SPORTS MEDICINE
2013 ISAKOS Congress : The Impact of Free or Restricted Rehabilitation After Meniscus Repair. A Prospective Randomized Clinical Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(6):10160 patients who had undergone arthroscopic repair of vertical meniscus lesions were randomized to either a free or a strict rehabilitation program after to compare the functional, healing, and patient related outcomes of the two protocols. Follow-up at one year follow demonstrated a slightly better healing rate for the free rehabilitation group, with no differences between the groups in Knee Osteoarthritis Outcome Score (KOOS), Tegner score, pain and patient satisfaction.
学会報告
このACE報告は、学会発表または抄録の要約です。提供された情報により、バイアスのリスクや全体的な質の正確な評価を提供することには限界があります。臨床試験が進行中であったり、選択された結果が発表されている可能性があるため、結果を慎重に解釈してください。
なぜ今この研究が必要なのですか？
Meniscal tear occurs in the cartilage during a number of physical activities. Currently no randomized controlled trials exist to investigate the best rehabilitation program for meniscal repair. The purpose of this trial was to compare the outcomes of free and restricted rehabilitation program on meniscal healing.
主な研究課題は何ですか？
How does free rehabilitation compare to strict rehabilitation in terms healing rates, functional, and patient-related outcomes, 1 year after meniscal repair surgery?
重要な知見は？
- 33% of restricted and 24% of free rehabilitation patients had partial or lack of healing with re-arthroscopy.
- Both groups had similar KOOS scores
- No differences in Tegner score were found between two groups
- Patients reported similar satisfaction with either rehabilitation
最も覚えておくべきことは？
Free rehabilitation demonstrated a slightly better healing rate for meniscal repair, but no differences were found in functional outcomes and patient satisfaction at a one year follow up.
それが私の患者ケアにどのように影響するか？
Free rehabilitation seams to show a trend towards better healing rates, despite similar functional outcomes between two rehabilitation protocols. Future follow up of 2 years for this study is currently being awaited, while the lack of healing remains a concern.
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