Resection of the meniscus. Removal of the meniscus of the knee joint consequences Resection of the meniscus of the knee joint recovery after surgery

The meniscus is a layer of cartilage in the knee joint that acts as a shock absorber. It is the meniscus that protects the joint from destruction. Quite often, during a fall or severe physical exertion, the meniscus ruptures or is damaged. Symptoms of a meniscus injury are:

  • the occurrence of sharp pain in the knee;
  • swelling of the knee joint;
  • sometimes there may be an accumulation of blood or synovial fluid in the joint;
  • movements in the knee are severely limited.

If you suspect such an injury, you should contact a traumatologist as soon as possible. To determine the extent of damage, magnetic resonance imaging or less accurate radiography is used. For minor injuries, conservative treatment is carried out; serious injuries, which occur much more often, require surgical treatment.

During the operation, complete or partial removal of the meniscus is performed. Recovery after surgery is serious and quite long; rehabilitation after meniscus resection is very important condition full recovery.

Since the joint is immobilized after the operation, after removing the immobilization bandage it is necessary to restore the usual gait and return the patient to the ability to run and play his favorite sports.

The rehabilitation program after resection of the meniscus includes massage, physiotherapeutic procedures, and exercise therapy. The choice of a set of measures is individual and depends on the complexity surgical intervention. Rupture, removal and installation of meniscus implants require different time frames and sets of rehabilitation measures.

A physiotherapeutic complex after surgery allows in the first stages to eliminate swelling and speed up healing; subsequent measures are usually aimed at improving the mobility of the knee joint and preventing possible complications.

The first physiotherapeutic procedures are prescribed when the joint is still immobilized. They stimulate tissue regeneration and improve blood circulation in the joint, reducing inflammation. After removing the cast, the prescribed physiotherapy procedures restore muscle tone and increase the effectiveness of massage and physical therapy.

Massage normalizes blood flow, relieves frequent, such injuries, muscle spasm, correct manual intervention significantly improves the condition of the joint, increases the range of motion, and helps reduce pain and swelling.

Since knee joint injuries are often fraught with complications, rehabilitation must be carried out under the guidance of good specialist strictly following his recommendations. The rehabilitation period takes about 2 months and depends on the individual characteristics of the person’s body and his age. Of course, a young body recovers much faster and without serious consequences for the patient.

Loads must be strictly dosed; decreasing the load, as well as increasing it, without consulting your doctor can lead to unpredictable and unpleasant results. Rehabilitation after arthroscopic resection of the meniscus is possible as early as 2-3 days after surgery. Since the intervention is low-traumatic and is performed through several punctures, the recovery period after it is much easier and takes much less time.

Important: arthroscopic resection is contraindicated if acute inflammation knee joint.

For rehabilitation, exercise in the pool is excellent; a treadmill and exercise bike are often used.

Is it possible to study independently or is it better to do it under supervision?

A person’s knee joints experience serious stress almost constantly, which is why after injuries, the likelihood of developing degenerative diseases increases significantly. To prevent this from happening, it is better to carry out rehabilitation under the supervision of professionals.

A knowledgeable massage therapist will perform the necessary manipulations much better than the patient himself or one of his relatives who do not have the appropriate education. The benefits from such a procedure will also be significantly greater. The same can be said about the physical therapy complex. The doctor knows how to properly carry out exercises and dose loads.

However, if there is no opportunity to attract a specialist, do not despair. Explain the situation to your doctor and ask him to tell you how to properly massage and what exercises to perform during the rehabilitation period after resection of the meniscus of the knee joint. You can attend a couple of massage sessions to remember what actions the doctor performs and in what sequence.

Restorative measures must be systematic and performed 2-3 times a day. To reduce pain, you can use various pain-relieving ointments. Classes in warm water, 36-40° C, improve blood flow, increase efficiency, however, it should be remembered that too hot water It's better not to use it. Statements about the benefits of a bath or sauna during the recovery period are controversial. Walking backwards on a treadmill helps to develop the joint perfectly.

Important: the exercises may be a little painful at first. It is necessary to continue them, avoiding too heavy loads.

Over time, the pain will certainly decrease, gait will be restored, and all the consequences of the injury will disappear.

Set of exercises

If possible, exercises can be performed in the pool. Water can not only reduce pain, exercise done in water is more effective for damaged joints.

Swimming and exercise on an exercise bike go well with a complex of physical therapy.

Exercise No. 1

Performed while sitting on a chair. The sore leg slowly rises, while unbending.

Exercise No. 2

Leaning against a wall bars, the back of a chair or a window sill, you need to slowly roll from heel to toe and from toe to heel.

Exercise No. 3

Lying on your back, perform rotational movements with your legs, usually this exercise is called a “bicycle.”

Exercise No. 4

Sitting on the floor, straighten the sore leg and slowly, carefully tilt the body towards it.

Exercise No. 5

Squat while holding onto a support. The exercise begins with shallow squats. Gradually switch to regular squats.

Exercises are performed at a comfortable pace; from 7-10 repetitions gradually reach 15-20. The complex is performed 2-3 times a day. During exercise, you can use a rubber band or jump rope. The practice room should be warm; damaged joints are very sensitive to cold. Getting rid of excess weight significantly reduces the load on the joint.

Conclusion

Rehabilitation after arthroscopy and meniscus resection is mandatory. In order to never remember the injury in the future, you should carefully follow the doctor’s recommendations.

Systematic walks and swimming will help you recover much faster. You should not force things too much, since excess stress on a weakened joint can lead to gonarthrosis. At the same time, the lack of load and the desire to “save” the sore leg lead to similar consequences.

If recovery after an injury was successful, and after some time the pain and stiffness of the joint unexpectedly returned, immediately consult a doctor.

Reviewer: Alexandra Larina

For meniscal injuries, various treatments are prescribed, which depend on the stage of development of the disease. At severe injuries, or due to the lack of results of traditional treatment, removal of the meniscus of the knee joint is prescribed, and the presence of consequences after surgery depends on the rehabilitation period.

Purpose of the meniscus

To deal with possible consequences torn meniscus of the knee joint, you need to know about the purpose of this inner part of the knee.

The meniscus is a cartilage plate that performs special functions:

  1. distributes the load on the articular area, increasing its supporting surface;
  2. more elastic cartilage tissue, in relation to other cartilages, serves as a shock absorber for the limb during various movements;
  3. if damage to the cruciate ligaments in the knee occurs, then thanks to the meniscus, displacement of the large femur.

Each knee is equipped with two menisci (internal and external). The outer (lateral) meniscus is fixed more freely in relation to the articular parts, and therefore is rarely subject to injury.

Damage occurs mainly to the medial (inner) knee shock absorber, due to the rigid fixation to the tibia.

Injuries and consequences from damage

Not all meniscus injuries result in surgical procedures. Damage can occur independently, or it can be caused by certain provoking factors.

Meniscus injuries include:

  • tears of the ligaments and the menisci themselves (partially or completely);
  • separation of the shock-absorbing cartilage from the fixing area.

