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Meniscal repair rehabilitation

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https://www.readbyqxmd.com/read/27543406/return-to-play-following-meniscus-surgery
#1
REVIEW
Alaina M Brelin, John-Paul H Rue
Meniscus tears are commonly encountered in the athletic population and can result in significant loss of playing time. Current treatment methods for acute tears consist of meniscectomy and meniscal repair, whereas meniscal allograft transplant is reserved as a salvage procedure for symptomatic meniscectomized patients who desire a more functional knee. This review describes the postoperative rehabilitation protocol for each procedure and evaluates the outcomes in existing literature as it pertains to the athlete...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27519675/predictors-of-revision-surgery-after-anterior-cruciate-ligament-reconstruction
#2
W Michael Pullen, Brandon Bryant, Trevor Gaskill, Nicholas Sicignano, Amber M Evans, Marlene DeMaio
BACKGROUND: Arthroscopically assisted anterior cruciate ligament (ACL) reconstruction is a common orthopaedic procedure. Graft failure after reconstruction remains a devastating complication, often requiring revision surgery and less aggressive or modified rehabilitation. Worse functional and patient-reported outcomes are reported compared with primary reconstruction. Moreover, both rates and risk factors for revision are variable and inconsistent within the literature. PURPOSE: To determine the rate of revision surgery after ACL reconstruction in a large cohort of patients, to assess the influence of patient characteristics on the odds of revision, and to compare revision rates between active-duty military members and non-active-duty beneficiaries...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27504467/meniscal-ramp-lesions-anatomy-incidence-diagnosis-and-treatment
#3
Jorge Chahla, Chase S Dean, Gilbert Moatshe, Justin J Mitchell, Tyler R Cram, Carlos Yacuzzi, Robert F LaPrade
Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by a tear of the peripheral attachment of the posterior horn of the medial meniscus. Magnetic resonance imaging (MRI) scans have been reported to have a low sensitivity, and consequently, ramp lesions often go undiagnosed...
July 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26979177/does-simulated-walking-cause-gapping-of-meniscal-repairs
#4
Patrick C McCulloch, Hugh L Jones, Kendall Hamilton, Michael G Hogen, Jonathan E Gold, Philip C Noble
BACKGROUND: The objective of rehabilitation following meniscal repair is to promote healing by limiting stresses on repairs, while simultaneously preserving muscle strength and joint motion. Both protective protocols limiting weight bearing and accelerated which do not, have shown clinical success. This study assesses the effects of physiologic gait loading on the kinematic behavior of a repaired medial meniscus. METHODS: The medial menisci of eight fresh cadaveric knees were implanted with arrays of six 0...
December 2016: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/26755403/rehabilitation-following-meniscal-root-repair-a-clinical-commentary
#5
Brett T Mueller, Samuel G Moulton, Luke O'Brien, Robert F LaPrade
There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. Little information has been published regarding specific rehabilitation parameters for meniscal root repairs through all phases of rehabilitation. The goal of this commentary is to describe a rehabilitation program for meniscal root repairs that is founded on anatomical, physiological, and biomechanical principles with criteria-based progressions...
February 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/26502413/weightbearing-versus-nonweightbearing-after-meniscus-repair
#6
REVIEW
Kelly L VanderHave, Crystal Perkins, Michael Le
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...
September 2015: Sports Health
https://www.readbyqxmd.com/read/26311445/autograft-versus-allograft-anterior-cruciate-ligament-reconstruction-a-prospective-randomized-clinical-study-with-a-minimum-10-year-follow-up
#7
RANDOMIZED CONTROLLED TRIAL
Craig R Bottoni, Eric L Smith, James Shaha, Steven S Shaha, Sarah G Raybin, John M Tokish, Douglas J Rowles
BACKGROUND: The use of allografts for anterior cruciate ligament (ACL) reconstruction in young athletes is controversial. No long-term results have been published comparing tibialis posterior allografts to hamstring autografts. PURPOSE: To evaluate the long-term results of primary ACL reconstruction using either an allograft or autograft. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: From June 2002 to August 2003, patients with a symptomatic ACL-deficient knee were randomized to receive either a hamstring autograft or tibialis posterior allograft...
October 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26031136/-functional-repercussions-of-meniscal-injuries-on-the-postoperative-physical-athletic-performance-of-athletes
#8
G A Cristiani-Díaz, H A Delgado-Brambila
UNLABELLED: The practice of sports has experienced a huge boom in societies worldwide. It often involves knee injuries, specifically meniscal tears that warrant surgical treatment which may include: fragment remodeling and resection, meniscal repair or, in extreme cases, the use of a meniscal graft. In this prospective study we performed fragment resection and meniscal remodeling in athletes and we measured their postoperative physical-athletic performance. METHODS: Inclusion criteria: Patients of both sexes who practice a sport either as amateurs or at a recreational competitive level, who sustained a meniscal injury...
