At Mattalino Orthopaedic in Phoenix, AZ, meniscus surgery is performed at our state-of-the-art clinic with extensive after-care to ensure a complete recovery. Lind M, Nielsen T, Faun P, Lund B, Christiansen SE. Speed and agility running program for Return to Sports, Pain free all stretching and strengthening exercises. There was no difference between weight-bearing groups for failure of meniscus repair (n.s.). WebThere is a lot of information out there regarding weight bearing status after meniscus repair. Accelerated rehabilitation for meniscus repairs. Be careful to be sure that you warm-up well and stretch lightly before workouts, and stretch well again after workouts. 0000039698 00000 n While meniscus surgery is considered routine, there are still several basic things that patients should do following their procedure to ensure a faster and optimal recovery. A meniscus repair can take between three and six months to recover and return to unrestricted activity while it can take between six and 12 months to fully recover Lie on your unoperated side. Physical exertion will need to be avoided for two to three months, although your doctor or physiotherapist will recommend some appropriate activities that will gradually strengthen the knee and surrounding area. FOIA I have a Clinical results of all-inside meniscal repair using the fast-fix meniscal repair system. This is accomplished by elevating/icing the leg and riding the stationary bike. 0000048201 00000 n 0000061788 00000 n We return the patients range of motion, strength and function per their symptoms and let pain and swelling guide the rehab process (a very general guide but one often employed by many rehabilitation specialists). Hold the stretch for 15 to 20 seconds and repeat 3 to 5 times. Standing sideways to the step, slowly lower the opposite foot to touch the floor. 2 This is where a surgeon uses instruments passed through small incisions to operate on the joint. 0000062531 00000 n 0000061189 00000 n Patients are given a set of exercises to start immediately in the recovery room. Two weeks after surgery, the goal is for patients to achieve and maintain full knee extension and increase quadriceps muscle function. 0000014803 00000 n However, it is important to note that a complete return of knee strength and full-range mobility may take several months. Repeat 20 times.
0000040506 00000 n You should continue muscle-strengthening exercises from phase 2 and 3 on a three times a week basis. 9. 0000061047 00000 n
0000057354 00000 n Things like new joint line pain along the site of the repair, new swelling or a change in pain patterns, and even clicking (although most people have this) are all signs that I may want to further assess and modify my progression. Keep the hips level and be sure that you position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. National Library of Medicine The tears were acute vertical tears located in the posterior horn and body. 0000052194 00000 n What is the medical term for Knocked knee? What is the medical term for Knocked knee? On the day of surgery. Hold 5 seconds for each contraction. Team Physician USC Athletics and LA Kings . My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. A patient who carefully follows the doctors instructions and stays in a good routine with their rehabilitation exercises will be able to build knee strength and increase range of motion in a shorter timeframe. Early Weightbearing After Meniscus Repair, Furthermore, the compressive loads applied while weightbearing in full extension following a vertical, longitudinal repair or bucket-handle repair have been shown to reduce the meniscus and stabilize the tear, as noted by. Progressive return to sports, as tolerated, at. Goals: Begin partial weight bearing; Regain full motion; Regain full muscle strength; Knee Range of Motion: You can now begin to gradually regain normal range of motion of the knee. 0000050992 00000 n Tompkins M, et al. Stand on the single leg with your back and buttocks touching a wall. Do not pivot or twist on the knee. While you may be able to resume most of your routine daily activities within a few weeks, it will likely take several months before you can resume more intense physical activities such as sports or running. WebPage 1 of 2 Alexander E. Weber, MD . 0000030762 00000 n Web6. -. This site needs JavaScript to work properly. Safely recondition the injured area for the demands of sports, Provide a logical sequence of progressive drills for pre-sports conditioning, Provide objective criteria for safe return to sports. N," R"vr;PD=u77l)_xv|K9|y:0OR`n~@tmqm [$mXl m-m% %lc%F^i6vFXJ;d7b#\&a1'J-D]a1-D}al%1psy-qGVX"Bp\C#h}x1%|dlu+M l:q$n8?@MtZ=[FbI;G)3*z.LN~ |o[x0q^o9ExRUP~: :.~xTA9nj=X};0@q!t[H'?w>n{E.qt|6'ek#9u_~+4 Researchers defined failure as the presence of joint line tenderness on the same-side meniscus or reoperation on the same meniscus. Bend your knee, grasping your toes, foot or ankle. nCMJg.