Post-Meniscectomy Recovery Routine
On the day of surgery.
1.Postoperatively, the affected limb should be placed in the straight position, and a small round pillow can be placed under the heel to elevate the affected limb to prevent swelling.
2. After anesthesia subsides, start ankle flexion and extension activities (ankle pump exercises).
①Movement requirements: forceful, slow, full range of flexion and extension of the ankle joint, bilaterally at the same time, repeated flexion and extension, around the ring. Stay 1-2 seconds in each direction to the maximum degree. Ankle pump exercises should be performed at all times except for sleep, as often as possible.
②Rehabilitationist requirements:Hold the patient’s foot by hand, make the patient move the ankle passively to the maximum, stay for several seconds, make the patient experience the sensation of maximum ankle flexion, extension and rotation, then ask the patient to move the ankle actively to the maximum range, the rehabilitationist check whether it is in place, if it is not standard, carry out several standard exercises with the assistance of the rehabilitationist until the standard ankle pump can be done independently.
③Patients’ requirements: ankle pump exercises should be performed at all times except for sleeping, as often as possible. Bilateral exercises should be performed at the same time and the movements should be standardized.
3. After the anesthesia subsides, perform straight leg raising exercises.
①Movement requirements: first tense the thigh, lock the knee joint and then lift the leg. If there are difficulties, the existing rehabilitator or family members can assist, first passive straight lift the leg to 70-80 degrees, and then let the patient maintain this angle with their own force, then the patient gradually and slowly lower the leg to 30 degrees, and then lift it straight to 80 degrees with force. Repeatedly, after practice, the patient can lift the leg from the bed freely.
②Rehabilitation master requirements: Before the exercise, the patient is instructed to straighten the leg near the amount. Rehabilitation master patient legs passively or assist patients to carry out several standard straight leg lifting action, so that patients appreciate the essentials of action after their own practice, such as self-exercise difficulties in patients rehabilitation division hand to support the patient’s heel, assist patients to straight lift the leg to 70-80 degrees, after allowing patients to maintain this angle by their own force, followed by patients gradually and slowly lower the leg to 30 degrees, and then force straight lift to 80 degrees.
③Patient requirements: do not be afraid of pain when practicing, first tense the thigh, lock the knee joint and then lift the leg up
4, quadriceps, N rope muscle isometric exercises.
①Movement requirements: do as much as possible without increasing pain. (>500 times/day)
②Rehabilitation teacher requirements: hand holding the patient’s quadriceps muscle so that the patient contract the muscle, feel the muscle tense and then let the patient stay for a few seconds, and then relax, after repeatedly counting this, the patient can practice on their own
③Patient requirements: learn the standard movements and do as much as possible, bilaterally at the same time, the movements are required to be standard, contract to the maximum degree and then insist on 2-5 seconds before relaxing.
Postoperative day 1.
1.Ankle pump exercises: the same requirements as before.
2. Isometric contraction exercises for quadriceps and N cord muscles. The requirements are the same as before.
①Movement requirements: do as many as possible without increasing pain. (Greater than 500 times/day)
②Requirement of the rehabilitator: hold the patient’s quadriceps by hand and make the patient contract the muscle, let the patient stay for a few seconds after feeling the muscle tense, and then relax, after repeatedly counting this, the patient can practice on his own.
③Patient requirements: learn to do as much as possible after the standard action, bilateral at the same time, the action requires a standard, contraction to the maximum extent and then adhere to 2-5 seconds before relaxation.
3.Stretching exercise: use a small round pillow under the heel to cushion the heel.
① Action requirements: 8 hours during the day are to pad the heel, at least 40-50 minutes / hour. Depending on individual differences a sandbag can be placed at the knee joint to increase the load. Patients with preoperative deformity of both flexion and limited extension should focus on extension for the first 4 days postoperatively.
②Requirement of the rehabilitator: Explain to the patient that the pain during extension exercises is a normal reflection and will be relieved by the exercises after a few days, so there is no need to worry. Place the patient’s lower extremity squarely (directly behind the knee and parallel to the bed) with a round pillow behind the patient’s heel, not proximal to the lower extremity. Instruct the patient to practice for time. If there is a patient with extension limitation, after the lower limb is correctly placed, rehabilitation is to perform passive extension exercises on the patient for 10-15 minutes, and after the exercise, a sandbag is placed on the knee to consolidate the exercise effect.