The most dangerous injury to the meniscus of the knee joint is considered to be its tear, and the consequences of late treatment medical assistance may be the most serious:

  1. joint tissues begin to deteriorate, which can lead to disability;
  2. at an advanced stage and unhealed damage, the knee joint goes through several stages of chondromalacia (gradual destruction of torn meniscal flaps and other tissue surfaces of the joint). Osteoarthritis begins;
  3. friction of the joint parts is created, arising from a lack of synovial fluid;
  4. the occurrence of inflammatory pathologies in the knee.

If you treat in a timely manner, the consequences of a knee joint injury can be avoided and you can get by with the traditional method of treatment ( medications together with physiotherapy).

Types of surgical treatment methods

The following methods of knee meniscus surgery are distinguished:

  • excision (incomplete);
  • reconstruction cartilage tissue stitching method;
  • resection of the damaged area and its replacement with an implant;
  • arthroscopic method.

Arthroscopy is considered the most effective method of surgical intervention, and at the same time the least traumatic.

Surgery to remove the meniscus of the knee joint can be complicated by consequences. This happens due to a sharp increase in joint load, and the subsequent course of arthrosis or arthritis of the knee joint.

Complete resection damaged meniscus rarely performed. If the meniscus is removed, the consequences may overshadow the entire effect of surgical manipulations.

When an operation is performed with sutures, a postoperative consequence such as re-rupture of the meniscus is possible.

The sooner treatment begins, the greater the opportunity to avoid surgery and further unwanted complications.

Recovery after surgery

The rehabilitation period after meniscus surgery depends on the severity of the injury, the type of surgical intervention, and will be individual for each patient.

The following complications are possible after surgical procedures:

  • inflammation may develop due to infection entering the cavity;
  • injury blood vessels(rare cases), and the occurrence of blood clots;
  • pinching of nerve fibers in the periarticular area;
  • allergic reactions after undergoing anesthesia.

The listed complications are possible, but they do not happen often.
To restore motor activity, it is necessary to adhere to medical prescriptions in the postoperative period on the meniscus of the knee joint. When the cartilage plate is removed, you need to take care of the limb for a week, avoiding stress. To move around, it is recommended to use crutches to reduce the load and because a splint is placed on the limb.

For the treatment and prevention of DISEASES OF THE JOINTS and SPINE, our readers use the method of quick and non-surgical treatment recommended by leading rheumatologists in Russia, who decided to speak out against pharmaceutical lawlessness and presented a medicine that REALLY TREATS! We have become familiar with this technique and decided to bring it to your attention.

Fulfill special gymnastics to recover from a meniscus injury, they begin as early as the second day after surgery. Specific classes are selected for each patient.

Regardless of the method of surgery on the meniscus of the knee joint, traditional treatment is necessarily prescribed in the postoperative period. To exclude postoperative pathologies, anti-inflammatory medications are prescribed, which simultaneously eliminate swelling and normalize blood flow. In the first days after the operation, painkillers are prescribed.

It is necessary to follow the following basic rules for the rehabilitation and restoration of the meniscus after a rupture and surgery:

  1. in the first week, when moving, be sure to use support (cane or crutches);
  2. Loading on the operated limb should be done gradually. To do this, perform special exercises to restore muscle tissue and joint ligaments;
  3. it is necessary to use special knee braces (orthoses). Orthopedic products protect the fragile limb from damage and support the knee in the correct position;
  4. more complex physical exercise can be started 6 or 7 weeks after surgery.

If resection of the meniscus of the knee joint is performed, recovery after surgery lasts longer compared to arthroscopy. It happens that the body does not accept the implant and rejects the foreign body. To exclude such serious complication, the patient’s well-being is monitored by a doctor. Light exercise is allowed no earlier than 6 weeks after surgery.

For professional athletes who have suffered a knee injury and subsequently undergone surgery, a special recovery technique has been developed. Rehabilitation measures are aimed at developing separate groups muscles. Specially designed exercises are used for this purpose.

Recovery after arthroscopy

The operation using arthroscopy is a modern and gentle method of partial resection of the meniscus. The essence of the manipulation lies in the following surgical points:

  1. several incisions are made in the articular cavity through which the optical device is inserted;
  2. with the help of an inserted probe, the torn part of the cartilage is removed;
  3. the edges of the pointed fabric are carefully sewn up;
  4. on last stage surgery, the remaining elements of the meniscus are fixed to the joint capsule.

The gentle technique allows you to eliminate postoperative complications and, with further adherence to the recovery period, return to your previous lifestyle.

During the recovery time after arthroscopy, you must adhere to the following rules:

  • Complete restoration of the knee joint is possible after 3 months or a year. The recovery period is calculated according to the individual characteristics of the body and the severity of the injury;
  • starting from the second day after arthroscopy, you need to perform special exercises. Walk with crutches for at least 3 weeks, and then for the same amount of time with a special brace (orthosis);
  • Any full-fledged physical activity or sports activities are allowed after six months from the date of surgery. If the patient was involved in a team sport before the injury, then training is allowed no earlier than after 9 months.

During the entire rehabilitation period, it is necessary to follow medical prescriptions. Usually massage sessions, physiotherapy courses, and special physical education are prescribed. To restore joint tissue, a course of medications is prescribed.

Rehabilitation after suturing a torn meniscus

In the first postoperative days, any movement is carried out only with crutches. Small, partial loads are allowed after a month.

Normal, everyday exercise is allowed at week 5.

If a doctor’s permission has been received, then you can start training after 2 months, once the recovery measures are completed. Extended, long-term training is allowed after six months from the date of surgery.

Injury prevention

Anyone can get injured in the knee. But, if you exercise basic caution and follow preventive measures, you can avoid injury.

If you engage in professional sports, you must definitely use special fixing knee pads that protect the knee from impact and prevent injuries when falling.

Moderate physical activity is required. Among sports activities, it is better to give preference to such as cycling, race walking, jogging. With such sports activities, the knee joint will be strengthened, and the likelihood of injury will be minimal.

With increased physical activity, there is always a possibility of damage to the knee joint.

How to forget about joint pain forever?

Have you ever experienced unbearable joint pain or constant back pain? Judging by the fact that you are reading this article, you are already familiar with them personally. And, of course, you know firsthand what it is:

  • constant aching and sharp pain;
  • inability to move comfortably and easily;
  • constant tension in the back muscles;
  • unpleasant crunching and clicking in the joints;
  • sharp shooting in the spine or causeless pain in the joints;
  • inability to sit in one position for a long time.

Now answer the question: are you satisfied with this? Can such pain be tolerated? How much money have you already spent on ineffective treatment? That's right - it's time to end this! Do you agree? That is why we decided to publish, which reveals the secrets of getting rid of pain in the joints and back.

Article publication date: 11/08/2013

Article updated date: 12/02/2018

The cartilaginous layer in the knee joint, located between the surfaces of the femur and tibia, is called. It functions as a shock absorber and stabilizer, but under certain types of load, especially during sports, it may rupture. This injury is one of the most common and accounts for about 75% of all closed damage knee joint.

Restoring the meniscus after a tear is possible using stitching with a special thread. If this cannot be done, then it is removed. In some cases, synthetic prostheses are implanted, which take on the functions of the meniscus.

Rehabilitation after surgery consists of physical therapy and physical therapy, the length of this recovery period depends on the nature of the injury.

