Meniscal Repair Protocol
0-4 Weeks Post Op
- Weight bearing as tolerated with brace locked in extension for 4 weeks post-op
- Unlock brace at 4 weeks, but continue to wear until 6 week follow up with physician
- Full NWB ROM- unless otherwise stated by physician post operatively
- Use of crutches until able to comfortably, safely walk with leg locked in extension
- Pain/edema control, patella mobilizations
- Stationary Bike- no resistance- only for ROM
- Quad Sets/Hamstring isometrics
- SLR in brace at 0° until quad can maintain knee locked
- Heel slides in brace
- BFR- Initiate after post op day 14
- SAQ/LAQ/SLR
4-8 Weeks Post Op
- Continue to work on any outstanding ROM deficits
- Gait training in physical therapy outside of brace
- No pivoting, twisting, hopping, jumping, or running
- Treadmill forward and retro walking
- SL/DL balance for proprioception
- Non impact cardio- swimming, cycling, elliptical
- Progressive non- impact strength training
8-12 Weeks Post Op
- Begin hopping/ladder drills if strength is appropriate
- Introduce plyometrics- DL to SL
- Continue to progress strength training
12 Weeks Post Op
- Sport specific drills
- Plyometrics for speed and power
- Clearance from doctor prior to return to sport