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Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date?

机译:弯月球手术后的早期功能康复:目前使用矫形康复标准最新吗?

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Meniscus therapy is a challenging process. Besides the respective surgical procedure such as partial meniscectomy, meniscus repair, or meniscus replacement, early postoperative rehabilitation is important for meniscus regeneration and return to sport and work as well as long-term outcome. Various recommendations are available. However, the current literature lacks information concerning the actual early rehabilitation in daily routine recommended by orthopedic surgeons. Thus, the purpose of this study was to investigate currently used standard early rehabilitation protocols in the daily routine of orthopedic surgeons. This study investigated the recommendations and concepts for early rehabilitation after meniscus therapy given by German, Austrian, and Swiss orthopedic institutions. Standardized criteria such as weight bearing, range of motion, use of an orthosis, and rehabilitation training were analyzed according to the conducted surgical procedure: partial meniscectomy, meniscus repair, or meniscus replacement. The analysis of standard rehabilitation concepts for partial meniscectomy (n=15), meniscus repair (n=54), and meniscus replacement (n=7) showed significantly earlier functional rehabilitation in all criteria after partial meniscectomy in contrast to meniscus repair techniques (p0.001). In addition, significant restrictions were found in full weight bearing, full range of motion, and the use of braces. In summary, a wide range of recommendations for weight bearing, ROM, brace therapy, and mobilization is available, particularly after meniscus repair and meniscus replacement. Most concepts are in accordance with those described in the current literature. Further research is necessary to enhance the scientific evidence on currently used early rehabilitation concepts after meniscus therapy.
机译:半月板治疗是一个具有挑战性的过程。除了各自的外科手术手术,如部分末期切除术,弯月面修复或弯月面置换,术后早期康复对于弯月面再生来说是重要的,并返回体育和工作以及长期结果。有各种建议。然而,目前的文献缺乏关于矫形外科医生推荐的日常生活中实际早期康复的信息。因此,本研究的目的是在骨科外科医生的日常常规中调查目前使用的标准早期康复方案。本研究调查了德国,奥地利和瑞士骨科机构给出的弯月球治疗后提前康复的建议和概念。根据所进行的手术程序分析了标准化标准,如重量轴承,运动范围,矫形器和矫正训练以及康复培训:部分裂缝切除术,弯月面修复或弯月面置换。分析部分末端切除术(n = 15),弯月面修复(n = 54)和弯月面置换(n = 7)在部分裂纹切除术后的所有标准中显示出明显较早的功能康复,与弯月面修复技术相比(p <0.001)。此外,在全重轴承,全方位的运动和牙箍的使用中发现了重大限制。总之,提供了各种重写,ROM,支架疗法和动员的建议,特别是在弯月面修复和弯月面置换之后。大多数概念符合当前文献中描述的那些。进一步的研究是加强对弯月球治疗后目前使用早期康复概念的科学证据。

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