Rehabilitation set of exercises

If resection of the meniscus (its complete or partial removal) was performed arthroscopically*, then the restoration complex can begin 1-7 days after the operation.

* That is, using special video equipment through two punctures on the sides of the knee joint.

If the injury caused damage to the ligaments or removal of the meniscus was performed open method, then physical therapy will have to be postponed, because at first the knee needs rest. The same situation is observed in the case of suturing the edges of the meniscus, which need to heal before putting weight on the knee again. This period can take up to 5-7 weeks after surgery, depending on individual characteristics.

Early recovery

The main goals of early rehabilitation after surgery include:

  • normalization of blood circulation in the damaged joint and elimination of inflammation;
  • strengthening the thigh muscles to stabilize the knee;
  • prevention (limitation of range of motion).

Physical therapy should be carried out in different body positions:

  • sitting, passively extending the operated leg, placing a cushion under the heel;
  • standing on a healthy limb;
  • lying down, tensing your thigh muscles for 5-10 seconds.

All these exercises can be performed only with the permission of the attending physician in the absence of effusion (inflammatory fluid) and blood in the joint after surgery.

Late recovery

The objectives of late rehabilitation are:

  • elimination of contracture if it forms;
  • normalization of gait and restoration of joint function;
  • strengthening the muscles that stabilize the knee.

For this, the most effective classes are in gym and in the pool. Cycling and walking are very beneficial. Do not forget that the first few weeks after meniscus resection, it is not advisable to squat and run.

Examples of exercises

    Squats with a ball. Starting position: standing, slightly leaning back, the ball is located between the lower back and the wall. Perform squats to an angle of 90 degrees. It is not worth going deeper, as the load on the knee joint increases significantly.

    Walking backwards. It is advisable to perform this exercise on a treadmill while holding the handrails. The speed should not be higher than 1.5 km/h. It is necessary to strive for full straightening of the leg.

    Exercises on the step (a small platform used for aerobics). After the operation, first use a low step of about 10 cm, gradually increasing the height. When performing descents and ascents, it is important to ensure that the shin does not deviate to the right or left. It is advisable to control this visually - in the mirror.

    An exercise using a 2-meter long rubber band, which is fixed to a stationary object on one side and to a healthy leg on the other. By swinging to the side, you train the muscles of both limbs.

    Jump on your leg first over the line, then over the bench. This trains coordination and muscle strength.

    Balance training is carried out using a special oscillating platform. The main task is to maintain balance.

    When performing exercises on an exercise bike, you must ensure that your leg is straight at the lowest point.

    Jumps can be on a flat surface or on a steppe. For greater efficiency, you need to jump straight and sideways.

    Running with side steps and walking in water can be done after the wound has completely healed.

Step platform

Physiotherapy

Physiotherapy in postoperative period is aimed at improving blood circulation and metabolism in the knee joint, as well as accelerating regeneration processes. Massage, laser therapy, magnetic therapy and electrical muscle stimulation are effective for these purposes.

Massage should be performed when there is swelling and limited mobility of the knee. For greater effectiveness, it is advisable to teach the patient self-massage, which he will perform several times a day. It is not recommended to massage the joint itself in the early postoperative period. To perform other physical procedures, you will need to visit the clinic.

Surgical repair of meniscus

The meniscus plays an important role in the normal functioning of the knee joint, so during the operation it is not completely removed, but rather an attempt is made to preserve the maximum amount of intact tissue. There are two main methods for meniscus repair after injury. surgically:

  • Applying a suture, which is performed in cases of linear rupture, if no more than a week has passed from the moment of damage. It makes sense to apply it only in an area of ​​good blood supply. Otherwise, the tissue will never heal and after some time it will rupture again.
  • Replacement of the meniscus with the help of special polymer plates is used quite rarely, usually with extensive destruction and removal of most of the cartilage tissue. In addition, there is the possibility of transplanting fresh frozen donor tissue.

In conclusion, it is worth recalling that if you have suffered a knee injury, you need to contact an experienced traumatologist. The doctor will determine the nature of the damage and conduct necessary treatment. Performing simple exercises for rehabilitation and restoration of meniscus function after surgery will very soon allow you to forget about the unpleasant incident and return to your previous active life.

Owner and responsible for the site and content: Afinogenov Alexey.

Your comments and questions for the doctor:

    tatjana | 12.12.2018 at 13:28

    Diagnosis of grade 1 osteochondrosis of the left knee joint; complex rupture of the posterior horn of the medial meniscus; synovitis of suprapatelar bursitis. Is surgery necessary?

    Elena | 11/30/2018 at 11:38 pm

    Hello! A 14-year-old daughter has an old injury to the menisci of the knee joint. MRI shows damage to the internal meniscus, grade 2 according to Stoller. Moderate synovitis. She has been walking with an orthosis for 2 weeks now; she was prescribed UHF, then elphoresis with hydrocortesone ointment. Treatment is not effective. There is no pain in the morning, but in the evening my knees ache. Tell me, when to start physical therapy, otherwise he’s limping a lot? Or still peace? Thanks in advance for your answer.

    Anastasia | 11/10/2018 at 07:26 pm

    Hello, doctor.
    I play sports, recently I sat down and something crunched in my knee, I went for an MRI, it turned out that the vertical and horizontal meniscus were completely torn, all together. Before this I complained about my knee, but it went away with time. The surgery is scheduled for December 25th. How long will it take to recover after meniscus removal? I’ve read a lot on the Internet and I’m already afraid because the consequences could be bad. Why is this operation harmful?

    Tatiana | 07.11.2018 at 17:16

    Good evening. The other day I had an MRI of my left knee joint. This is the conclusion they presented to me. Left-sided gonatrosis 1-2 degrees. Consequences of damage to the posterior horn of the internal meniscus. Degenerative changes in the meniscus. Exudative synovitis. Some experts recommend surgery, others do not advise doing it. I am 67 years old. What is your opinion on this matter? I am very afraid of operations, since I have never had one.

    Alexander | 09.09.2018 at 15:58

    Hello! Can you recommend a course of treatment or surgery. Conclusion MRI of the right knee joint: combined rupture of the lateral meniscus with the presence of a parameniscal cyst in the area of ​​the anterior horn. Dystrophic changes posterior horn of the radial meniscus art. Osteoarthritis of the right knee joint, grade 1. Thank you

