Rehabilitation and Return to Play Following Meniscus Repair

Background: Meniscus repair is a common surgical procedure aimed at restoring the integrity of the meniscus, a vital structure in the knee that provides stability and shock absorption. Rehabilitation after meniscus repair is crucial for optimal recovery and a return to pre-injury activity levels. The complexity of rehabilitation protocols is influenced by factors such as the type and location of the tear, the surgical technique used, and the health status of each patient. This study examines current practices in rehabilitation and strategies for safely returning athletes to play after meniscus repair. Methods: This study combines findings from various studies and clinical guidelines between ۲۰۰۷ and ۲۰۲۱ regarding post-operative rehabilitation following meniscus repair. It emphasizes the importance of individualized rehabilitation protocols that consider the specific characteristics of each meniscus tear, including vascularity and location. This review categorizes rehabilitation into stages and describes specific exercises and milestones for each stage, highlighting the role of physical therapy in restoring range of motion (ROM), strength, and functional capacity while minimizing complications such as reinjury or joint stiffness. Results: The findings indicate that rehabilitation protocols typically progress through several stages over a ۱۲ to ۲۴-week period following surgery. In the early stage (weeks ۱-۲), the focus is on controlling pain and swelling while beginning gentle passive ROM exercises. As recovery progresses in weeks ۳-۶, active ROM exercises alongside strengthening activities targeting the quadriceps and hamstring muscles are introduced. In weeks ۶ to ۱۲, patients engage in more advanced strengthening exercises, balance training, and functional movements. This review shows that early weight-bearing activities, especially for tears located in areas with good vascularity, are beneficial as they promote recovery without jeopardizing the surgical repair. Additionally, successful outcomes are linked to adherence to rehabilitation protocols tailored to individual recovery rates, with many patients returning to sports within ۴ to ۶ months post-surgery. Conclusion: Effective rehabilitation after meniscus repair is vital for restoring knee function and facilitating a safe return to sports. A structured, phase-based approach allows for gradual progression through ROM, strengthening exercises, and functional activities while minimizing the risks associated with premature loading or inadequate recovery. Ongoing research into optimal rehabilitation strategies enhances recovery outcomes for patients undergoing meniscus repair and ultimately improves their quality of life and athletic performance. Keywords: Meniscal Repair, Rehabilitation, Knee Injuries, Strength Training, Postoperative Care.

کلیدواژه ها:

Meniscal Repair ، Rehabilitation ، Knee Injuries ، Strength Training ، Postoperative Care