Knee: Treatment 3 Flashcards by Suzanne Maggioni | Brainscape

Q

Meniscal injury:

treatment options

A

conservative care
partial or full meniscectomy
debridement
repair
transplant

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Q

Meniscal injury: conservative tx

best for

A

small tear

- localized to outer ⅓ (red zone)

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Q

Meniscal injury: conservative tx

focus on

A

control of swelling
restore PROM
quad activation

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Q

Meniscal injury: conservative tx

avoid these during healing

A

squatting
pivoting
cutting
running

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Q

Meniscal injury: surgical tx

When would this be the preferred option

A

when locking or giving way are present

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Q

Meniscal injury: surgical tx

If injury in outer ⅓…

A

repair

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Q

Meniscal injury: surgical tx

if inner ⅔…

A

removed

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Q

Meniscal injury: surgical tx

Ideal to preserve…

A

as much meniscal tissue as possible

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Q

Meniscectomy: precautions

A

none

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Q

Meniscectomy: rehab

recovery time

A

2-6 weeks

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Q

Meniscectomy: rehab

focus

A

controll swelling
ROM
quad activation

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Q

Meniscectomy:

occasionally, will use knee immobilizer for a short time to…

A

dec WB stress

- limit swelling

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Q

Meniscal repair: rehab

monitor

A

swelling
pain
gait
knee flex/ext ROM
patellar mobility
strength
flexibility
motor control

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Q

Meniscal repair: rehab

WB

A

limited at first and progressed over approximately 8 weeks

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Q

Meniscal repair: rehab

WB typically begins (position)

A

in extension with brace donned

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Q

Meniscal repair: rehab

avoid flexion past __˚ initially

A

45˚

Q

Meniscal repair: rehab

Avoid flex past 45˚ for __weeks

A

4 weeks – progress over next 4 weeks

Q

Meniscal repair: rehab

need to perform this

A

OKC knee extension

Q

Meniscal repair: rehab

Avoid cutting/pivoting for how long?

A

4-9 mos depending on tear type

Q

Meniscal transplant:

indications

A

prior meniscectomy and pain in the area
< 40 yo (or < 50 if active)
minimal OA
not currently TKA candidate

Q

Meniscal transplant: for best outcomes, need (radiographs)

A

2 mm joint space visible on 45˚ WB films

Q

Meniscal transplant:

contraindicated

A

varus or valgus axial malalignments
advanced OA
instability
arthrofibrosis
obesity (BMI > 30)

Q

Meniscal transplant: rehab

PWB how long?

A

4-8 weeks

Q

Meniscal transplant: PROM progression

0-2 weeks

A

PROM 0-90˚

Q

Meniscal transplant: PROM progression

3-4 weeks

A

120˚

Q

Meniscal transplant: PROM progression

5-6 weeks

A

135˚

Q

Meniscal transplant: CKC exercises begin when?

A

week 3-4

Q

Meniscal transplant: OKC exercises begin when

A

week 5-6

Q

Meniscal transplant: running delayed by how long

A

x 1 year

Q

Meniscal transplant: exercises in first 2 weeks

A

QS
SLR
AAROM ext from 90-0˚