January 2014: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/25979687/arthroscopic-transtibial-pullout-repair-for-posterior-medial-meniscus-root-tears-a-systematic-review-of-clinical-radiographic-and-second-look-arthroscopic-results
#9
REVIEW
Matthias J Feucht, Jan Kühle, Gerrit Bode, Julian Mehl, Hagen Schmal, Norbert P Südkamp, Philipp Niemeyer
PURPOSE: To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. METHODS: A systematic electronic search of the PubMed database and the Cochrane Library was performed in September 2014 to identify studies that reported clinical, radiographic, or second-look arthroscopic outcomes of ATPR for posterior medial meniscus root tears. Included studies were abstracted regarding study characteristics, patient demographic characteristics, surgical technique, rehabilitation, and outcome measures...
September 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/25573393/biomechanical-evaluation-of-the-transtibial-pull-out-technique-for-posterior-medial-meniscal-root-repairs-using-1-and-2-transtibial-bone-tunnels
#10
RANDOMIZED CONTROLLED TRIAL
Christopher M LaPrade, Matthew D LaPrade, Travis Lee Turnbull, Coen A Wijdicks, Robert F LaPrade
BACKGROUND: Current methods of the transtibial pull-out meniscal root repair significantly displace under cyclic loading in porcine models but have not been evaluated in human models. One potential explanation for the displacement is that a single transtibial tunnel may not fully restore the attachment of the entire posterior medial meniscal root. PURPOSE/HYPOTHESIS: The purpose of this study was to biomechanically evaluate the transtibial pull-out technique in a human cadaveric model using either 1 or 2 transtibial bone tunnels...
April 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25556220/cyclic-displacement-after-meniscal-root-repair-fixation-a-human-biomechanical-evaluation
#11
RANDOMIZED CONTROLLED TRIAL
Robert F LaPrade, Christopher M LaPrade, Michael B Ellman, Travis Lee Turnbull, Anthony J Cerminara, Coen A Wijdicks
BACKGROUND: Recent biomechanical evidence suggests that the meniscus-suture interface contributes the most displacement to the transtibial pull-out repair for meniscal root tears. Therefore, optimization of surgical technique at the meniscus-suture interface may minimize displacement and improve the strength of meniscal root repairs. PURPOSE/HYPOTHESIS: The purpose of this study was to investigate the cyclic displacement and ultimate failure loads of 4 different meniscus-suture fixation techniques for posterior medial meniscal root repairs in human meniscus tissue...
April 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25550669/meniscal-allograft-transplant-in-a-16-year-old-male-soccer-player-a-case-report
#12
Roger Menta, Scott Howitt
Meniscal allograft transplantation (MAT) is a relatively new procedure that has gained popularity in the last couple of decades as a possible alternative to a meniscectomy to provide significant pain relief, improve function, and prevent the early onset of degenerative joint disease (DJD). As of present, evidence is limited and conflicting on the success of such procedures. In this case, a 16-year old male athlete underwent numerous surgical procedures to correct a left anterior cruciate ligament (ACL) rupture with associated medial and lateral meniscal damage that occurred as a result of a non-contact mechanism of injury...
December 2014: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/25390473/rehabilitation-of-meniscal-injury-and-surgery
#13
John T Cavanaugh
Meniscal cartilage plays an essential role in the function and biomechanics of the knee joint. The meniscus functions in load bearing, load transmission, shock absorption, joint stability, joint lubrication, and joint congruity. Individuals today are increasingly more active in later decades of life. Although the incidence of meniscal pathology is difficult to estimate, this increased exposure to athletic activity increases the risk of injury to these structures. Hede and coworkers reported the mean annual incidence of meniscus tears as 9...
December 2014: Journal of Knee Surgery
https://www.readbyqxmd.com/read/25239930/biomechanical-evaluation-of-a-transtibial-pull-out-meniscal-root-repair-challenging-the-bungee-effect
#14
Anthony J Cerminara, Christopher M LaPrade, Sean D Smith, Michael B Ellman, Coen A Wijdicks, Robert F LaPrade
BACKGROUND: A common treatment for posterior meniscal root tears is transtibial pull-out repair, which has been biomechanically reported to restore tibiofemoral contact mechanics to those of the intact knee. Biomechanical data suggest that there is significant displacement of the repaired meniscal root with cyclic loading, which may be responsible for the poor healing and meniscal extrusion demonstrated in some clinical studies. HYPOTHESIS/PURPOSE: The purpose of this study was to quantify the time-zero displacement of the posterior meniscal root in response to cyclic loading after transtibial pull-out repair and to quantify the individual contributions to displacement of the following: (1) suture elongation, (2) button-bone interface, and (3) meniscus-suture interface...