    Natalia | 08/21/2018 at 07:31

    Hello! In February 2014 there was an injury: I fell on both knees in ice, the pictures showed severe bruise. In the summer it hurt, and by November my knees hurt badly, and it was difficult and painful to walk. In January 15, arthroscopy and resection of the internal menisci of both knee joints (epidural anesthesia) were performed for a fee. After surgery: paraffin therapy, physiotherapy, exercise therapy.
    During these 3 years, my knees periodically hurt and swell. Today the doctor said that judging by the nature and location of the pain, the destroyed pieces of the meniscus were not cleaned up during the operation (in June there was a business trip, I had to walk all day, since then for 2 months (from mid-June to the present) my knees have been swelling without load (sedentary work , I don’t walk much) Concerns: swelling of both knees, sharp pain on the left inside of my right knee, when I get up or just walk, and it starts to hurt, I immediately limp. Or a sharp pain on the left inside the left knee). Today they prescribed anti-inflammatory drugs, chondroprotectors, RG, a second consultation with pictures, later, if necessary, an MRI, and the doctor said that it might be necessary to operate on the knees again (I did it for a fee from the head of the department, they recommended how the best doctor in our city, the operation was not cheap: 56,000+ MRIs of both knees in 2015).
    Tell me, could it be that the surgeon didn’t clean it up and would really have to operate again? And is there a guarantee after paid operations so that you can have a second operation without paying?
    Since June of this year, treatment was carried out in the clinic at the place of residence: Almag2 10 physiotherapy procedures, Artroxan 2 injections in each knee (there was no burning or discomfort at all, the knees were very cold after the injection), injections: Flamadex 2 ml every other day, Calmirex 1, 0 IM 10 days, applications on the knee with drugs in parts: Dimexide 1 part, novocaine 2% 0.5 hours, hydrocartisone 0.5 s. boiled water 4 s.). The attending physician did not order any pictures or ultrasound, and fluid from the knee was not taken for analysis. After all this, the local orthopedist said that he did not know how to treat me, and I asked for a referral to diagnostic center, where I was today.
    Sorry for the many letters. Thanks in advance for your answer!

    Vasilina | 08/17/2018 at 19:11

    Hello! I have an old knee injury. The MRI result is a horizontal dissecting tear of the posterior horn of the medial meniscus. The examination was carried out six months after the first pain appeared (therefore the injury was already old). I spent about 10 days in the hospital, received a course of anti-inflammatory injections and half a course of magnetotherapy (4 times, I could not complete the entire course due to my imminent departure). The pain in the knee only appeared during heavy physical exertion (I am a runner, my knee hurt during long cross-country runs of 7 km and above). The question is this. Almost a month has passed since my hospital treatment. I don’t feel pain in my knee without serious physical activity. Can I continue to play sports? Can I play sports with a very gradual increase in physical activity in order to eventually get back to normal exercise? Is the meniscus completely restored? And if so, what is the recovery period? And if not, what can I do to prevent the situation from leading to surgical intervention in the future?

    Angelina | 08/11/2018 at 20:29

    Good afternoon Doctor, I ask for your advice Should I have an operation that is already scheduled for August 27? The fact is that I fell very hard and after an MRI, this diagnosis is a tear of the medial meniscus. Partial rupture of the anterior cruciate medial collateral ligament. Concomitant synovitis. Chondropathy of the patella. But the fact is that the leg -it doesn’t hurt at all - and I can turn it in any direction and climb the stairs without any problems

    Ekaterina | 08/07/2018 at 13:19

    Hello, we have been diagnosed with damage to two menisci in the right knee, a ligament rupture and a Baker’s cyst, please tell me whether surgery is required in in this case? And how long will the rehabilitation take if I have surgery?

    Ekaterina | 08/06/2018 at 14:44

    Hello, please tell me how long does it take to recover from knee surgery?

    Daria | 06.08.2018 at 10:44

    Good afternoon. In 2015, I had surgery on the meniscus. There was a longitudinal tear of the meniscus. As the operating doctor explained, the meniscus was soldered to me as if by welding. And here they are, again a meniscus tear on the same knee in the same place. There will be an operation. It’s just not clear how this can be? What could trigger the breakup again if I don’t lead an active lifestyle, I don’t run, I don’t jump, I just walk and wander. Or, as an option, could pregnancy provoke it? But then the adhesion of the meniscus was a blunder?

    Natalia | 07/11/2018 at 07:29

    Hello. On April 26, 2018, I had an operation to remove part of the damaged meniscus by arthroscopy. Two months later, hyaluronic acid was injected into the knee joint. For the second month after the operation, I did exercises to develop the knee at home. I severely pulled the muscle. The exercises stopped. at the moment my leg is swollen and painful, and for the last two days my body has started to hurt from the back to the knee, it hurts when you touch it with your hands and the sensitivity weakens (it feels like the body is dying). Please help, tell me what is happening and what to do about it?

    Natalia | 06/13/2018 at 06:11

    Hello, my daughter, she is 29 years old, had an arthroscopic meniscectomy of the left knee joint on May 18th. Fresh injury in the spring of this year. Is intra-articular injection indicated? hyaluronic acid one month after the operation. Thank you. I'm a doctor, so I want an honest answer. Thank you.

    Evgeniy Ivanovich | 05/27/2018 at 11:59

    Hello. A week ago, while sitting on the floor, my tibia jumped out of place, and when I straightened my leg, it came back with a click. During the evening I popped up four times. This has never happened before. I thought about the reason and remembered that I had recently turned my leg inward, but there was no pain. I also do exercise therapy for my back due to scoliosis and osteochondrosis. I went to the traumatologist and the bones were intact. Did an MRI. On Mr tomogram, the contours of the knee joint are not changed, the joint cavity is determined by fluid in moderate amount with a layer thickness of up to 5 mm, the synovial membrane is thickened, there is a slight compaction of the paraarticular tissues in the posterior parts of the joint, the cartilaginous covering of uniform thickness has a uniform Mr Signal, moderate thinning of the cartilage along the periphery of the articular surfaces and sclerotic subchondral compaction of the articular surface of the tibia are determined, the articular surfaces are preserved, the patella occupies the usual position of the Mr Signal from him and from the holders is not changed lateral meniscus moderately heterogeneous in intensity of the MR signal on T1 and T2 in and its shape is not changed anterior horn moderately thinned medial meniscus state of anterior dislocation up to 4 mm With a slight degenerative changes in the form of linear sections of a moderately increased MR signal in the posterior horn of the meniscus, an obliquely horizontal defect is determined that extends to the lower contour and passes onto the bodies of the meniscus, the posterior horn and the body of the meniscus; the shape of the meniscus is not changed; the posterior cruciate ligament is not deformed; the signal intensity is traced throughout T1 T2 in and no change in the signal from the anterior cruciate ligament heterogeneous ligament moderately moderately fibered collateral ligaments no changes in the popliteal fossa; no additional formations are identified. Conclusion: MRI signs of rupture of the posterior horn and body of the medial meniscus of the knee joint. Arthrosis of the 1st degree with initial degenerative changes in the menisci and anterior cruciate ligament with anterior dislocation of the medial meniscus. synovitis The traumatologist referred me to an orthopedist, said I needed to do artoscopy, and prescribed other treatment. I walk as usual, not on sick leave, I wear a bandage on my leg. In some positions the leg is a little painful. There is no swelling. Can I treat my knee conservatively? What to drink, what medicine? If chondroprotectors, which ones? What else can I do? Physiotherapy, injections, gymnastics? Now I’m on the shore of the knee, I don’t allow it to fly out as it was. Help. That surgery is a last resort

    Daler | 05/24/2018 at 07:02

    Hello! After MRI, the following diagnosis was made: In the axial, coronal sagittal planes, a decrease in the size of the body and partially the posterior horn of the medial meniscus is determined, in the projections of the soft tissues of the medial surface of the knee there are scar changes, a history of partial meniscectomy. Question: 1. Is it dangerous? what treatment can the doctor prescribe, 2. What are the risks? Thanks in advance!

