Rehabilitation plan after total meniscectomy or arthroscopic meniscectomy Cao Department of Osteoarthritis, Guangdong Provincial Hospital of Traditional Chinese Medicine Tel: 135805 1668965438. After anesthesia recovery on the day after operation, ankle pump exercise can be started. The method is as follows: the patient lies on the bed, straightens his lower limbs, naturally relaxes his ankles first, and then stretches back, which must reach the maximum. Then do plantarflexion from the state of maximum dorsiflexion, and plantarflexion should also reach the maximum. So repeatedly. Patients can continue to practice plantarflexion and dorsiflexion while watching TV, reading books or newspapers in bed and talking with their families. 2. Within 24 hours after operation, besides ankle pump movement, you can also start active hip movement (30 times-1 day). When performing ankle pump exercise and hip joint exercise, the knee joint remains still; However, the quadriceps femoris of knee joint can contract and relax (each group 100 times, 3 groups/day). Exercise method of contraction and relaxation of quadriceps femoris when lying in bed: The patient lies in bed, his legs are naturally straight, and the thigh muscles of both lower limbs are repeatedly contracted for 5 seconds and then relaxed for 2 seconds. You can practice the contraction and relaxation of quadriceps femoris on both knees at the same time, which can improve the exercise efficiency of quadriceps femoris by 30%. 2. On the second day after operation, you can walk on the ground with crutches at full load (the total walking time with crutches is 30 minutes every day, and each walking time is about 5 minutes), and the quadriceps training is changed from "static contraction training" to "straight leg lifting training". (20 times → 10 times →5 times is 1 group, 1-2 groups/day, which can be divided into morning and afternoon exercises). The knee joint can do 0-30 micro motion in the cotton pad. Other exercises are the same as within 24 hours after operation. 3. On the third day after operation, the knee joint can move 30-60. Other activities are the same as the day after operation. 4. On the third or fourth day after operation, the wound should be changed from "cotton leg" to "elastic bandage", and you can start walking on the ground without crutches. The total walking time every day should be controlled at 30 minutes, and each walking time should be controlled at 65,438+00 minutes. That is, one walk 10 minute, and walk up to 3 times a day; If you walk for five minutes at a time, you walk six times a day. At the same time, train quadriceps femoris to contract and relax. The knee bends more than 90 degrees, at which time the patient can leave the hospital. 5. Take out stitches in outpatient clinic 1 week after operation. Patients can walk normally without crutches, and the daily walking time is controlled within 1 hour. The range of motion of the knee joint should be above 100 degrees. 6. Training at home in the second week after operation: (1) The activity training is 0-45-90- 120 degrees, and the activity gradually increases from the second week after operation to the weekend after operation. (2) Muscle strength training begins with 45-80 degree squat training. ① Start squatting to practice quadriceps strength. Practice method of static squatting: The posture is the same as that of riding a horse and squatting in a crotch or standing pile in China Wushu. The patient's legs are separated, and the distance between the feet is slightly wider than the shoulders. Keep your body upright and don't lean forward. At this time, the knees began to bend and squat. The bending angle of the knee varies with the patient's physical condition and muscle strength. If the patient is healthy and has good thigh muscle strength, the squat angle can reach 90 degrees. If the patient is in poor health and the thigh muscles are weak, the knees can be slightly bent. At this time, the semi-squatting position is higher, and the patient can save labor. With the increase of muscle strength after practice, the kneeling angle can be increased. Decide the amount of exercise according to your physical condition. It is generally required to practice 2-3 groups every day, with 65,438+00-65,438+05 times in each group. The time of each exercise varies from person to person. For example, if the muscle strength is good, a static squat can last for 5 minutes, and if the muscle strength is weak, it can only squat for 2 minutes at a time. In short, no matter whether the muscle strength is good or not, every time you squat until your legs tremble, you can't persist, even if you practice one. ② The straight leg raises the muscle strength of the medial head of quadriceps femoris. Straight leg lifting training: The method of straight leg lifting training is: the patient lies on the bed, his legs are naturally straightened, and the affected limb is lifted 15 with the knee joint straightened, maintaining the posture of 15 until he is weak. Repeat after a 2-minute break. Complete 10-20 times a day. 7. 3 -5 weeks after operation: "Special walking training" can be carried out. During this period, slow walking or middle walking is generally advocated, and fast walking is as little as possible. The daily walking distance should be about 1 1,000 m 3 weeks after operation, and it can be increased to 1 1,500 m 4 weeks after operation, and it can exceed 2,000m 5 weeks after operation. However, the swelling of the knee joint did not increase significantly after walking. If the swelling of the knee joint is obviously aggravated after walking at the above distance, please reduce the walking distance by 500 meters first. If the swelling doesn't get worse, you can break it at a reduced distance and increase the distance next week. Six weeks after the operation, you can start walking without limiting the distance. You can also resume all your daily activities and work and try jogging. If the joint swelling increases after excessive walking or running, such exercises should be postponed appropriately. For athletes, if muscle strength recovers well at this time, they can start to participate in auxiliary training and quickly transition to routine special training. After 9.9 weeks, normal activities basically resumed. Guangdong Provincial Hospital of Traditional Chinese Medicine-Orthopedics-Deputy Chief Physician Cao View the original post >>