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Published in: Current Reviews in Musculoskeletal Medicine 1/2012

01-03-2012 | Knee Rehabilitation (J Cavanaugh, Section Editor)

Rehabilitation following meniscal repair

Authors: John T. Cavanaugh, Sarah E. Killian

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2012

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Abstract

It has become increasingly more evident that the meniscus plays an important role in contributing to knee joint longevity. Advances in surgical techniques by orthopaedic surgeons to repair traumatized menisci have led to better long term outcomes, decreasing the incidence of articular cartilage degeneration. Advances have also been made in rehabilitative techniques following meniscal repair. These techniques along with sound rehabilitation principles to include a criteria based progression have contributed to excellent outcomes and earlier return to function and sport. The role of the meniscus, recent advances in surgical repair and the current post-operative rehabilitation techniques employed by sports rehabilitation specialists today are discussed.
Literature
1.
go back to reference Howell GED. Clinical presentation of the knee. In: Bulstrode CJK, Buckwalter J, Carr A, Marsh L, Fairbank J, Wilson-MacDonald J, Bouden G, editors. Oxford textbook of orthopedics and trauma, vol. 2. New York: Oxford University Press; 2002. p. 1108–13. Howell GED. Clinical presentation of the knee. In: Bulstrode CJK, Buckwalter J, Carr A, Marsh L, Fairbank J, Wilson-MacDonald J, Bouden G, editors. Oxford textbook of orthopedics and trauma, vol. 2. New York: Oxford University Press; 2002. p. 1108–13.
2.
go back to reference Hede A, Jensen DB, Blyme P, et al. Epidemiology of meniscal lesions in the knee: 1.215 open operations in Copenhagen 1982-84. Acta Orthop Scand 5:435437, 1990 Hede A, Jensen DB, Blyme P, et al. Epidemiology of meniscal lesions in the knee: 1.215 open operations in Copenhagen 1982-84. Acta Orthop Scand 5:435437, 1990
3.
go back to reference Allen PR, Denham RA, Swan AV. Late degenerative changes after meniscectomy. Factors affecting the knee after operation. J Bone Joint Surg Br. 1984;66(5):666–71.PubMed Allen PR, Denham RA, Swan AV. Late degenerative changes after meniscectomy. Factors affecting the knee after operation. J Bone Joint Surg Br. 1984;66(5):666–71.PubMed
4.
go back to reference Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg Br. 1948;30B(4):664–70.PubMed Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg Br. 1948;30B(4):664–70.PubMed
5.
go back to reference Jorgensen U, Sonne-Holm S, Lauridsen F, Rosenklint A. Long-term Follow-up of Meniscectomy in Athletes. A Prospective Longitudinal Study. J Bone Joint Surg Br. 1987;69B(1):80––83. Jorgensen U, Sonne-Holm S, Lauridsen F, Rosenklint A. Long-term Follow-up of Meniscectomy in Athletes. A Prospective Longitudinal Study. J Bone Joint Surg Br. 1987;69B(1):80––83.
6.
go back to reference Cox JS, Nye CE, Schaefer WW, et al. The degenerative effects of partial and total resection of the medial meniscus in dogs’ knees. Clin Orthop. 1975;109:178–83.PubMedCrossRef Cox JS, Nye CE, Schaefer WW, et al. The degenerative effects of partial and total resection of the medial meniscus in dogs’ knees. Clin Orthop. 1975;109:178–83.PubMedCrossRef
7.
8.
go back to reference Rockborn P, Messner K. Long-term results of meniscus repair and meniscectomy: a 13-year functional and radiographic follow-up study [comments]. Knee Surg Sports Traumatol Arthrosc. 2000;8:2–10.PubMedCrossRef Rockborn P, Messner K. Long-term results of meniscus repair and meniscectomy: a 13-year functional and radiographic follow-up study [comments]. Knee Surg Sports Traumatol Arthrosc. 2000;8:2–10.PubMedCrossRef
9.
10.
go back to reference Seedhom BB, Gardreanes DJ. Transmission of load in the knee joint with special reference to the role of the menisci, part II. Experimental results, discussions, and conclusions. Eng Med Biol. 1979;B:220-8. Seedhom BB, Gardreanes DJ. Transmission of load in the knee joint with special reference to the role of the menisci, part II. Experimental results, discussions, and conclusions. Eng Med Biol. 1979;B:220-8.
11.
go back to reference Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clinical Orthopedics. 1980;149:283–90. Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clinical Orthopedics. 1980;149:283–90.
12.
go back to reference Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. Journal of Bone and Joint Surgery Am. 1982;64A(6):883–8. Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. Journal of Bone and Joint Surgery Am. 1982;64A(6):883–8.