    Madina | 05/23/2018 at 09:18

    I have signs of an oblique rupture of the posterior horn of the medial meniscus (it is possible that a rupture of the type "handle of the watering can"). Damage to the anterior cruciate ligament. Suprapatellar bursitis, synovitis. Arthrosis of the right knee joint. I recently had surgery. After surgery, when can I walk?

    Amina | 05/22/2018 at 12:46

    hello doctor!
    The meniscus stoler 3b was torn
    You advised surgery
    On April 16, 2018 I had arthroscopy of the knee joint
    A month has passed
    Complete magnet course, completed physical therapy
    The cleaver is also worried
    The muscles hurt even if the leg is at rest, we went to the surgeon and he says that it’s not a joint, it’s a muscle
    It’s not a pleasant pain, it’s almost like it’s aching.
    I also can’t walk for a long time, and when I exercise, my leg starts to hurt and swelling periodically appears. I wear an elastic bandage and also take anti-inflammatory medications.

    Tatiana | 05/18/2018 at 20:24

    Hello! I work as a group program instructor. I have had a knee injury since February. At that time, the doctor decided that it was ligaments and prescribed appropriate treatment. A little less than a week ago, the situation almost repeated itself, but at the same time there was swelling and an inability to straighten. The MRI result showed a horizontal tear of the posterior horn of the meniscus. Paid clinic recommended a blockade and injections of chondroprotectors, traumatology gave a referral to the RNIITO and a prognosis for surgery. What can you say about this? Will the recovery take long? Will I be able to continue working in my specialty? Thanks in advance for your answer!

    Marat | 05/16/2018 at 14:17

    In 2010, they had an operation on the meniscus, everything was normal, but then 3 months later something went wrong. Pain began, a burning sensation of some kind in the knee area, just below the cup, and on the inside it also began to hurt; when I walked, when the leg bent a little, a crunching sound occurred. On the same leg, the heel began to hurt. Maybe it's because I have a standing job? I used to drive a car and I didn’t feel this way, but now that I sold it I started walking more and now the pain started!!! I install Almag at home, apply ointments, but nothing helps, at some point the pain disappears, but after a few hours it appears again! In 2010, when the operation was performed, the doctor said that when the miniscule tore, he rubbed some kind of bone down to the dimple! I don’t understand anything, it was normal after the operation, but now it’s starting to hurt! Can you tell me what to do? Should I go to the hospital or will it pass??? Help!?

    Elizabeth | 04/27/2018 at 19:04

    Good afternoon. A year ago, I underwent resection of the anterior horn of the medial meniscus of the right knee joint. The first six months included exercise therapy, physiotherapy, and light exercise. For the next four months everything was great. I could already squat, run, and calmly walk long distances.
    A month ago I went to dance and, apparently, the workload was heavy. After four classes, I felt pain and had to stop walking (I worked out in a bandage).
    Since then, I have been unable to climb stairs again for a couple of weeks. Crunching when bending, pain on the inside of the joint.
    Can there be a relapse if resection has been performed? What can I do if I won’t be able to see a doctor for another month?
    Maybe you can take anti-inflammatory drugs and make some compresses?
    Thank you very much in advance!

    Daler | 04/23/2018 at 04:26

    Hello! Two years ago I had meniscus arthroscopy and recently started clicking while walking. An MRI was done again, MRI conclusion: Condition after partial meniscectomy of the medial meniscus. MRI signs of stage 1 anterior cruciate ligament injuries. Minimal manifestations of suprapatellar bursitis. Initial manifestations of gonoarthrosis. Question: is repeated surgical intervention necessary? Thanks in advance!

    Syoma | 04/17/2018 at 18:31

    Hello, I am 14 years old, I have a rupture of the left horn of the miniscus, I have the following question: if I support it, can my leg stop growing?

    Pavel | 04/16/2018 at 08:44

    Good afternoon in 2011, the inner meniscus of the right knee was removed. Before the operation, after the injury, there were constant blockades of the joint with any unsuccessful sudden movement. After the operation everything became normal. However, the knee is unstable. When under load (running, jumping, slipping, etc.), the knee twists onto the inside of the leg, after which I experience pain again, and the knee may swell for a while. Is it possible to strengthen the knee to prevent this from happening or is it necessary to resort to surgery to install an artificial meniscus?

    Alex admin | 04/11/2018 at 12:35

    Hello, Katerina. You are shown a semi-rigid hingeless orthosis. They are made from very elastic fabrics and do not contain additional stiffeners. Used for inflammation, minor injuries, sprains, late postoperative periods, etc. An example of such a product is the Fost knee orthosis.

    Alex admin | 04/11/2018 at 12:31

    Hello, Vitaly. You need to do therapeutic exercises to strengthen your muscles. This article contains exercises for both those who have recently had surgery and those who had it a month ago (late recovery).

    Alex admin | 04/11/2018 at 12:29

    Natalya, you will have to have the operation and it’s better not to delay it. But you are unlikely to be able to go on a business trip so quickly.

    Alex admin | 04/11/2018 at 12:27

    Hello Amina. If the meniscus stoller 3-b is damaged, surgery is necessary, otherwise there may be complications in the form of complete immobility of the joint. There is some minor pain after any operation; this is normal and goes away over time. It is important to perform strict physical rehabilitation after surgery.

Rehabilitation after surgery on the meniscus of the knee joint takes place in several stages. The outcome of surgical intervention largely depends on a competent program for restoring motor functions, so it is important to familiarize yourself with the features of therapeutic measures.

Why is rehabilitation important?

During arthroscopy, surgeons inject an irrigating fluid into the joint cavity, which is used to separate the joints and create space for the operation. Sometimes this fluid can leak into the surrounding soft tissue and cause bleeding and swelling.

It is not surprising that after surgery tissue swelling occurs, the patient experiences severe pain. During surgery, nerve endings and blood vessels are damaged, which contributes to the development of the inflammatory process.

Pain and swelling make a person afraid to move a limb. The patient may develop arthrosis. Therefore, the essence of rehabilitation after meniscus resection is as follows:

  • eliminate painful sensations;
  • accelerate the process of tissue regeneration;
  • normalize the secretion of joint fluid;
  • restore motor function of the knee.

Recovery after meniscus arthroscopy consists of a number of treatment procedures:

  • drug therapy;
  • therapeutic exercises;
  • physiotherapy.

Only a doctor can determine the advisability of certain therapeutic procedures, so do not neglect consulting a specialist.

Early and late postoperative period

Early recovery after meniscus surgery is intended to:

  • eliminating the inflammatory process;
  • improving blood circulation processes;
  • prevention of muscle atrophy.

Immediately after surgery, the knee joint is immobilized. Doctors prescribe nonsteroidal drugs that are taken as local anesthetics.

In case of fluid accumulation in the joint, a puncture must be performed to prevent infectious processes. IN mandatory bactericidal agents are taken.

After resection of the meniscus, the doctor prescribes chondroprotectors, which help restore damaged cartilage tissue. But such medications must be taken for at least 3 months. Experts often prescribe drugs in the form of injections.

In the postoperative period, physiotherapeutic procedures are necessary. Exercise therapy is an important component of the rehabilitation course.

