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半月板损伤不同手术方式的康复要点
MeniscalInjuriesSpecificRehabilitationConsiderations
SurgicalInterventions?Totalmenisectomy
?Partialmenisectomy
?Meniscalrepair
?Meniscaltransplantation
TotalMenisectomy?Quicklyalleviatesmechanicalsymptomsofmeniscusinjury
?Short-termresultsfavorable
?Long-termresultsunfavorableduetodegenerativechangesinarticularcartilage
PartialMenisectomy?Removalofdamagedportionofmeniscus-trytomaintainasmuchaspossibletoavoiddegenerativechanges
?Rehabilitationprogressionissymptomsdriven-manyabletoreturntohighlevelactivityin2-3weeks
MeniscusRepair?Duetodegenerativechangesassociatedwithtotalandpartialmenisectomies,repairisbestoptionifavailable
?Dependsonlocationofinjury-peripheral1/3ofmeniscushasbloodsupplytoallowhealingofrepairsite
?Rehabprogressionismuchmoreguardedthanwithmenisectomy
?ProgressionfromNWBtoFWBoverfirst4weeks-oftenplacedinbracelockedatfullextension–Loadsrepairsitetoapproximateendsofrepair–Avoidsweightbearingkneeflexionwhichcoulddamageendsofrepair
?FullROMexercisesperformedNWBoutsideofbrace-cautiouswithflexion
?AggressiveflexionROMexercisescanbeinitiatedat~4weeks
?Bracetypicallyremovedat4-6weeks
?FWBallowedifminimaleffusion,normalextensionROM,flexionROMto90degreesandgoodquadricepscontrol
?At4-6weeks,ifno鍖荤枟鐧界櫆椋?娌荤枟鐧界櫆椋庡摢瀹跺尰闄㈡瘮杈冨ソ