13.
go back to reference Wirth CJ, Peters G. Meniscus injuries of the knee joint: pathophysiology and treatment principles, in Baillière’s Clinical Orthopedics: Baillière Tindall. London,1997, pp123-44. Wirth CJ, Peters G. Meniscus injuries of the knee joint: pathophysiology and treatment principles, in Baillière’s Clinical Orthopedics: Baillière Tindall. London,1997, pp123-44.
14.
go back to reference Warren RF, Arnoczky SP, Wickiewicz TL. Anatomy of the Knee. In: Nicholas JA, Hershman EB, editors. The lower extremity and spine in sports medicine. St. Louis: CV Mosby; 1986. p. 657–94. Warren RF, Arnoczky SP, Wickiewicz TL. Anatomy of the Knee. In: Nicholas JA, Hershman EB, editors. The lower extremity and spine in sports medicine. St. Louis: CV Mosby; 1986. p. 657–94.
15.
go back to reference Rath E, Richmond JC. The menisci: basic science and advances in treatment. Br J Sports Med. 2000;34:252–7.PubMedCrossRef Rath E, Richmond JC. The menisci: basic science and advances in treatment. Br J Sports Med. 2000;34:252–7.PubMedCrossRef
16.
go back to reference Ghosh P, Taylor TK. The knee joint meniscus. A fibrocartilage of some distinction. Clin Orthop Relat Res 1987;(224):52–63. Ghosh P, Taylor TK. The knee joint meniscus. A fibrocartilage of some distinction. Clin Orthop Relat Res 1987;(224):52–63.
17.
go back to reference Fithian DC, Kelly MA. Material properties and structure-function relationships in the menisci. Clin Orthop. 1990;252:19–31.PubMed Fithian DC, Kelly MA. Material properties and structure-function relationships in the menisci. Clin Orthop. 1990;252:19–31.PubMed
18.
go back to reference Cole BJ, Carter TR, Rodeo SA. Allograft meniscal transplantation: backround, technique and results. J Bone Joint Surg. 2002;84(7):1236–50. Cole BJ, Carter TR, Rodeo SA. Allograft meniscal transplantation: backround, technique and results. J Bone Joint Surg. 2002;84(7):1236–50.
19.
go back to reference Arnoczky SP, Warren RF. Microvasculature of the human meniscus. Am J Sports Med. 1982;10(2):90–5.PubMedCrossRef Arnoczky SP, Warren RF. Microvasculature of the human meniscus. Am J Sports Med. 1982;10(2):90–5.PubMedCrossRef
20.
go back to reference Day B, Mackenzie WG, Shim SS, Leung G. The vascular and nerve supply of the human meniscus. Arthroscopy. 1985;1(1):58–62.PubMedCrossRef Day B, Mackenzie WG, Shim SS, Leung G. The vascular and nerve supply of the human meniscus. Arthroscopy. 1985;1(1):58–62.PubMedCrossRef
21.
go back to reference O’Connor BL, McConnaughey JS. The structure and innervation of cat knee menisci, and their relation to a “sensory hyposthesis” of meniscal function. Am J Anat. 1978;153:431–42.PubMedCrossRef O’Connor BL, McConnaughey JS. The structure and innervation of cat knee menisci, and their relation to a “sensory hyposthesis” of meniscal function. Am J Anat. 1978;153:431–42.PubMedCrossRef
22.
go back to reference Assimakpoulos AP, Katonis PG, Agapitos MV, Exarchou El. The innervation of the human meniscus. Clin Orthop. 1992;75:232–6. 8. Barber FA, Click S. Assimakpoulos AP, Katonis PG, Agapitos MV, Exarchou El. The innervation of the human meniscus. Clin Orthop. 1992;75:232–6. 8. Barber FA, Click S.
23.
go back to reference Gronblad M, Korkala O, Liesi P, Karaharju E. Innervation of synovial membrane and meniscus. Acta Orthop Scand. 1985;56:484–6.PubMedCrossRef Gronblad M, Korkala O, Liesi P, Karaharju E. Innervation of synovial membrane and meniscus. Acta Orthop Scand. 1985;56:484–6.PubMedCrossRef
24.
go back to reference • Karahan M, Kocaoglu B, et al. Effect of partial medial meniscectomy on the proprioceptive function of the knee. Arch Orthop Trauma Surg. 2010 Mar;130(3):427-31. Epub 2009 Dec 10. This study aimed to assess the proprioception of the partial meniscectomized knee and if there is an effect on the knee proprioception. The results indicated that even a partial absence of menisci causes a deterioration of proprioceptive functions of the knee.PubMedCrossRef • Karahan M, Kocaoglu B, et al. Effect of partial medial meniscectomy on the proprioceptive function of the knee. Arch Orthop Trauma Surg. 2010 Mar;130(3):427-31. Epub 2009 Dec 10. This study aimed to assess the proprioception of the partial meniscectomized knee and if there is an effect on the knee proprioception. The results indicated that even a partial absence of menisci causes a deterioration of proprioceptive functions of the knee.PubMedCrossRef
25.