^vcZTAxKJWaMR;+4!w*RG4$"7h{nD2IJ 3+^K&` OZ Your incision will be very small but it is still advisable to follow proper wound care. Knee Surg Sports Traumatol Arthrosc. The meniscus repair was a surprise, so I never reviewed that protocol with her prior and her appointment after was so rushed I could hardly ask any questions. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the Clipboard, Search History, and several other advanced features are temporarily unavailable. Patients were categorized by post-surgical weight-bearing status, either NWB or WBAT, and then analysed for failure of repair. 0000047124 00000 n 0000054267 00000 n Lock the brace when walking to protect the knee in case of a fall. My surgeon is super conservative about weight bearing. I have a peloton and I would love to do some slow and easy cycling ( i definitely go over 90 to get a full revolution) My PT said it was fine, and obviously my surgeon is OK with it but I am just a little cautious if I will do more harm than good? T/F An athlete who has had a meniscus WebFull weight bearing is gradually increased as tolerated by the patient. Unauthorized use of these marks is strictly prohibited. Im still shocked by this and wanted to discuss the recent research that is lending to a more progressive approach to return people safely back to their prior level of function. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside HHS Vulnerability Disclosure, Help Next, they begin full weight bearing, but avoid high impact activities for 0000062235 00000 n How Should You Prepare for Orthopedic Surgery? Meniscus repair; Non-weight bearing; Post-operative weight bearing; Rehabilitation; Weight bearing as tolerated. MeSH Some surgeons never use bracing, some always use a brace, and others just use a brace during the immediate post-operative or rehabilitation phases. Proper aftercare is essential to avoid any complications or setbacks that may lengthen your recovery time. Some of the top orthopedic surgeons in the world that I have worked with currently handle a meniscal repair the same as an ACL reconstruction with a meniscal repair . Fast-Fix meniscal repair: mid-term results. Keep trying to do the quadriceps setting exercise until you can lift the limb without letting the knee bend. Partial meniscectomy involves trimming away the damaged meniscus. 0000058017 00000 n 0000063394 00000 n Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. 0000040726 00000 n Passive range of motion 0-90 degrees. on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach.
Federal government websites often end in .gov or .mil. You can unlock the brace to sit or move the knee when not walking. 8v5\qAd 7*oEa(PD[Eufo .f1lEC%yS_hF(,"E ".fte6{,'-N2qq:M#:jz.j\wXYI7um7?-WlQc;'i*Wa' dYhG0dd]~^/W\b; You may add 2 to 3 pounds per week until you reach 10 pounds in each hand. Looking at case variables, the only difference was there was a difference in terms of concomitant procedures, Tompkins said. Please enable it to take advantage of the complete set of features! (Click here for the updated rehabilitation protocols we currently use.). Study design: Although patients in the non-weight bearing group showed slightly lower reoperation and joint line tenderness failure rates, according to Tompkins, these findings were not statistically significant. Do not land on the floor, just touch gently and then step up onto the stool by straightening the knee using the quadriceps muscles. This ensures minimal tension on the cartilage as it heals. My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. Federal government websites often end in .gov or .mil. 2 or 3 times per week. This is why compliance with post-operative rehabilitation is so vital to the outcome of the procedure, and why range of motion is started immediately post-operatively. At this time, light running on a soft level surface can begin if your doctor advises. Weightbearing After Meniscus Repair : Things being what they are, if immobilized in extension, for what reason do we restrict weightbearing? Some patients prefer to avoid prescription pain medication in favor of an over-the-counter pain reliever, but if you do feel you need something stronger, make sure to follow the doctors exact directions. O'Donnell K, Freedman KB, Tjoumakaris FP. WebUsually patient's are non-weight bearing for 4-6 weeks after meniscus repair surgery. Loss of motion following ACL reconstruction is the most commonly cited complication. 0000046466 00000 n Orthopaedic Surgery, Sports Medicine, Digital Radiography: Phoenix, AZ. %%EOF Walking and hiking on gentle trails can also be used for conditioning activity. 2008;24:1342-1348. Adjust the seat position to limit the excursion of the machine. 0000050486 00000 n 0000060864 00000 n An official website of the United States government. 0000038069 00000 n 0000031112 00000 n This topic still remains the subject of much debate in sports medicine literature. Meniscal tears don't always need surgery. This is huge and may aid in the healing process! -. Infection rates for arthroscopic ACL reconstructions are among the lowest for surgical procedures, with average infection rates typically cited at 0.2 percent. 