Menisci are in the knee joint and are C-shaped cartilage-like anatomical knee pads. It is located between the two large bones that make up the knee joint, the femur and tibia. There are 2 menisci in each knee, one medial and the other lateral.
Meniscus functions ;
The knee joint femur-tibia is covered with thick cartilage tissues, and thanks to this cartilage tissue, the bone surfaces slide easily on each other without rubbing against each other. Meniscus is located between these cartilage surfaces and acts as a cushion that increases their compatibility with each other. In this way, weight transfer is made over a larger surface and in a more balanced manner. In the absence or severe degeneration of the meniscus, the joint surfaces between the femur-tibia bones are not fully compatible with each other, so the load will increase excessively at certain points and the load will not be distributed to other points. In this case, premature wear problems and osteoarthrosis problems occur in areas where load is applied. Therefore, in terms of knee health, the meniscus must be healthy and maintain its integrity.
. In the light of this information, protecting the menisci has become the first priority of orthopedists and physiotherapists today.
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If the specialist physician has made a surgical decision in the presence of a partial tear of the meniscus. The physiotherapy and rehabilitation program to be applied after surgery is very important for the individual to return to sports or daily life activities.
Post-surgical physiotherapy and rehabilitation Purposes;
Pain and edema control. To ensure
Prevent knee extension and flexion limitation and limitation
Increase Qdc and Hamstring muscle strength and endurance
Providing a return to healthy daily life activities
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Phase-1 \1. Week
Ice for 15 minutes every 2 hours
Foot pumping exercises with elevation
Voluntary isometric contraction with Qdc NMES Application
Under the heel Qdc isometric training by placing a towel
Straight leg raising on your back
Clam exercises
Walk 3 times a day within the tolerance limit me
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Phase-2 \2nd week
Phase 1 exercises resistance increasing
Patellar mobilization and scar tissue massage if stitches are removed
Putting the knee into the bed by placing an elevation under the heel. As support with weight if necessary
Resisted DBK
Hip muscle strengthening
Knee flexion exercises with Theraband
Standing four-way stepping exercises with Theraband
p>Gait training exercises
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Phase 3/3rd week
Phase 2 exercises continue with increasing intensity
Stretching exercises
One leg bridge building
Plank position clam exercises
Prone hamstring strengthening
Mini squat exercises
Front and side lunge exercises
Balance and Proprioception exercises
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Phase 4 / Week 4
Phase 3 exercises continue with increasing intensity
Resistant open kinetic qdc exercise with Theraband
4-direction kicking exercises with Theraband
Exercises of stepping forward and sideways on steps at a height of 5-10 cm
Walking sideways in squat position with Theraband
Single leg squat exercises (at appropriate angles)
Stationary bicycle
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The rehabilitation program is individualized. is special. The person's age, weight, systemic and metabolic characteristics may create differences in the physiotherapy program. The torn shape of the meniscus and the preferred surgical method also create differences in the rehabilitation program.
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