③Patient requirements: stretching exercises are performed at the prescribed time, and reinforcement of passive exercises can also be performed by family members. If you have preoperative extension limitation, you should add weight on the knee to increase the strength during the usual leg padding.
4.Passive knee extension exercises: If the preoperative knee extension is limited and the postoperative extension is not satisfactory, the patient should be given passive extension exercises by the rehabilitator.
①Movement requirements: the rehabilitation teacher or teach the family to complete this exercise, 20-30 minutes/time. 2-3 times/day. The same as the knee flexion exercise at an interval of 4 hours or more.
②Requirement of the rehabilitator: Place the patient’s lower extremity squarely (behind the knee, parallel to the bed), with the round pillow behind the patient’s heel, not on the proximal end of the lower extremity. Ask the patient to practice time. If there is a patient with extension limitation, after the lower limb is correctly placed, rehabilitation is to perform passive extension exercises on the patient for 10-15 minutes, and after the exercise, a sandbag is placed on the knee to consolidate the exercise effect.
③Patient requirements: the exercises should be relaxed as much as possible, and stretching exercises should be performed according to the prescribed time, or the family should actively cooperate when reinforcing the passive exercises.
5.Landing: 24 hours after surgery, the patient can go down with full weight. Whether to use crutches varies from person to person
①Movement requirements: the patient can go to the toilet by himself after getting off the ground. The patient’s leg can be fully weighted down for a period of time not too much, to go to the toilet can be.
②Requirement of the rehabilitator: protect by the patient’s side, except in special cases, the patient should be allowed to go down on the first day after surgery.
③ patient requirements: walking with no weight on the affected limb, not too much time on the ground.
6, straight leg lift exercise: 10-20/group, 2-3 groups/day, or straight leg lift after knee extension to heel 15M from the bed, hold until exhaustion, 10 times/group, 2-3 groups/day. Requirements as before
7.Start side leg raise exercise: 30 times/group, 2-4 groups/day, 30 seconds rest between groups.
①Movement requirements: exercise first tense straight thigh, lock the knee joint and then lift the leg. If you have difficulties, you can ask for the assistance of a rehabilitator or family member. 30 times/group, 2-4 groups/day, with 30 seconds rest between groups.
②Rehabilitation master requirements: ask the patient to straighten the leg before the exercise. Rehabilitation master patient legs passively or assist patients to perform several standard side leg lifts, so that patients appreciate the essence of the action and then practice on their own.
③ patient requirements: do not be afraid of pain when practicing, practice first tense thigh, lock the knee joint then lift the leg up.
8.Start the rear leg lift exercise: lying prone (face down on the bed), lift the affected leg straight backward until the toe is 5 cm from the bed for 1 time, 30 times/group, 2-4 groups/day, rest 30 seconds between groups.
①Movement requirements: exercise first tense straight thigh, lock the knee joint and then lift the leg. If you have difficulties, you can ask for the assistance of a rehabilitator or family member. 30 times/group, 2-4 groups/day, with 30 seconds rest between groups.
②Rehabilitation master requirements: ask the patient to straighten the leg before the exercise. Rehabilitation master patient legs passively or assist patients to perform several standard side leg lifts, so that patients appreciate the essence of the action and then practice on their own.
③Patient requirements: do not be afraid of pain when practicing, practice first tensing the thigh and locking the knee joint then lift the leg up.
Postoperative day 2.
Continue and strengthen the above exercises.
Walking distance and time on the ground can be increased.
Post-operative day 3.
Continue and strengthen the above exercises.
1. Perform passive knee flexion exercises.
①Movement requirements: to the extent of slight pain, up to the largest possible angle, ice for 20-30 minutes after the exercise.
②Rehabilitationist requirements: first let the patient perform sitting leg draping, and then perform passive mobility exercises after ten minutes. When practicing, be gentle, do not use violence, and practice the angle to 110-120 degrees. Ask the patient to apply ice after the exercise.
③Patient requirements: try to relax when practicing, cooperate with the rehabilitation teacher, and ice packs should be applied promptly after the exercise.
2. Conduct postoperative instruction from one week to discharge.