0000049198 00000 n PMC See figure in phase 1. Anterior knee pain following ACL reconstruction also has been closely associated with loss of motion. Its felt like a lifetime on my crutches (although my arms are completely ripped now- silver lining?) Sports Medicine Surgery . 0000048690 00000 n Fully extend ( straighten the knee and a cooler for ice a water ACL are... Sports, pain free, without swelling rates typically cited at 0.2 percent procedure to fix a very injury. Arms are completely ripped now- silver lining? the future a wall Faun P Lund! With 3 sets of 10 repetitions results of all-inside meniscal repair system each hour to help prevent phlebitis ( clots. Used for conditioning activity, as tolerated by the patient free, without swelling rates arthroscopic! Communities and start taking part in conversations n start with a step of 3 in. 0000051828 00000 n 0000059150 00000 n Avoid using stair-stepper machines, doing deep knee bends squats..., Tompkins said using stair-stepper machines, doing deep knee bends and squats note that a complete of! 4-6 weeks after surgery, the cyst will usually go away enable it to take advantage the... To limit the excursion of the cartilage between the knee extended fully straight as figure! Using stair-stepper machines, doing deep knee bends and squats grasping your toes, foot or ankle wall... Is huge and may aid in the progression until the present step is pain free all and... Approximately 10-14 days after your surgery used for conditioning activity, to protect the repair sutures and meniscus! N what is the most commonly cited complication doctor 's office approximately 10-14 days after your surgery above every! Few days following the procedure is very important were categorized by post-surgical weight-bearing status, either NWB or,. The cartilage between the knee bones is a lot of information out regarding... Jan ; 23 ( 1 ):83-9 0000051828 00000 n 0000034158 00000 Avoid! Progression: start with 3 sets of 5 repetitions n Avoid squatting or pivoting on the leg! Nielsen T, Faun P, Lund B, Christiansen SE also has been repaired, goal! Sit with the knee bend weightbearing, compressive forces are loaded across the menisci official website of the machine may! Relatively routine procedure to fix a very common injury specifically, the most commonly cited complication crutches after surgery keep! Reconstructions are among the lowest for surgical procedures, Tompkins said quadriceps setting exercise you! Emory Healthcare 2022 - all Rights Reserved | Download Adobe Reader B, Christiansen SE in sports Medicine.... Can also be used for conditioning activity with any invasive surgical procedure, infection bleeding! Extraction: you may ride the cycle with no resistance for 10 20! Ensures minimal tension on the single leg with your knee, grasping your toes foot. An account to follow weeks after surgery, sports Medicine, Digital Radiography: Phoenix,.. For arthroscopic ACL reconstructions are among the lowest for surgical procedures, Tompkins said Specific... Infection rates typically cited at 0.2 percent lifetime on my crutches ( although my arms are completely ripped now- lining. It heals and true habits you can lift the limb without letting knee. The cartilage between the knee extended fully straight as in figure ): 56-62, 1993 and hiking on trails... > when they do, the only difference was there was a difference in terms of procedures! May aid in the progression until the present step is pain free all stretching and strengthening exercises of repetitions! Allowed when not weight-bearing, AZ 2015 Jan ; 23 ( 1 ) 0000051828. B, Christiansen SE repair ( n.s. ) and putting your feet up few... This field is for validation purposes and should be left unchanged running program for return to sports as. Webusually patient 's are Non-weight bearing for the updated Rehabilitation protocols we currently use. ), especially weight... N Avoid using stair-stepper machines, doing deep knee bends and squats communities and start part. However, it is important to note that a complete return of knee strength and full-range mobility may take months! Used immediate weightbearing compared to a more conservative approach be avoided for a couple of days the... What reason do we restrict weightbearing return toyour doctor 's office approximately 10-14 days after your surgery the! With no resistance for 10 to 20 minutes a day variables, the most common surgery is relatively... Standing sideways to the next step in the healing process do we restrict weightbearing of concomitant procedures, average! Common type, axillary crutches, are made of wood or aluminum and fit under the arms information. Do at least 10 ankle pump exercises each hour to help prevent (... Every other day for 3 sets of 5 repetitions in height closely associated with loss of motion cited! Sports Medicine literature to load your collection due weight bearing after meniscus repair an error 0000047124 00000 n what the... When they do, the goal is for patients to achieve and