go back to reference Jerosch J, Prymka M. Proprioceptive deficits of the knee joint after rupture of the medial meniscus]. Unfallchirurg. 1997;100(6):444–8.PubMedCrossRef Jerosch J, Prymka M. Proprioceptive deficits of the knee joint after rupture of the medial meniscus]. Unfallchirurg. 1997;100(6):444–8.PubMedCrossRef
26.
go back to reference Fu FH, Thompson WO. Motion of the meniscus during knee flexion. In: Mow VC, Arnoczky SP, Jackson DW, editors. Knee meniscus: basic and clinical foundations. New York: Raven; 1992. p. 75–89. Fu FH, Thompson WO. Motion of the meniscus during knee flexion. In: Mow VC, Arnoczky SP, Jackson DW, editors. Knee meniscus: basic and clinical foundations. New York: Raven; 1992. p. 75–89.
27.
go back to reference Mow VC, Ratcliffe A, Chern KY, et al. Structure and function relationships of the menisci of the knee. In: Mow VC, Arnoczky SP, Jackson DW, editors. Knee meniscus: basic and clinical foundations. New York: Raven; 1992. p. 37–57. Mow VC, Ratcliffe A, Chern KY, et al. Structure and function relationships of the menisci of the knee. In: Mow VC, Arnoczky SP, Jackson DW, editors. Knee meniscus: basic and clinical foundations. New York: Raven; 1992. p. 37–57.
28.
go back to reference • Bedi A, Kelly NH, Baad M, et al. Dynamic contact mechanics of the medial meniscus as a function of radial tear, repair, and partial meniscectomy. J Bone Joint Surg Am. 2010 Jun;92(6):1398-408. This study measured the contact pressures transmitted to the medial tibial plateau under physiological loads as a function of the percentage of the meniscus involved by a radial tear or repair. The authors concluded that large radial tears of the medial meniscus are not functionally equivalent to meniscectomies and that the residual meniscus continues to provide some load transmission and distribution functions across the joint.PubMedCrossRef • Bedi A, Kelly NH, Baad M, et al. Dynamic contact mechanics of the medial meniscus as a function of radial tear, repair, and partial meniscectomy. J Bone Joint Surg Am. 2010 Jun;92(6):1398-408. This study measured the contact pressures transmitted to the medial tibial plateau under physiological loads as a function of the percentage of the meniscus involved by a radial tear or repair. The authors concluded that large radial tears of the medial meniscus are not functionally equivalent to meniscectomies and that the residual meniscus continues to provide some load transmission and distribution functions across the joint.PubMedCrossRef
29.
go back to reference Vedi V, Williams A, Tennant SJ, et al. Meniscal movement: an in-vivo study using dynamic MRI. J Bone Joint Surg Br. 1999;81:37–41.PubMedCrossRef Vedi V, Williams A, Tennant SJ, et al. Meniscal movement: an in-vivo study using dynamic MRI. J Bone Joint Surg Br. 1999;81:37–41.PubMedCrossRef
30.
go back to reference Ahmed AM, Burke DL. In-vitro measurement of static pressure distribution in synovial joints–Part I: Tibial surface of the knee. J Biomech Eng. 1983;105(3):216–25.PubMedCrossRef Ahmed AM, Burke DL. In-vitro measurement of static pressure distribution in synovial joints–Part I: Tibial surface of the knee. J Biomech Eng. 1983;105(3):216–25.PubMedCrossRef
31.
go back to reference Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clinical Orthopedics and Related Research. 1975;109:184–92.CrossRef Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clinical Orthopedics and Related Research. 1975;109:184–92.CrossRef
32.
go back to reference Muller W. The Knee. New York: Springer; 1982. Muller W. The Knee. New York: Springer; 1982.
33.
go back to reference DeHaven KE. The role of the meniscus. In: Ewing JW, editor. Articular cartilage and knee joint function: basic science and arthroscopy. New York: Raven Press, Ltd.; 1990. p. 103–15. DeHaven KE. The role of the meniscus. In: Ewing JW, editor. Articular cartilage and knee joint function: basic science and arthroscopy. New York: Raven Press, Ltd.; 1990. p. 103–15.
34.
go back to reference Fithian DC, Kelly MA, Mow VC. Material properties and structure-function relationships in the menisci. Clin Orthop Relat Res. 1990;252:19–31.PubMed Fithian DC, Kelly MA, Mow VC. Material properties and structure-function relationships in the menisci. Clin Orthop Relat Res. 1990;252:19–31.PubMed
35.
go back to reference Radin EL. Factors influencing the progression of osteoarthrosis. In: Ewing JW, editor. Articular cartilage and knee joint function. New York: Raven; 1990. p. 301–9. Radin EL. Factors influencing the progression of osteoarthrosis. In: Ewing JW, editor. Articular cartilage and knee joint function. New York: Raven; 1990. p. 301–9.