The late postoperative period also has its own characteristics. Surgery on the meniscus involves a gradual increase in loads on the joint. Patients do special exercises for 20 minutes 3 times a day. Exercise therapy is carried out until the painful symptoms disappear completely.

Exercises after knee meniscus removal include:

  1. Active movements of various types using safety nets.
  2. Squats.
  3. Walking with feet rolling backwards.
  4. Exercises that help develop endurance.

During the rehabilitation period, massage is allowed. But it is important to understand that immediately after the operation the above medical procedure is prohibited if the tissue rupture has been stitched. After all, such manipulation can cause damage to the joint capsule. The shin and thigh area is massaged to improve tissue regeneration processes.

Doctors believe that sanatoriums have developed best program rehabilitation, so they recommend their patients to improve their health there.

The duration of the recovery period depends on the severity of the damage. Additionally, it is important to familiarize yourself with existing species surgical intervention for a torn meniscus.

Repair of ruptures

If the meniscus is damaged, doctors use the stitching method. The operation is performed using arthroscopy.

Patients stay in the clinic for no more than 2 days in case of surgery. Postoperative therapy lasts no more than 3 weeks. It is important to follow a number of recommendations during the rehabilitation period:

  1. 2 days after the operation you can already walk using support. But only a doctor can determine how much walking is permissible.
  2. For 21 days after surgery, you should walk with the help of crutches. You should try not to bend your knee.
  3. You must wear it for the next month. The doctor already allows you to bend the knee at this stage.
  4. After 2 months you can already walk without support.
  5. After six months, the doctor may allow you to engage in some sports.

Complete recovery is quite possible within a year if you follow the recommendations of specialists.

Meniscectomy

Resection of the meniscus is a more gentle type of surgery for the knee, since rehabilitation takes place in a more time-consuming manner. short terms than in the case of the stitching procedure.

It is necessary to consider how the recovery process after meniscectomy normally proceeds:

  1. On the 3rd day, a series of exercises are performed to prevent muscle atrophy. The complex is developed individually, focusing on physiological characteristics each patient, as well as the presence of positive dynamics clinical symptoms after surgery. Exercises can be adjusted during rehabilitation therapy.
  2. At the beginning of the 2nd week, the sutures are removed.
  3. Over the next 2 weeks, the knee is subjected to physical activity. During this rehabilitation period, patients use crutches. They are being discharged from the hospital, so that's it medical procedures it is already necessary to carry out at home until the painful symptoms completely disappear.
  4. After 1.5 months, patients can safely go to work.
  5. After 2 months, people are allowed to play sports.

The positive result of the operation and the duration of the rehabilitation period largely depend on the type of surgical intervention chosen, the professionalism of the doctor, the patient’s health condition and his age. Therefore, to avoid disastrous consequences, undergo thorough diagnostic examination and take a responsible approach to the recovery program after surgery.

Any surgical intervention aims to restore functioning various organs or parts of the body. The knee, despite the fairly high wear resistance and protection of the joint, is quite often subject to injuries and diseases that require surgical correction. The most common surgical treatments for the knee include recovery operations on the meniscus. An important part of such therapy is rehabilitation, on which the outcome of the operation largely depends.

The role of rehabilitation after surgery

After any surgery to repair a meniscus tear, additional specific treatment. In fact, surgery is only one of the stages of knee recovery, after which it is extremely important to choose effective methods of rehabilitation.

Often, immediately after surgical procedures, swelling occurs, as well as severe pain in the operated knee, accompanied by inflammatory process. This reaction is explained by damage to nerve endings and blood vessels during injury or during surgery. Pain and swelling prevent movement of the limb, which is associated with fear or involuntary guarding of the joint. As a result, the development of contractures and signs of arthrosis is observed. However, all restoration measures do not bring results.

Therefore, proper rehabilitation after surgery is so important, which should

eliminate swelling and pain; accelerate tissue fusion; normalize the secretion of joint fluid; restore the range of motion abilities of the knee.

Typically, rehabilitation consists of a set of measures, including:

drug therapy;
physiotherapeutic procedures;
specific therapeutic exercises.


The rehabilitation specialist decides which rehabilitation measures to use based on the type of intervention and the patient’s body’s reaction to the procedures performed.

Activities in the early postoperative period

Typically, early rehabilitation is carried out in the hospital immediately after surgery.

Early recovery has several goals, including:

withdrawal inflammatory reactions; decrease pain; restoration of damaged tissues; prevention of muscle atrophy and contractures; improvement of local blood supply.

The operated limb is provided with rest for a certain period, for which the knee is immobilized.

To eliminate negative symptoms, medications are used. Doctors prescribe nonsteroidal medications that must be taken until the inflammatory reactions disappear. Injections of analgesics may be used to relieve pain.

If fluid accumulates in the joint, a puncture must be performed to remove the intra-articular pressure that causes pain. To prevent the development of infectious processes, especially after open operations, antibacterial drugs are used.

To restore damaged cartilage tissue, which provoked a meniscus tear, you need to use chondroprotectors. These drugs are prescribed to be taken immediately after surgery with a fairly long period of therapy. There are quite a lot of effective chonroprotectors in the form of Teraflex, Dona, Arthra, Elbona, Chondrolone. However, you need to take such medications for at least 3 months and repeat the courses periodically. Doctors believe that after operations it is better to use injections of chondroprotectors. This will speed up the process of cartilage tissue regeneration.

During this period, you can do absorbable physiotherapeutic procedures. To prevent muscle atrophy, rehabilitation specialists select light exercise therapy exercises. When the joint is immobilized, gymnastics is performed for the muscle tissues of the thigh and foot. Add exercises of impulsive forced contractions of muscle tissue under the splint.

Video

Video - Recovery after meniscus surgery

Activities of the late rehabilitation period

Late rehabilitation begins after the sutures are removed and the immobilization of the knee joint is eliminated, which usually coincides with discharge from the clinic in the absence of postoperative complications.

The patient is prescribed to take painkillers if necessary. The course of chondroprotector therapy started at the clinic continues.

Restoration of knee functionality occurs more intensively. Doctors recommend increasing the load on the joint in stages. The volume of motor loads is determined by appearance of mild soreness. This complex should last about 20 minutes and be repeated three times a day. Once the complex is fully mastered and pain disappears, the range of motion of the knee joint is corrected. You can gradually increase the distance and period of walking, introduce exercises with a ball, as well as on exercise machines.

Allowed to practice on:

exercise bikes; steppes; stabilizers; leg press; Biodex simulator; with elastic bands or shells; water treadmills.

Once doctors give permission, you can move on to gaming. sports activities and swimming in the pool.

The set of exercises includes:

active movements of various types using safety nets; squats with weights; walking with feet rolling backwards; exercises to develop endurance and balance.

Recovery is complemented by massage. It should be borne in mind that after any operation to remove the meniscus, as well as if a resection was performed or the tear was stitched, it is prohibited to massage the joint. Such manipulations can cause damage to the joint capsule and incompletely restored tissues. The massage is performed on the lower leg and thigh area. This helps ensure blood flow and accelerate regeneration.

At this stage of rehabilitation, it is advisable to add reflexology, laser and magnetic therapy, and ultrasound procedures. You can make applications with paraffin and ozokerite.