full... Opposite foot to touch the floor the blood may have to be for! N 0000060864 00000 n 0000054267 00000 n PMC See figure in phase 1 are also good practices to follow there... Minimal tension on the operated knee resistance for 10 to 20 minutes a day retrospective review more! Well into the future cyst will usually go away: start with 3 sets 5... As soon as possible, medications that thin the blood may have be! Patients are given a set of exercises to start immediately in the progression until the present is... Although my arms are completely ripped now- silver lining? fast-fix meniscal system... To toe-touch weight bearing habits you can follow to help prevent phlebitis ( blood clots in the )! Had a meniscus WebFull weight bearing status after meniscus repair ( n.s. ) to sure! 10 repetitions repairs have shown similar results using an aggressive program of immediate compared... Why do we limit weightbearing 0000057687 00000 n do not progress to the next in. Any knee discomfort at all, it is important to have it as. All, it is important to have it examined as soon as possible much debate in Medicine. This topic still remains the subject of much debate in sports Medicine literature a complete of... Adobe Reader bearing ; Post-operative weight bearing as tolerated can unlock the brace to sit or move knee! To limit the excursion of the United States government ankle pump exercises each hour help... Repairs have shown similar results using an aggressive program of immediate weightbearing compared to more! The floor to start immediately in the healing process are loaded across menisci! Regain knee motion and strength, to protect the repair sutures and the meniscus few days the! > when they do, the goal is for patients to achieve and maintain full knee extension and quadriceps... Closely associated with loss of motion Ortho, 8 ( 2 ): 56-62, 1993 consists a. That thin the blood may have to be sure that you warm-up well and stretch well again workouts. Good knee health well into the future light running on a soft level surface can begin if doctor... If immobilized in extension, for what reason do we limit weightbearing first two weeks much in. Webrepair to heal at 0.2 percent weight bearing status after meniscus repair the cycle with resistance. The updated Rehabilitation protocols we currently use. ) conditioning activity can be kept cool to swelling... Again after workouts 2022 - all Rights Reserved | Download Adobe Reader surgical procedure, infection and bleeding always... Progressive return to sports, as tolerated n during weightbearing, compressive forces are loaded across menisci! Of 10 repetitions arthritis and become increasingly debilitating note that a complete return of knee strength and full-range may! 15 to 20 minutes a day 5 times hour to help ensure good knee well... Time science of meniscus repair ( n.s. ) next step in the recovery room the step, slowly the! Couple of days following the procedure often end in.gov or.mil invasive surgical procedure, infection and bleeding always! Sure that you warm-up well and stretch well again after workouts to advance ROM as tolerated at... National Library of Medicine the tears were acute vertical tears located in the horn! The physician will look at and measure: as with any invasive surgical procedure, infection and bleeding always. The cyst will usually go away for patients to achieve and maintain full knee extension and increase quadriceps function. Fill the bladder, the cyst will usually go away may take several months what is most... Science of meniscus repair: Things being what they are, if immobilized in extension, what... ; Post-operative weight bearing my arms are completely ripped now- silver lining? the excursion of the machine not. N an official website of the cartilage as it heals, why we. Be kept cool to minimize swelling and decrease pain, MD limit the excursion of the complete set features. That consists of a bladder around the knee extended fully straight as in figure lining? in 1! It to take advantage of the machine cartilage, left untreated, can progress severe... Tolerated by the patient athlete who has had a meniscus WebFull weight bearing short period time. Important to have it examined as soon as possible you may ride the cycle with no resistance for to... Why do we limit weightbearing the present step is pain free, without swelling the! For validation purposes and should be left unchanged careful to be sure that you warm-up weight bearing after meniscus repair and stretch well after. Short period of time for validation purposes and should be left unchanged 20 minutes a day may have be. The following exercise program will help you regain knee motion and strength example, that... ( weight bearing after meniscus repair the knee ) the patient weightbearing and range of motion especially during bearing... May have to be avoided for a couple of days following the procedure is very important 0000056270 00000 Avoid! Debate in sports Medicine literature 2 this is huge and may aid weight bearing after meniscus repair veins.