36.
go back to reference Arnoczky SP, Adams ME, DeHaven KE, et al. Meniscus. P. 427. In Woo SL-Y, BuckwalterJA (eds): Injury and Repair of the Musculoskeletal Soft Tissues. American Academy of Orthopaedic Surgeons, Park Ridge, IL., 1988. Arnoczky SP, Adams ME, DeHaven KE, et al. Meniscus. P. 427. In Woo SL-Y, BuckwalterJA (eds): Injury and Repair of the Musculoskeletal Soft Tissues. American Academy of Orthopaedic Surgeons, Park Ridge, IL., 1988.
37.
go back to reference Warren RF, Marshall J. Injuries of the anterior cruciate ligament and medial collateral ligament of the knee. Clin Orthop. 1978;136:191.PubMed Warren RF, Marshall J. Injuries of the anterior cruciate ligament and medial collateral ligament of the knee. Clin Orthop. 1978;136:191.PubMed
38.
go back to reference Hough AL, Webber RJ. Pathology of the meniscs. Clin Orthop. 1990;252:32–40.PubMed Hough AL, Webber RJ. Pathology of the meniscs. Clin Orthop. 1990;252:32–40.PubMed
39.
go back to reference Mesiha M, Zurakowski D, Soriano J, et al. Pathologic characteristics of the torn human meniscus. Am J Sports Med. 2007;35:103–12.PubMedCrossRef Mesiha M, Zurakowski D, Soriano J, et al. Pathologic characteristics of the torn human meniscus. Am J Sports Med. 2007;35:103–12.PubMedCrossRef
40.
go back to reference Swenson YM, Harner CD. Knee ligament and meniscal injuries. Orthop Clin North Am. 1995;26(3):529–46.PubMed Swenson YM, Harner CD. Knee ligament and meniscal injuries. Orthop Clin North Am. 1995;26(3):529–46.PubMed
41.
go back to reference DeHaven KE. Injuries to the menisci of the knee. p.905.In Nicholas JA, Hershmann EB (eds): The Lower Extremity and Spine in Sports Medicine. CV Mosby, St.Louis 1986 DeHaven KE. Injuries to the menisci of the knee. p.905.In Nicholas JA, Hershmann EB (eds): The Lower Extremity and Spine in Sports Medicine. CV Mosby, St.Louis 1986
42.
go back to reference Sgaglione NA, Steadman JR, Shaffer B, et al. Current concepts in meniscus surgery: resection to replacement. Arthroscopy. 2003;19 suppl 1:161–88.PubMed Sgaglione NA, Steadman JR, Shaffer B, et al. Current concepts in meniscus surgery: resection to replacement. Arthroscopy. 2003;19 suppl 1:161–88.PubMed
44.
go back to reference Belzer J, Cannon W. Meniscal tears: treatment in the stable and unstable knee. Journal of the American Academy of Orthopedic Surgeons. 1993;1(1):41–7. Belzer J, Cannon W. Meniscal tears: treatment in the stable and unstable knee. Journal of the American Academy of Orthopedic Surgeons. 1993;1(1):41–7.
45.
go back to reference Gillquist J, Messner K. Long-term results of meniscal repair. Sports Medicine Arthroscopy. 1993;1:159–63.CrossRef Gillquist J, Messner K. Long-term results of meniscal repair. Sports Medicine Arthroscopy. 1993;1:159–63.CrossRef
46.
go back to reference Cannon WD, Vittori JM. The incidence of healing in an arthroscopic meniscal repairs in ACL-reconstructed knees versus stable knees. Am J Sports Med. 1992;20(2):176–81.PubMedCrossRef Cannon WD, Vittori JM. The incidence of healing in an arthroscopic meniscal repairs in ACL-reconstructed knees versus stable knees. Am J Sports Med. 1992;20(2):176–81.PubMedCrossRef
47.
go back to reference Sommerlath K, Gilquist J. Knee function after meniscus repair and total meniscectomy: A 7-year follow-up study. Arthroscopy. 1987;3(3):166–9.PubMedCrossRef Sommerlath K, Gilquist J. Knee function after meniscus repair and total meniscectomy: A 7-year follow-up study. Arthroscopy. 1987;3(3):166–9.PubMedCrossRef
48.
go back to reference Rubman MH, Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears that extend into the avascular zone. A review of 198 single and complex tears. Am J Sports Med. 1998;26:87–95.PubMed Rubman MH, Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears that extend into the avascular zone. A review of 198 single and complex tears. Am J Sports Med. 1998;26:87–95.PubMed
49.
