Postoperative Management for Articular Cartilage Surgery in the Knee

被引:17
作者
Crecelius, Cory R. [1 ,2 ]
Van Landuyt, Karra J. [1 ]
Schaal, Robert [1 ]
机构
[1] Univ Missouri, Dept Orthopaed Surg Phys Therapy, Columbia, MO 65212 USA
[2] Univ Missouri, Joint Preservat Ctr, Columbia, MO 65212 USA
关键词
Postoperative Rehabilitation; articular cartilage surgery; lesions; functional outcomes; physical therapy; AUTOLOGOUS CHONDROCYTE IMPLANTATION; CONTINUOUS PASSIVE MOTION; HISTOLOGICAL-EVALUATION; ORTHOPEDIC-SURGERY; REHABILITATION; DEFECTS; REPAIR; MICROFRACTURE; RETURN; SCIENCE;
D O I
10.1055/s-0040-1718605
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The postoperative rehabilitation team plays a crucial role in optimizing outcomes after articular cartilage surgery. A comprehensive approach to postoperative physical therapy that considers the type of surgery, location in the knee, concurrent procedures, and patient-specific factors is imperative. While postoperative rehabilitation protocols should be specific to the patient and type of surgery performed and include phased rehabilitation goals and activities, the key principles for postoperative rehabilitation apply across the spectrum of articular cartilage surgeries and patients. These key principles consist of preoperative assessments that include physical, mental, and behavioral components critical to recovery; education and counseling with respect to expectations and compliance; and careful monitoring and adjustments throughout the rehabilitation period based on consistent communication among rehabilitation, surgical, and imaging teams to ensure strict patient compliance with restrictions, activities, and timelines to optimize functional outcomes after surgery.
引用
收藏
页码:20 / 29
页数:10
相关论文
共 61 条
[1]  
Abe T., 2005, Int J KAATSU Train Res, V1, P6, DOI DOI 10.3806/IJKTR.1.6
[2]   Microfracture and Microfracture Plus [J].
Albright, Jay C. ;
Daoud, Ariel Kiyomi .
CLINICS IN SPORTS MEDICINE, 2017, 36 (03) :501-+
[3]   Dynamic Mechanical Compression of Chondrocytes for Tissue engineering: A Critical Review [J].
Anderson, Devon E. ;
Johnstone, Brian .
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY, 2017, 5
[4]   Biomechanics of the Patellofemoral Joint [J].
Andrish, Jack T. .
OPERATIVE TECHNIQUES IN SPORTS MEDICINE, 2015, 23 (02) :62-67
[5]   Normal and pathological adaptations of articular cartilage to joint loading [J].
Arokoski, JPA ;
Jurvelin, JS ;
Väätäinen, U ;
Helminen, HJ .
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2000, 10 (04) :186-198
[6]   Does Blood Flow Restriction Therapy in Patients Older Than Age 50 Result in Muscle Hypertrophy, Increased Strength, or Greater Physical Function? A Systematic Review [J].
Baker, Breanne S. ;
Stannard, Michael S. ;
Duren, Dana L. ;
Cook, James L. ;
Stannard, James P. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2020, 478 (03) :593-606
[7]   BIOCHEMICAL-CHANGES IN ARTICULAR-CARTILAGE AFTER JOINT IMMOBILIZATION BY CASTING OR EXTERNAL FIXATION [J].
BEHRENS, F ;
KRAFT, EL ;
OEGEMA, TR .
JOURNAL OF ORTHOPAEDIC RESEARCH, 1989, 7 (03) :335-343
[8]   Treatment Selection in Articular Cartilage Lesions of the Knee A Systematic Review [J].
Bekkers, Joris E. J. ;
Inklaar, Melanie ;
Saris, Daniel B. F. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2009, 37 :148S-155S
[9]   Histological evaluation of the course of healing of canine articular cartilage defects treated with cultured autologous chondrocytes [J].
Breinan, HA ;
Minas, T ;
Barone, L ;
Tubo, R ;
Hsu, HP ;
Shortkroff, S ;
Nehrer, S ;
Sledge, CB ;
Spector, M .
TISSUE ENGINEERING, 1998, 4 (01) :101-114
[10]   TREATMENT OF DEEP CARTILAGE DEFECTS IN THE KNEE WITH AUTOLOGOUS CHONDROCYTE TRANSPLANTATION [J].
BRITTBERG, M ;
LINDAHL, A ;
NILSSON, A ;
OHLSSON, C ;
ISAKSSON, O ;
PETERSON, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (14) :889-895