Accelerated rehabilitation after arthroscopic meniscal repair: A clinical and magnetic resonance imaging evaluation

Mariani, Pier Paolo; Santori, N.; Adriani, Ezio; Mastantuono, M.

doi:10.1016/s0749-8063(96)90170-x

Cited by 120 publications

(72 citation statements)

References 32 publications

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“…Previous reports on meniscal tearing have concluded that there is no correlation between meniscal rupture or failure of sutured meniscus and trauma or knee instability after ACL reconstruction 6,9,10 The present study as well found 3 new lateral and 3 new medial meniscal tears that did not correlate with knee instability after ACL reconstruction. However, the number of cases with new meniscal tearing after ACL reconstruction is currently too small to discuss.…”

Section: Discussionsupporting

confidence: 64%

Meniscal Tearing after ACL Reconstruction

Ichinohe

Yoshida

Murakami

et al. 2000

J Orthop Surg (Hong Kong)

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The knees of 72 patients with unilateral anteriorcruciate-ligament (ACL) injury were analyzed before ACL reconstruction as well as by follow-up arthroscopy on the day of staple removal. At ACL reconstruction 31 lateral menisci and 40 medial menisci were found to be normal. 28 lateral menisci and 24 medial menisci were treated surgically, while 13 lateral menisci and 8 medial menisci with small or incomplete meniscal tearing were not treated.At follow-up arthroscopy there were 3 new cases of lateral meniscal tearing and 3 new cases of medial meniscal tearing in the groups diagnosed as normal prior to surgery. Two of the 13 cases with small or incomplete lateral meniscal tearing required resection, 8 healed and the other 3 demonstrated no progressive change. Four of the 8 cases with small or incomplete medial meniscal tears healed, 3 exhibited no progressive change and one required surgical treatment. There was no correlation between meniscal tearing and knee instability as indicated by a positive Lachman test or a positive pivot shift sign.The results of the present study indicate that ACL reconstruction prevents progressive changes in meniscal tears and will prevent secondary osteoarthritis, and that some small tears of the lateral meniscus require no surgical treatment.

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Section: Discussionsupporting

confidence: 64%

Meniscal Tearing after ACL Reconstruction

Ichinohe

Yoshida

Murakami

et al. 2000

J Orthop Surg (Hong Kong)

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“…Meniscal injuries are often accompanied by injuries to the anterior cruciate ligament, the collateral ligaments or the joint cartilage [3,13]. Such associated injuries influence functional recovery after arthroscopic meniscectomy [4,9,15,18]. Therefore, the results of this study only apply to patients with a solitary meniscal lesion.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of physiotherapy after meniscectomy

Vervest

Maurer

Schambergen

et al. 1999

Knee Surgery, Sports Traumatology, Arthroscopy

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To evaluate the effect of physiotherapy after partial arthroscopic meniscectomy, we performed a prospective, randomised and partially blinded study. This pilot study was performed from October 1996 to June 1997. The control group received the standard treatment, consisting of verbal and written advice and exercises. The physiotherapy group performed exercises according to a dynamic protocol under the supervision of a physiotherapist. During a 3-week period, nine treatment sessions were given of 30 min each. Twenty patients, who had undergone arthroscopic meniscectomy without any other pathology of the knee, were randomised into two groups of ten patients each. The effects of therapy were evaluated by a blinded observer. We measured the distance and height of one-leg jumps (hops), the VAS pain scale, the Tegner and Lysholm scores and the SARS/FORS score. Recovery and satisfaction with the treatment were also evaluated. The effect measurements were performed at 7 (T1), 14 (T2), 21 (T3) and 28 days (T4) following surgery. Statistical analysis was performed with the Student's t-test. The physiotherapy group showed significantly better results than the control group regarding the SARS score, the hop test and the distance jumps. Moreover, the measurements showed clear progression in favour of the physiotherapy group. In conclusion, exercising under the supervision of a physiotherapist led to high patient satisfaction and good functional rehabilitation after partial arthroscopic meniscectomy.

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“…The accelerated rehabilitation program has been shown to have no influence on meniscus repair outcomes. [17][18][19][20] Preoperative and postoperative assessments, including a history, physical examination, radiographs, Cincinnati, Lysholm, and International Knee Documentation Committee (IKDC) activity scores, were obtained in all patients. In addition, postoperative assessments included a Tegner knee score, and KT arthrometer (Medmetric Corp, San Diego, CA) measurements were obtained.…”

Section: Surgical Techniquementioning

confidence: 99%