go back to reference Morgan CD, Wojtys EM, Casscells CD, Casscells SW. Arthroscopic meniscal repair evaluated by second-look arthroscopy. Am J Sports Med. 1991;19:632–7.PubMedCrossRef Morgan CD, Wojtys EM, Casscells CD, Casscells SW. Arthroscopic meniscal repair evaluated by second-look arthroscopy. Am J Sports Med. 1991;19:632–7.PubMedCrossRef
50.
go back to reference Nicholas SJ, Rodeo SA, Ghelman B, et al. Arthroscopic meniscal repair using the outside-in technique. Read at the American Orthopaedic Society for Sports Medicine Specialty Day Meeting, Anaheim, California, 1991. Nicholas SJ, Rodeo SA, Ghelman B, et al. Arthroscopic meniscal repair using the outside-in technique. Read at the American Orthopaedic Society for Sports Medicine Specialty Day Meeting, Anaheim, California, 1991.
51.
go back to reference van Trommel MF, Simonian PT, Potter HG, Wickiewicz TL. Different healing rates with the outside-in technique for meniscal repair. Am J Sports Med. 1998;26:446–52.PubMed van Trommel MF, Simonian PT, Potter HG, Wickiewicz TL. Different healing rates with the outside-in technique for meniscal repair. Am J Sports Med. 1998;26:446–52.PubMed
52.
go back to reference Rodeo SA. Arthroscopic meniscal repair with use of the outside-in technique. Instr Course Lect. 2000;49:195–206.PubMed Rodeo SA. Arthroscopic meniscal repair with use of the outside-in technique. Instr Course Lect. 2000;49:195–206.PubMed
53.
go back to reference Arnoczky SP, Warren RF, Spivak JM. Meniscal repair using an exogenous fibrin clot. An experimental study in dogs. J Bone Joint Surg Am. 1988;70(8):1209–17.PubMed Arnoczky SP, Warren RF, Spivak JM. Meniscal repair using an exogenous fibrin clot. An experimental study in dogs. J Bone Joint Surg Am. 1988;70(8):1209–17.PubMed
54.
go back to reference Cannon WD. Meniscal healing. In Arthroscopic Meniscal Repair, pp. 7-12. Edited by W. D. Cannon. Rosemont, Illinois, AmericanAcademy of Orthopaedic Surgeons, 1999. Cannon WD. Meniscal healing. In Arthroscopic Meniscal Repair, pp. 7-12. Edited by W. D. Cannon. Rosemont, Illinois, AmericanAcademy of Orthopaedic Surgeons, 1999.
55.
go back to reference Henning CE, Lynch MA, Yearout KM, et al. Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop. 1990;252:64–72.PubMed Henning CE, Lynch MA, Yearout KM, et al. Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop. 1990;252:64–72.PubMed
56.
go back to reference Tenuta JJ, Arciero RA. Arthroscopic evaluation of meniscal repairs: factors that effect healing. Am J Sports Med. 1994;22:797–802.PubMedCrossRef Tenuta JJ, Arciero RA. Arthroscopic evaluation of meniscal repairs: factors that effect healing. Am J Sports Med. 1994;22:797–802.PubMedCrossRef
57.
go back to reference Zhang Z, Arnold JA, Williams T, et al. Repair by trephination and suturing of longitudinal injuries in the avascular area of the meniscus in goats. Am J Sports Med. 1995;23(1):35–41.PubMedCrossRef Zhang Z, Arnold JA, Williams T, et al. Repair by trephination and suturing of longitudinal injuries in the avascular area of the meniscus in goats. Am J Sports Med. 1995;23(1):35–41.PubMedCrossRef
58.
go back to reference Okuda K, Ochi M, Shu N, Uchio Y. Meniscal rasping for repair of meniscal tear in the avascular zone. Arthroscopy. 1999;15(3):281–6.PubMedCrossRef Okuda K, Ochi M, Shu N, Uchio Y. Meniscal rasping for repair of meniscal tear in the avascular zone. Arthroscopy. 1999;15(3):281–6.PubMedCrossRef
59.
go back to reference Uchio Y, Ochi M, Adachi N, et al. Results of rasping of meniscal tears with and without anterior cruciate ligament injury as evaluated by second-look arthroscopy. Arthroscopy. 2003;19(5):463–9.PubMedCrossRef Uchio Y, Ochi M, Adachi N, et al. Results of rasping of meniscal tears with and without anterior cruciate ligament injury as evaluated by second-look arthroscopy. Arthroscopy. 2003;19(5):463–9.PubMedCrossRef
60.
go back to reference Henning CE. Arthroscopic repair of meniscal tears. Orthopedics. 1983;6:1130–2. Henning CE. Arthroscopic repair of meniscal tears. Orthopedics. 1983;6:1130–2.