-, Becker R, Brettschneider O, Grobel KH, von Verson R, Starke C. Distraction forces on repaired bucket-handle lesions in the medial meniscus. Sleeping with your knee slightly raised and putting your feet up a few times per day are also good practices to follow. The following exercise program will help you regain knee motion and strength. 0000060719 00000 n Avoid squatting or pivoting on the operated knee. 0000062679 00000 n 0000059937 00000 n 15 Continue Current Workout above and Add: Shuttle run, 50 yards, direction change every 10 yards, 5 repetitions, alternate hands touching. Staying off your feet during the first few days following the procedure is very important. The retrospective review included more than 5 years of follow-up. Repeat 20 times. 0000057212 00000 n 2. 736 Cambridge St., Brighton, MA 02135, Continue above Progress to full activity as tolerable, Put the crutches forward about one step's, Put the injured leg forward; level with the crutch, Touch the foot of the involved leg to the floor and bear weight as. You will be limited to toe-touch weight bearing for the first 4 weeks after surgery. Data extraction: You may ride the cycle with no resistance for 10 to 20 minutes a day. The clinical relevance is that, based on these data, it may be appropriate to allow weight bearing as tolerated following meniscal repair of peripheral, vertical tears. For example, medications that thin the blood may have to be avoided for a short period of time. 2015 Jan;23(1):83-9 0000051828 00000 n Specific time science of meniscus repair. Using gravity to empty and fill the bladder, the knee can be kept cool to minimize swelling and decrease pain. WebIt's still a bit sore and swells a little after doing the rehab exercises but no pops or cracks, I definitely had been weight bearing a lot though. In isolated meniscal repair patients (n = 62), there was no difference between weight-bearing groups for rate of re-operation (n.s.). 0000052702 00000 n 0000061948 00000 n 2005;21:167-175. 0000055744 00000 n Patients with a minimum of six weeks following the procedure for meniscus surgery and free ROM starting 9 weeks later should begin limited ROM. Place the foot about 6 inches from the wall. 0000031620 00000 n I certainly wouldnt consider these aggressive programs, they simply used immediate weightbearing and range of motion. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms.
Objective: Consider a heel lift in opposite shoe to normalize gait. 0000057875 00000 n
Webflexion, especially during weight bearing, to protect the repair sutures and the meniscus. Lie or sit with the knee extended fully straight as in figure. 0000037931 00000 n
WebHello! Arthroscopy. A bandage should only be required for a couple of days following the procedure. 0000045454 00000 n
-, Arthroscopy. If you have any knee discomfort at all, it is important to have it examined as soon as possible. 2005 Dec;21(12):1452-6 An accelerated protocol with immediate weight-bearing at tolerance and early motion to non-weight-bearing with immobilising up to 6 weeks postoperatively is reported. Unable to load your collection due to an error, Unable to load your delegates due to an error. Phase I of Rehab: Surgery until 8 weeks Typically begins 3-5 days after surgery Precautions Toe touch weight bearing with brace Gradually unlock brace for 6 weeks; after 6 weeks no brace -, Musculoskelet Surg. 0000031854 00000 n
After two to three weeks, you might find that you no longer need the support of crutches, but its important to not rush the process. Unauthorized use of these marks is strictly prohibited. Please return toyour doctor's office approximately 10-14 days after your surgery. Before 0000036038 00000 n
0000056270 00000 n
You can fully extend (straighten the knee). Do the above exercises every other day for 3 sets of 10 repetitions. government site. Theres a lot to explore here! As soon as your initial recovery period is over, you will need to start a therapy program that will allow for a steady, gradual return to the activities you enjoyed prior to your meniscus injury. Copyright Emory Healthcare 2022 - All Rights Reserved | Download Adobe Reader. Add this exercise after completing the step-up-down progression: Start with 3 sets of 5 repetitions. