meniscal repair (Full Version)

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Justin -> meniscal repair (March 31, 2008 10:54:47 PM)

What type of weightbearing protocols are most people using following meniscal repair - our orthos are 4-6 weeks NWB (with the usual ROM restrictions / progression) then precaution of no loaded pivoting for at least several more months.  As I know there are certainly more aggressive WB protocols (i.e. Wilk), wondering what the consensus is and what literature is out there to guide this..........
Thanks



Justin -> RE: meniscal repair (April 10, 2008 10:09:40 PM)

No one with any experiences or protocols from local Doc's?



jlharris -> RE: meniscal repair (April 10, 2008 10:13:02 PM)

NWB x 4 wks with slow progression of flexion ROM.



Kaden -> RE: meniscal repair (April 11, 2008 1:20:37 AM)

Are there really that many meniscus repairs being done out there.  I see many menisectomies but it has been years since I have seen a repair.  As a PT, if I were given the choice, I would choose the former.  Much quicker recovery, and one can preach to me about the function of the meniscus all day, I will take the significantly quicker recovery.  I don't see major differences in the long run between the two procedures.



Justin -> RE: meniscal repair (April 11, 2008 8:57:49 AM)

Kaden -
I've seen two in the last several months, and my question has some personal bias as well, as I need to to go in to have menisectomy / repair (and with question of ACL recon. as well) myself soon (putting it off as long as I can as I don't want to miss the golfing season here).  I was told ~50/50 repair vs menisectomy, and with our ortho's protocol there really would be no golf for 4-5 months.
I would agree about outcomes, haven't seen any research that indicates a huge difference, and it seems the failure rate for repairs is awfully high (I think the reason for our ortho's, who is VERY good, protocol).
Responses appreciated, input welcome.......



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