , spinal cord injury , stroke , traumatic brain injury , and other debilitating injuries or conditions.
A meniscal repair has a higher success rate given an adequate blood supply to the peripheral rim. [36] [failed verification] The interior of the meniscus is avascular, but the blood supply can penetrate up to about 6 millimetres (0.24 in). Therefore, meniscus tears that occur near the peripheral rim are able to heal after a meniscal repair. [1]
Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes. They are often treated with surgical repair depending upon the patient's age as they rarely heal on their own. Chronic tears are treated symptomatically: physical therapy with or without the addition of injections and anti-inflammatory medications.
A meniscus transplant or meniscal transplant is a transplant of the meniscus of the knee, which separates the thigh bone from the lower leg bone . The worn or damaged meniscus is removed and is replaced with a new one from a donor. The meniscus to be transplanted is taken from a cadaver, and, as such, is known as an allograft.