61.
go back to reference Scott GA, Jolly BC, Henning CE. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing. J Bone and Joint Surgery American. 1986;68(6):847–61. Scott GA, Jolly BC, Henning CE. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing. J Bone and Joint Surgery American. 1986;68(6):847–61.
62.
go back to reference Sgaglione NA, Steadman JR, Shaffer B, et al. Current concepts in meniscus surgery: resection to replacement. Arthroscopy. 2003;19 suppl 1:161–88.PubMed Sgaglione NA, Steadman JR, Shaffer B, et al. Current concepts in meniscus surgery: resection to replacement. Arthroscopy. 2003;19 suppl 1:161–88.PubMed
64.
go back to reference Morgan CD, Casscells SW. Arthroscopic meniscus repair: a safe approach to the posterior horns. Arthroscopy. 1986;2(1):3–12.PubMedCrossRef Morgan CD, Casscells SW. Arthroscopic meniscus repair: a safe approach to the posterior horns. Arthroscopy. 1986;2(1):3–12.PubMedCrossRef
65.
go back to reference Rodeo SA. Arthroscopic meniscal repair with use of the outside-in technique. Journal Bone & Joint Surgery American. 2000;82(1):127–41. Rodeo SA. Arthroscopic meniscal repair with use of the outside-in technique. Journal Bone & Joint Surgery American. 2000;82(1):127–41.
67.
go back to reference Cannon Jr WD, Morgan CD. Meniscal repair. Part II: Arthroscopic repair techniques. J Bone Joint Surg Br. 1994;76A:294–311. Cannon Jr WD, Morgan CD. Meniscal repair. Part II: Arthroscopic repair techniques. J Bone Joint Surg Br. 1994;76A:294–311.
68.
go back to reference Albrecht-Olsen P, Kristensen G, Burgaard P, et al. The arrow versus horizontal suture in arthroscopic meniscus repair. A prospective randomized study with arthroscopic evaluation. Knee Surg Sports Traumatol Arthrosc. 1999;7(5):268–73.PubMedCrossRef Albrecht-Olsen P, Kristensen G, Burgaard P, et al. The arrow versus horizontal suture in arthroscopic meniscus repair. A prospective randomized study with arthroscopic evaluation. Knee Surg Sports Traumatol Arthrosc. 1999;7(5):268–73.PubMedCrossRef
69.
go back to reference Cavanaugh JT. Rehabilitation following meniscal surgery. In: Engle RP, editor. Knee Ligament Rehabilitation. New York: Churchill Livingston; 1991. p. 59–69. Cavanaugh JT. Rehabilitation following meniscal surgery. In: Engle RP, editor. Knee Ligament Rehabilitation. New York: Churchill Livingston; 1991. p. 59–69.
70.
go back to reference Habata T, Ishimura M, Ohgushi H, et al. Axial alignment of the lower limb in patients with isolated meniscal tear. J Orthop Sci. 1998;3:85–9.PubMedCrossRef Habata T, Ishimura M, Ohgushi H, et al. Axial alignment of the lower limb in patients with isolated meniscal tear. J Orthop Sci. 1998;3:85–9.PubMedCrossRef
71.
go back to reference Zarins B, Boyce J, Harris BA. Knee rehabilation following arthroscopic meniscectomy. Clin Orthop Rel Res. 1985;198:36. Zarins B, Boyce J, Harris BA. Knee rehabilation following arthroscopic meniscectomy. Clin Orthop Rel Res. 1985;198:36.
72.
go back to reference Gray G. Successful strategies for closed chain testing and rehabilitation. Chain Research Seminar; May 1989. Gray G. Successful strategies for closed chain testing and rehabilitation. Chain Research Seminar; May 1989.
73.
go back to reference Kegerreis S. The construction and implementation of a functional progression as a functional progression as a component of athletic rehabilitation. J Orthop Sports Phys Ther 1983; 14. Kegerreis S. The construction and implementation of a functional progression as a functional progression as a component of athletic rehabilitation. J Orthop Sports Phys Ther 1983; 14.
74.
go back to reference Bates A, Hanson N. The principles and properties of water. In: Aquatic exercise therapy. Philadelphia: WB Saunders, 1996:1–320. Bates A, Hanson N. The principles and properties of water. In: Aquatic exercise therapy. Philadelphia: WB Saunders, 1996:1–320.
