Weightbearing Versus Nonweightbearing After Meniscus Repair
| Autor: | Kelly L. Vanderhave, Michael Le, Crystal Perkins |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Focus Topic: Lower Extremity medicine.medical_treatment MEDLINE Physical Therapy Sports Therapy and Rehabilitation Context (language use) Knee Injuries Meniscus (anatomy) medicine.disease_cause Menisci Tibial rehabilitation Weight-bearing Weight-Bearing meniscus medicine Humans Orthopedics and Sports Medicine Rehabilitation business.industry Evidence-based medicine Tibial Meniscus Injuries Surgery medicine.anatomical_structure repair Physical therapy weightbearing business Range of motion |
| Zdroj: | Sports Health |
| ISSN: | 1941-0921 1941-7381 |
| Popis: | Context: Optimal rehabilitation after meniscal repair remains controversial. Objective: To review the current literature on weightbearing status after meniscal repairs and to provide evidence-based recommendations for postoperative rehabilitation. Data Sources: MEDLINE (January 1, 1993 to July 1, 2014) and Embase (January 1, 1993 to July 1, 2014) were queried with use of the terms meniscus OR/AND repair AND rehabilitation. Study Selection: Included studies were those with levels of evidence 1 through 4, with minimum 2 years follow-up and in an English publication. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted. Results: Successful clinical outcomes ranged from 70% to 94% with conservative rehabilitation. More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results. Conclusion: Outcomes after both conservative (restricted weightbearing) protocols and accelerated rehabilitation (immediate weightbearing) yielded similar good to excellent results; however, lack of similar objective criteria and consistency among surgical techniques and existing studies makes direct comparison difficult. |
| Databáze: | OpenAIRE |
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