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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).
Treatment of the unhappy triad usually requires surgery. An ACL surgery is common and the meniscus can be treated during the surgery as well. The MCL is rehabilitated through time and immobilization. Physical therapy after the surgery and the use of a knee brace help speed up the healing process. A typical surgery for a blown knee includes:
A research study assessing the post-surgery pain focused on the effect of Fascial Manipulation for persistent knee pain following anterior cruciate ligament (ACL) and meniscus repair. In a 32-year-old male patient, clinically significant improvements were measured in follow ups at three, six, twelve, and twenty-four months.
This time, two surgeons suggested physical therapy as treatment. In three months, she was back on the court. “It was a lot easier,” the second time around, she said.
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The meniscus is a C-shaped piece of fibrocartilage located at the peripheral aspect of the knee joint that offers lubrication and nutrition to the joint. Each knee has two menisci, medial and lateral, whose purpose is to provide space between the tibia and the femur, preventing friction and allowing for the diffusion of articular cartilage.
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]
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.