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Sports Health. 2015 Sep-Oct;7(5):399-402. doi: 10.1177/1941738115576898. Epub 2015 Mar 10.

Weightbearing Versus Nonweightbearing After Meniscus Repair.

Author information

1
Carolinas Medical Center, Charlotte, North Carolina kelly.vanderhave@carolinashealthcare.org.
2
Carolinas Medical Center, Charlotte, North Carolina.

Abstract

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.

KEYWORDS:

meniscus; rehabilitation; repair; weightbearing

PMID:
26502413
PMCID:
PMC4547112
DOI:
10.1177/1941738115576898
[Indexed for MEDLINE]
Free PMC Article

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