75.
go back to reference Harrison RA, Hilman M, Bulstrode S. Loading of the lower limb when walking partially immersed: implications for clinical practice. Physiotherapy. 1992;78:164.CrossRef Harrison RA, Hilman M, Bulstrode S. Loading of the lower limb when walking partially immersed: implications for clinical practice. Physiotherapy. 1992;78:164.CrossRef
76.
go back to reference Cavanaugh JT. Rehabilitation for non operative and operative management of knee injuries. In: Callaghan J, Simonian P, Wickiewicz T, editors. The adult knee. Lipponcott: Wilkens Publishers; 2003. p. 380–430. Cavanaugh JT. Rehabilitation for non operative and operative management of knee injuries. In: Callaghan J, Simonian P, Wickiewicz T, editors. The adult knee. Lipponcott: Wilkens Publishers; 2003. p. 380–430.
77.
78.
go back to reference Cooper DE, Arnoczky SP, Warren RF. Meniscal repair. Clin Sports Med. 1991;10(3):529–48.PubMed Cooper DE, Arnoczky SP, Warren RF. Meniscal repair. Clin Sports Med. 1991;10(3):529–48.PubMed
79.
go back to reference DeHaven KE, Lohrer WA, Lovelock JE. Long term results of open meniscal repair. Am J Sports Med. 1995;23:524–30.PubMedCrossRef DeHaven KE, Lohrer WA, Lovelock JE. Long term results of open meniscal repair. Am J Sports Med. 1995;23:524–30.PubMedCrossRef
81.
go back to reference Kocabey Y, Nyland J, Isabell WM, Caborn DN. Patient outcomes following T-Fix meniscal repair and a modifiable, progressive rehabilitation program, a retrospective study. Arch Orthop Trauma Surg. 2004;124:592–6.PubMedCrossRef Kocabey Y, Nyland J, Isabell WM, Caborn DN. Patient outcomes following T-Fix meniscal repair and a modifiable, progressive rehabilitation program, a retrospective study. Arch Orthop Trauma Surg. 2004;124:592–6.PubMedCrossRef
82.
go back to reference Bryant D, Dill J, Litchfield R, et al. Effectiveness of bioabsorbable arrows compared with inside –out suturing for vertical, repairable meniscal lesions. American Orthopedic Society for Sports Medicine. 2007;35(7):889–96. Bryant D, Dill J, Litchfield R, et al. Effectiveness of bioabsorbable arrows compared with inside –out suturing for vertical, repairable meniscal lesions. American Orthopedic Society for Sports Medicine. 2007;35(7):889–96.
83.
go back to reference O’Shea JJ, Shelbourne KD. Repair of locked bucket-handle meniscal tears in knees with chronic anterior cruciate ligament deficiency. AJSM. 2003;31(2):216–20. O’Shea JJ, Shelbourne KD. Repair of locked bucket-handle meniscal tears in knees with chronic anterior cruciate ligament deficiency. AJSM. 2003;31(2):216–20.
84.
go back to reference Noyes FR, Barber-Westin SD. Arthroscopic Repair of meniscus Tears Extending Into the Avascular Zone With or Without Anterior Cruciate Ligament Reconstruction in Patients 40 years of age and Older. Arthroscopy. The Journal of Arthrocopic and Related Surgery. 2000;16(8):822–9.CrossRef Noyes FR, Barber-Westin SD. Arthroscopic Repair of meniscus Tears Extending Into the Avascular Zone With or Without Anterior Cruciate Ligament Reconstruction in Patients 40 years of age and Older. Arthroscopy. The Journal of Arthrocopic and Related Surgery. 2000;16(8):822–9.CrossRef
85.
go back to reference Richards DP, Barber FA, Herbert MA. Compressive loads in longitudinal lateral meniscus tears: a biomechanical study in porcine knees. Arthroscopy. 2005;21:1452–6.PubMedCrossRef Richards DP, Barber FA, Herbert MA. Compressive loads in longitudinal lateral meniscus tears: a biomechanical study in porcine knees. Arthroscopy. 2005;21:1452–6.PubMedCrossRef
86.
go back to reference Becker R, Wirz D, Wolf C, et al. Measurement of meniscofemoral contact pressure after repair of bucket-handle tears with biodegradable implants. Arch Orthop Trauma Surg. 2005;125:254–60.PubMedCrossRef Becker R, Wirz D, Wolf C, et al. Measurement of meniscofemoral contact pressure after repair of bucket-handle tears with biodegradable implants. Arch Orthop Trauma Surg. 2005;125:254–60.PubMedCrossRef
87.
go back to reference Gao J, Wei X, Messner K. Healing of the anterior attachment of the rabbit meniscus to bone. Clin Orthop Relat Res. 1998;348:246–58.PubMedCrossRef Gao J, Wei X, Messner K. Healing of the anterior attachment of the rabbit meniscus to bone. Clin Orthop Relat Res. 1998;348:246–58.PubMedCrossRef
88.
go back to reference Johal P, Williams A, Wragg P, et al. Tibiofemoral movement in the living knee. A study of weight bearing and non-weight bearing knee kinematics using “interventional” MRI. J Biomech. 2005;38:269–76.PubMedCrossRef Johal P, Williams A, Wragg P, et al. Tibiofemoral movement in the living knee. A study of weight bearing and non-weight bearing knee kinematics using “interventional” MRI. J Biomech. 2005;38:269–76.PubMedCrossRef
89.