If possible, it is advisable to undergo late rehabilitation in a specialized sanatorium, where all conditions are created for the restoration of the knee after surgery special programs under the strict supervision of narrow specialists.

Terms of rehabilitation

The duration of knee joint recovery directly depends on the type of surgery performed to treat the meniscus and the severity of the damage.

Repair of ruptures

If it happens to the meniscus, then in most cases it is eliminated by stitching. This operation is performed arthroscopically. The patient stays in the clinic for no more than a couple of days during arthroscopy. Outpatient treatment can last from a week to three.

A favorable outcome of surgery to repair a rupture depends on compliance with rehabilitation recommendations,

Which is built according to a certain scheme:

On the second day the patient is allowed to walk using support. The volume of the load must be determined by the doctor.

Orthosis for fixing the knee during rehabilitation

For three weeks, the patient is recommended to move with the help of crutches. It is forbidden to allow the operated limb to bend more than 90 degrees. From the fourth to the sixth week, you must wear an orthosis; you can try to bend the limb. Until the eighth week, the orthosis is used both during walking and during gymnastics. After the eighth week, walking without support is allowed. After approximately six months, sometimes 4 months are allowed physical activity, as well as some sports at the doctor’s discretion. If the gap was stitched, complete recovery is observed after 9 months. In some cases this period is a year.

Meniscectomy

If meniscus resection was performed, rehabilitation is surprisingly faster than repairing a stitched tear.

The phased terms, of course, are regulated by the doctor.

But on average they correspond to accepted standards:

From the third day, available exercises begin to be performed to prevent contractures and muscle atrophy. The complex is developed individually and is constantly adjusted. On the eighth day the sutures are removed. Until the end of the third week, the knee is not loaded, and movement is carried out with the help of crutches. After this, the patient is discharged and rehabilitation continues at home. On average, the operated patient can begin work in the fifth to seventh week. A couple of months later, in as a last resort, after three you are allowed to play sports.

Deadlines full recovery may change due to non-compliance with rehabilitation recommendations and the occurrence of complications.

The question of in what situations is knee surgery on the meniscus needed is heard quite often. It is difficult to answer this unequivocally. Reviews from people who experienced different problems with this organ, indicate some caution before surgery, so they sought conservative treatment methods. In order to more fully cover the topic of the need for surgical intervention, you need to understand what the meniscus is.

What are knee menisci?

Cartilage pads, which are a kind of shock absorbers and stabilizers, as well as increases its mobility and flexibility, are called menisci of the knee joint. If the joint moves, the meniscus will compress and change its shape.

The knee joint includes two menisci - the medial or internal and the lateral or external. They are connected to each other by a transverse ligament in front of the joint.

A feature of the external meniscus is its greater mobility, which is why its incidence of injury is higher. The internal meniscus is not as mobile, it depends on the internal collateral ligament. Therefore, if he is injured, then this ligament is also damaged. In this case, knee surgery on the meniscus is necessary.

Causes of various meniscus injuries

So why do they get damaged, and in what cases is knee meniscus surgery necessary?

Rupture of the cartilage pad is caused by injuries that are accompanied by movement of the lower leg in different directions. The meniscus of the knee joint can be damaged (treatment, surgery and other methods will be discussed below) in case of excessive extension of the joint during adduction and abduction of the lower leg. Ruptures are possible with direct impact on the joint, for example, from being hit by a moving object, hitting a step or falling on the knee. If a repeated direct injury occurs, chronic trauma to the meniscus may occur, as a result of which a rupture may occur during a sharp turn. Changes in the menisci can occur with certain diseases, such as rheumatism, gout, chronic intoxication(especially for those people whose work involves prolonged standing or walking), with chronic microtraumas.

Meniscus treatment methods, reviews

Surgery is not indicated in all cases, since damage to this tissue can vary. There are several ways to restore the functionality of the meniscus. For this purpose, physiotherapeutic procedures are carried out, various medications are used, and traditional medicine recipes are also used.

Many patients choose more conservative methods, as evidenced by their reviews. But they also note the risk of losing time for recovery. When they chose physical therapy or treatment instead of undergoing the surgery recommended by specialists folk remedies, it only got worse. In such cases, an operation was still performed, but it was more complex and with a long recovery period. Therefore, it sometimes happens that knee surgery on the meniscus is inevitable. In what cases is it prescribed?

When is knee meniscus surgery prescribed?

When the meniscus is crushed. If there is a rupture and displacement of it. The body of the meniscus is characterized by circulatory insufficiency, therefore, in the event of a rupture, there is no question of independent healing. In this case, partial or complete resection of the cartilage is indicated. In case of hemorrhage into the joint cavity, surgery on the meniscus of the knee joint is also indicated. Reviews from patients indicate fairly rapid rehabilitation in this case. When the body and horns of the meniscus are completely torn off.

What types of manipulations are used?

Surgeries are performed to stitch together or partially remove the cartilage. Sometimes surgery to remove the meniscus of the knee joint occurs for the purpose of transplanting this organ. In this case, part of the damaged cartilage is removed and replaced with a graft. This is not a very dangerous surgical intervention, although some patients, according to their reviews, were afraid to resort to transplants. After such manipulation there are few risks, since donor or artificial menisci take root without any problems. The only disadvantage in this situation is long-term rehabilitation. On average, it takes 3-4 months for the transplant to survive successfully. After this, the person’s performance is gradually restored. Anyone who does not want to waste so much time on rehabilitation resorts to radical methods of restoring his torn cartilage.

IN lately Medicine has reached such a level that it is possible to save even a torn meniscus. To do this, it is necessary not to delay the operation and, in a calm state, with properly organized treatment, spend at least a month in rehabilitation. This also plays a role proper nutrition. Feedback from patients can be found to be opposite: some are inclined to replace cartilage with donor or artificial cartilage, while others prefer their own. But in these two cases positive result is possible only with the right approach to rehabilitation after surgery.

Application of knee arthroscopy

With arthroscopy, the surgeon can see most of the structures inside the knee joint. The knee joint can be compared to a hinge, which is formed by the end sections of the tibia and femur. The surfaces of these bones adjacent to the joint have a smooth cartilaginous covering, thanks to which they can slide when the joint moves. This cartilage is normal white, smooth and elastic, three to four millimeters thick. Arthroscopy can detect many problems, including a torn meniscus in the knee. Surgery using arthroscopic technique will help solve this problem. After it, the person will be able to move fully again. Patients note that today this is the most best procedure to restore the function of the knee joint.

Knee meniscus surgery - duration

During arthroscopy, surgical instruments are inserted into the joint cavity through small holes. The arthroscope and instruments used in this procedure allow the doctor to examine, remove, or stitch together the tissue inside the joint. The image through the arthroscope appears on the monitor. The joint is filled with liquid, which makes it possible to see everything quite clearly. The entire procedure lasts no more than 1-2 hours.

According to statistics, among all knee joint injuries, half are due to damage to the meniscus of the knee joint. The operation makes the patient feel better and relieves swelling. But, patients note, the result of this procedure is not always predictable. It all depends on the looseness or attrition of the cartilage.