December 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25035825/treatment-of-meniscal-tears-an-evidence-based-approach
#15
REVIEW
Simon C Mordecai, Nawfal Al-Hadithy, Howard E Ware, Chinmay M Gupte
Treatment options for meniscal tears fall into three broad categories; non-operative, meniscectomy or meniscal repair. Selecting the most appropriate treatment for a given patient involves both patient factors (e.g., age, co-morbidities and compliance) and tear characteristics (e.g., location of tear/age/reducibility of tear). There is evidence suggesting that degenerative tears in older patients without mechanical symptoms can be effectively treated non-operatively with a structured physical therapy programme as a first line...
July 18, 2014: World Journal of Orthopedics
https://www.readbyqxmd.com/read/24966304/all-inside-meniscal-repair-devices-compared-with-their-matched-inside-out-vertical-mattress-suture-repair-introducing-10-000-and-100-000-loading-cycles
#16
COMPARATIVE STUDY
Claudio Rosso, Sebastian Müller, Daniel M Buckland, Tanja Schwenk, Simon Zimmermann, Michael de Wild, Victor Valderrabano
BACKGROUND: All-inside arthroscopic meniscal repairs are favored by most clinicians because of their lower complication rate and decreased morbidity compared with inside-out techniques. Until now, only 1000 cycles have been used for biomechanical testing. HYPOTHESIS: All-inside meniscal repairs will show inferior biomechanical response to cyclic loading (up to 100,000 cycles) and load-to-failure testing compared with inside-out suture controls. STUDY DESIGN: Controlled laboratory study...
September 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/24944971/meniscal-repair
#17
REVIEW
Kyoung Ho Yoon, Keun Ho Park
The meniscus has several important roles, such as transmission of the load, absorption of the shock in the knee joint, acting as a secondary anteroposterior stabilizer of the knee joint, and contributing to proprioception of the knee joint. Degenerative changes of the knee joint develop in the long-term follow-up even after partial meniscectomy. Thus, there has been growing interest in meniscal repair. In addition, with increased understanding of the important roles of the meniscal root and advancement of diagnostic methods, efforts have been made to ensure preservation of the meniscal roots...
June 2014: Knee Surgery & related Research
https://www.readbyqxmd.com/read/24906435/does-concomitant-meniscectomy-or-meniscal-repair-affect-the-recovery-of-quadriceps-function-post-acl-reconstruction
#18
Lindsey K Lepley, Edward M Wojtys, Riann M Palmieri-Smith
PURPOSE: The purpose of this study was to determine the effect of concomitant meniscal surgery on the recovery of quadriceps activation and strength at a time when individuals return to sport following anterior cruciate ligament (ACL) reconstruction. METHODS: Forty-six individuals that were cleared for participation following ACL reconstruction were invited to participate in this study. Participants were placed into groups according to surgical reports (ACL-only, n = 24; meniscal repair, n = 12; meniscectomy, n = 10)...
September 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/24553893/restoration-of-articular-cartilage
#19
REVIEW
Cathal J Moran, Cecilia Pascual-Garrido, Susan Chubinskaya, Hollis G Potter, Russell F Warren, Brian J Cole, Scott A Rodeo
➤ Novel (i.e., quantitative and semiquantitative) cartilage imaging techniques can evaluate cartilage composition to augment information obtained from traditional magnetic resonance imaging sequences that detail morphology.➤ A well-defined role for drugs leading to chondroprotection has not yet been determined.➤ Shortcomings of bone marrow stimulation include limited production of hyaline repair tissue, unpredictable repair cartilage volume, and a negative impact on later cellular transplantation if required...
February 19, 2014: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/24149161/the-effectiveness-of-electromyographic-biofeedback-as-part-of-a-meniscal-repair-rehabilitation-programme
#20
Mihaela Oravitan, Claudiu Avram
The objective of the study was to assess the effectiveness of using electromyographic biofeedback in the early stages of rehabilitation after meniscal repair. In this randomised, controlled, parallel group study, the evolution of patients with meniscal lesions treated by meniscal suture who received (study group, n = 33) or did not receive (control group, n = 31) electromyographic biofeedback as part of their early rehabilitation programme has been compared. A total of 64 patients with previous meniscal repair participated in the study...
2013: Journal of Sports Science & Medicine
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