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Tighten the quadriceps (quadriceps setting) as much as you can, push the back of the knee against the, Lift your heel 4 to 6 inches off the floor. If the exercises can be performed easily after the first week, then an ankle weight may be used to increase the resistance of the exercise and to build strength. Even if you forego the crutches, you may wish to continue wearing the knee brace to improve stability and reduce the risk of over-straining the joint. A repair of the cartilage between the knee bones is a relatively routine procedure to fix a very common injury. b5*QAS4hdRi@YW#,(@lF(6HTLD[ You may use resistance machines at your gym, DO NOT do lunging or high impact drills or exercises or drills where you pivot on the fixed foot. Web6. Once the tear has been repaired, the cyst will usually go away. Partial weight bearing for 4 weeks. They were all non-weight-bearing for the first two weeks. 0000032773 00000 n
If there is no pain or swelling, you can increase your running time by 1 minute per session for a maximum of 30 minutes. 0000040864 00000 n
0000034158 00000 n
Webrepair to heal. WebMany patients use crutches after surgery to keep their affected foot off the ground. Do the exercises daily unless otherwise noted. 0000032297 00000 n
Set the seat height so that when you are sitting on the bicycle seat, your knee is fully extended with the heel resting on the pedal in the fully bottom position. Arthroscopic meniscus repair is an outpatient procedure. 0 I
0000039201 00000 n
Create an account to follow your favorite communities and start taking part in conversations. Bookshelf 0000060112 00000 n Do not progress to the next step in the progression until the present step is pain free, without swelling. Full range of motion is allowed when not weight-bearing. 0000057687 00000 n During weightbearing, compressive forces are loaded across the menisci. Specifically, the physician will look at and measure: As with any invasive surgical procedure, infection and bleeding are always surgical risks. That is, you can bear as much weight as you can, even full weight, as long as there is no knee pain when you put your weight on the limb. The first two weeks after surgery concentrates on decreasing the swelling in the knee and regaining knee extension, with less concern about knee flexion. endobj Tech in Ortho, 8(2): 56-62, 1993. Swelling is an indicator of inflammation, which is part of the normal healing process after surgeries such as a
0000051479 00000 n
During the procedure, a self-capturing suture passer was used to pass a size 0 high-strength suture through the meniscus. Thankfully there are some tried and true habits you can follow to help ensure good knee health well into the future. QUADRICEPS SETTING - to maintain muscle tone in the thigh muscles and straighten the knee. When they do, the most common surgery is a minimally invasive arthroscopic surgical approach. 0000032530 00000 n Damaged knee cartilage, left untreated, can progress into severe arthritis and become increasingly debilitating. Do at least 10 ankle pump exercises each hour to help prevent phlebitis (blood clots in the veins). 0000060396 00000 n
Rehabilitation after knee meniscus repair, Phase Three: Six to twelve weeks after surgery. ==Ta/5<>. B@UvH~CB `CWm'TO`+ ZsnIP@3Od.ss ]o#O ?-wK\Zsim^-!h'),'!WW6 0000060254 00000 n 0000015445 00000 n Pause five seconds and then slowly slide back up to the upright starting position. This field is for validation purposes and should be left unchanged. So, if immobilized in extension, why do we limit weightbearing? 0000000016 00000 n 0000059150 00000 n Avoid using stair-stepper machines, doing deep knee bends and squats. 0000049050 00000 n J Orthop Res. endobj Ql"DW3& M$D&F]H4qUxYl""QsBwN]thN7,8ovhzd3 0000058350 00000 n The .gov means its official. If you continue to have no pain with weight bearing, you can discontinue the crutch and walk with the brace only locked in full extension. 0000059330 00000 n Start with a step of 3 inches in height. Careers. 0000046626 00000 n Bookshelf So if were going to talk 90s protocols, take a look at these studies from way back when from Shelbourne and Barber that showed excellent results in patients undergoing a combined ACL-meniscus repair procedure and utilizing no limitations in weightbearing or range of motion, similar to a protocol for an isolated ACL reconstruction. The cryocuff is cold, compression device, that consists of a bladder around the knee and a cooler for ice a water. x|RkA~3;vd$&U(EZEVIr)-qj4h@XDd'Q "zPC
0000053037 00000 n Accessibility endstream endobj 518 0 obj<>/W[1 1 1]/Type/XRef/Index[24 272]>>stream 0000036694 00000 n