Rehabilitation during treatment with conservative methods, reviews

Rehabilitation is required not only after meniscus surgery, but also as a result of any treatment for this cartilage. Conservative treatment involves two months of rehabilitation with the following recommendations:

Make cold compresses. Devote time to physical therapy and gymnastics every day. Use anti-inflammatory and analgesic drugs.

Rehabilitation after surgery

Slightly different recovery requirements involve surgery on the meniscus of the knee joint. Rehabilitation in this case requires a little more effort, as patients note. This is due to the fact that there was more serious damage to the meniscus, as well as penetration through other tissues of the body. To recover after surgery you will need:

Initially, it is necessary to walk with support so as not to load the joint - this can be a cane or crutches, the duration of use of which is determined by the doctor. After this, the load on the joint increases slightly - movement occurs with the load distributed on the joints of the legs. This occurs 2-3 weeks after the operation. Then independent walking is allowed with orthoses - special joint fixators. After 6-7 weeks, it is necessary to begin therapeutic exercises.

Postoperative complications

What negative consequences can be left behind by surgery on the meniscus of the knee joint? Reviews indicate that postoperative complications are rare, but they still happen.

The most common infection is intra-articular infection. It can get into the joint if the rules of asepsis and antisepsis are not followed. An existing purulent focus in the joint can also lead to infection. Damage to cartilage, menisci and ligaments can also occur. There have been cases of breakage of surgical instruments inside the joint. If you approach rehabilitation after surgery on the knee joint incorrectly, its stiffness, even ankylosis, is possible. Other complications include thromboembolism, gas and fat emboli, fistulas, adhesions, nerve damage, hemarthrosis, osteomyelitis , sepsis.

Exercising after surgery

Professional athletes try to return to activities as quickly as possible after a meniscus injury and surgery. With a specially developed rehabilitation program, this can be achieved within 2 months, they note. For quick recovery, strength machines (bicycle ergometers), swimming pool exercises, certain exercises, and so on are used. When rehabilitation comes to an end, you can run on a treadmill, pass a ball, imitate exercises related to a certain type sports Reviews from such patients indicate difficulties in rehabilitation in this way, since it is always difficult to treat a diseased joint. But after hard work and patience, you can achieve good and quick results.

Proper rehabilitation after surgery on the meniscus of the knee joint leads to a complete recovery. The doctors' prognosis is favorable.

The meniscus is the cartilaginous layer of the knee joint, which is located between the surfaces of the tibia and femur. The meniscus acts as a stabilizer and shock absorber. But under certain loads, especially when playing sports, it may rupture.

Such knee injuries occur quite often. They account for 75% of all closed knee injuries.

Restoring the meniscus after injury is possible through surgery (arthroscopy), during which the tissue is stitched together with a special thread. If this method for some reason it is not suitable, they resort to resection. Sometimes, to eliminate the rupture, joint replacement is performed, replacing it with an implant that assumes the function of the meniscus.

The essence of arthroscopy is to perform two punctures of the knee joint, which are made using special video equipment.

Rehabilitation after surgery consists of a whole complex, including physiotherapy and therapeutic exercises.

The length of the recovery period depends on the nature of the injury and the extent of the rupture.

Exercises for recovery after knee arthroscopy

If partial or complete resection of the meniscus was performed by arthroscopy, rehabilitation should begin within 7 days after surgery.

If at the time of the injury there was a rupture of the ligaments or resection of the meniscus was carried out using the usual open method, rehabilitation exercises will have to be postponed, since in this situation the knee needs rest for some time.

Physical exercises cannot be introduced immediately and after suturing the edges of the meniscus.

First they must grow together, and only then the knee can be given loads. Rehabilitation after surgery can take up to 7 weeks. More precisely, recovery period depends on the individual characteristics of the organism.

Initial recovery

Early rehabilitation after arthroscopy has the following goals:

Strengthens the thigh muscles to stabilize the knee. Elimination of inflammation and normalization of blood circulation in the knee joint. Limitation of range of motion.

Recovery exercises are carried out in different starting positions:

Standing on your good leg. Sitting, easily straightening the sore leg. There should be a cushion under the heel. Lying down, straining your thigh muscles for 5-10 seconds.

Important! Any exercises after an injury or tear of the meniscus of the knee joint can only be performed with the approval of the attending physician. Moreover, as a result of the operation, there should be no effusion or blood in the joint.

Further recovery

The tasks of late rehabilitation include:

Formation of normal gait and restoration of motor function lost due to injury. When a contracture forms, its elimination is necessary. Strengthening the knee muscles.

Exercises in the pool or gym are good for this. Walking and cycling are very beneficial.

A set of health exercises

Walking backwards. It is advisable to perform this exercise on a treadmill. The patient must hold on to the handrails. The driving speed should not exceed 1.5 km/h. It is necessary to achieve full straightening of the leg. Squats with a ball. In the initial “standing” position, the patient should lean back a little. There is a ball between the lower back and the wall. You need to perform squats, reaching an angle of 90. You should not sit lower, otherwise the load on the joint will be excessive. Exercise with a 2-meter rubber band. The tape is fixed on one side to a stationary object, and on the other to the healthy leg. By swinging to the side, you train the muscles of both legs at once. Gymnastics on a steppe (a small platform used for aerobics). If little time has passed after the operation, use a low step. Gradually the height should be increased. When performing descents and ascents, it is necessary to ensure that the shin does not deviate to the side. Ideally, this can be controlled in the mirror. Balance training is performed using an oscillating platform. For the patient, the main task is to maintain balance. Jumps on the leg, which are first performed over a drawn line and later over a bench. This exercise trains muscle strength and coordination of movements. Jumps can be performed on the steppe or on a flat surface. For greater efficiency, you need to jump both sideways and straight. When performing actions on an exercise bike, you need to make sure that your leg is straightened at the lowest point.

Physiotherapeutic procedures

In the postoperative period, physiotherapy is aimed at improving metabolism and blood circulation in the tissues of the knee and accelerating regeneration processes. In this regard, massage, magnetic therapy, laser therapy, and electrical muscle stimulation are effective.

Massage should be done for swelling and loss of mobility in the knee joint. The patient must learn to perform massage independently in order to carry out this procedure at any time. free time, several times a day.

The joint itself rehabilitation period should not be massaged. All other physical procedures are carried out in the clinic.

Surgical meniscus repair

The meniscus plays an important role in the functioning of the knee joint. Therefore, they do not completely remove it, but try to preserve healthy tissue as much as possible, which is exactly how meniscus surgery is performed. In medicine, there are two methods of surgically restoring the meniscus: suturing and prosthetics.

The first method is used for linear breaks, if no more than 7 days have passed since the injury. It is advisable to apply a suture only in areas of good blood supply. Otherwise, the tissue will never heal, and after a while the injury will recur.

Meniscus endoprosthetics using special polymer plates is performed quite rarely. It is most often prescribed when most of the cartilage has been removed and there has been extensive destruction of the joint. In addition, there is the possibility of transplanting fresh frozen donor tissue.

To summarize, I would like to remind all people that if you have a knee injury, you must immediately contact a traumatologist. The doctor will determine the nature of the damage and prescribe adequate treatment.

Performing simple exercises to restore meniscus function will very soon help you forget about the sad incident and return the patient to his former active life.

Loading...Loading...