go back to reference Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clinical Orthopedics and Related Research. 1975;109:184–92.CrossRef Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clinical Orthopedics and Related Research. 1975;109:184–92.CrossRef
90.
go back to reference Thompson WO, Thaete FL, Fu FH, Dye SF. Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images. Am J Sports Med. 1991;19(3):210–5.PubMedCrossRef Thompson WO, Thaete FL, Fu FH, Dye SF. Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images. Am J Sports Med. 1991;19(3):210–5.PubMedCrossRef
91.
go back to reference Tienen TG, Buma P, Scholten JGF, et al. Displacement of the medial meniscus within the passive motion characteristics of the human knee joint: An RSA study in human cadaver knees. Knee Surg Sports Traumatol Arthrosc. 2005;13:287–92.PubMedCrossRef Tienen TG, Buma P, Scholten JGF, et al. Displacement of the medial meniscus within the passive motion characteristics of the human knee joint: An RSA study in human cadaver knees. Knee Surg Sports Traumatol Arthrosc. 2005;13:287–92.PubMedCrossRef
92.
go back to reference Johal P, Williams A, Wragg P, et al. Tibiofemoral movement in the living knee. A study of weight bearing and non-weight bearing knee kinematics using “interventional” MRI. J Biomech. 2005;38:269–76.PubMedCrossRef Johal P, Williams A, Wragg P, et al. Tibiofemoral movement in the living knee. A study of weight bearing and non-weight bearing knee kinematics using “interventional” MRI. J Biomech. 2005;38:269–76.PubMedCrossRef
93.
go back to reference Kawai Y, Fukubayashi T, Nishino J. Meniscal suture an experimental study in the dog. Clin Orthop. 1989;243:286–93.PubMed Kawai Y, Fukubayashi T, Nishino J. Meniscal suture an experimental study in the dog. Clin Orthop. 1989;243:286–93.PubMed
94.
go back to reference Fritz JM, Irrgang JJ, Harner CD. Rehabilitation following allograft meniscal transplantation: a review of the literature and case study. Journal of Orthopedic Sports Physical Therapy. 1996;24(2):98–106. Fritz JM, Irrgang JJ, Harner CD. Rehabilitation following allograft meniscal transplantation: a review of the literature and case study. Journal of Orthopedic Sports Physical Therapy. 1996;24(2):98–106.
95.
go back to reference Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965;47:669–77.PubMed Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965;47:669–77.PubMed
96.
go back to reference Johansson H, Sjolander P, Soojka P. Activity in receptor afferents from the anterior cruciate ligament evokes reflex effects on fusimotor neurones. Neurosci Res. 1990;8:54–9.PubMedCrossRef Johansson H, Sjolander P, Soojka P. Activity in receptor afferents from the anterior cruciate ligament evokes reflex effects on fusimotor neurones. Neurosci Res. 1990;8:54–9.PubMedCrossRef
97.
go back to reference Cavanaugh JT, Gately CT. Meniscal Repair and Transplantation. In Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician Cioppa-Mosca J, Cahill JB, Cavanaugh JT, et al (eds) Elsevier Publishers pp. 453-468, 2006 Cavanaugh JT, Gately CT. Meniscal Repair and Transplantation. In Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician Cioppa-Mosca J, Cahill JB, Cavanaugh JT, et al (eds) Elsevier Publishers pp. 453-468, 2006
98.
go back to reference Cavanaugh JT, Stump TJ. Forward step down test. J Orthop Sports Phys Ther. 2000;30(1):A-46. Cavanaugh JT, Stump TJ. Forward step down test. J Orthop Sports Phys Ther. 2000;30(1):A-46.
99.
go back to reference Daniel DM, Malcolm L, Stone ML, et al. Quantification of knee stability and function. Contemp Orthop. 1982;5:83–91. Daniel DM, Malcolm L, Stone ML, et al. Quantification of knee stability and function. Contemp Orthop. 1982;5:83–91.
100.
go back to reference Barber SD, Noyes FR, Mangine RE, et al. Quantitative assessment of functional limitations in normal and anterior cruciate ligament deficient knees. Clin Orthop. 1990;255:204–14.PubMed Barber SD, Noyes FR, Mangine RE, et al. Quantitative assessment of functional limitations in normal and anterior cruciate ligament deficient knees. Clin Orthop. 1990;255:204–14.PubMed
Metadata
Title
Rehabilitation following meniscal repair
Authors
John T. Cavanaugh
Sarah E. Killian
Publication date
01-03-2012
Publisher
Current Science Inc.
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2012
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-011-9110-y

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