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Weightbearing Versus Nonweightbearing After Meniscus Repair
Kelly L VanderHave1, Crystal Perkins2, Michael Le2
1Carolinas Medical Center, Charlotte, North Carolina kelly.vanderhave@carolinashealthcare.org.
Context:
Optimal rehabilitation after meniscal repair remains controversial.
Objective:
To review the current literature on weightbearing status after meniscal repairs and to provide evidence-based recommendations for postoperative rehabilitation.
Data Sources:
MEDLINE (January 1, 1993 to July 1, 2014) and Embase (January 1, 1993 to July 1, 2014) were queried with use of the terms meniscus OR/AND repair AND rehabilitation.
Study Selection:
Included studies were those with levels of evidence 1 through 4, with minimum 2 years follow-up and in an English publication.
Study Design:
Systematic review.
Level Of Evidence:
Level 4.
Data Extraction:
Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted.
Results:
Successful clinical outcomes ranged from 70% to 94% with conservative rehabilitation. More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results.
Conclusion:
Outcomes after both conservative (restricted weightbearing) protocols and accelerated rehabilitation (immediate weightbearing) yielded similar good to excellent results; however, lack of similar objective criteria and consistency among surgical techniques and existing studies makes direct comparison difficult.
