| Popis: |
For over 30 years the recovery and reeducation post - surgery protocols are beeing adapted to the progressmade in the field of surgical techniques. The surgical revolution of the meniscal and ligament pathology,determined by the use of the arthroscope was followed by a new approach of the recovery of patients withmeniscectomy with or without associated ligamentoplastyFrom the theoretical point of view, the reeducation has to allow stimulations which would favor thereformation of the colagen fibres in the injured structures. In practice, though, the goal of the recovery processaims at a stable and functional knee, which allows the reintegration of the athlete in the training and competitionactivities as soon as possible, beeing known that the removal from the competitive activities has a negativeimpact all the more powerful if the inactivity is longer..The arthroscopy, through the minimal suffering inflicted, allows a much quicker resumption of activitycompared to the classical meniscectomy. This was, actually, the major argument for using this surgical techniquewith performance athletes, and afterwards in major population.There are many recovery protocols. Some of them are conservatory (24, 69, 89), whilst others are extremelyagressive, accelerated (10, 219, 221). The general opinion tends towards an active reeducation with the fast andcomplete recovery of the extension (170, 175). All aim toward the same thing: the return of the athlete to thecompetition activity as soon as possible, without the risk of a recurrent injury. |
