How to restore and develop a meniscus after surgery?
The cartilage layer in the knee joint, located between the surfaces of the femoral and tibia, is called the meniscus. It performs the function of a shock absorber and stabilizer, but under certain kinds of load, especially during sports, there may be a rupture. Injury is one of the most frequent and occupies about 75% of all closed knee joint injuries.
Restoration of the meniscus after rupture is possible by stapling with a special thread. If this can not be done, then it is deleted. In some cases, implantation of synthetic prostheses takes place, which take on the functions of the meniscus.
Rehabilitation after surgery is in physiotherapy and physiotherapy, the duration of this recovery period depends on the nature of the injury.
Rehabilitation exercise complex
If the resection of the meniscus( its complete or partial removal) was performed arthroscopically *, then the recovery complex can be started 1-7 days after the operation.
* That is, using special video equipment through two punctures from the sides of the knee joint.
If the injury was damaged ligament or removal of the meniscus was performed by the open method, then the physical therapy will have to be postponed, because for the first time the knee needs rest. The same situation is observed in the case of stitching the edges of the meniscus, which need to be consolidated, before re-loading the knee. This period can take up to 5-7 weeks after the operation, depending on the individual characteristics.
Early recovery of
The main goals that pursue early rehabilitation after surgery include:
- normalization of blood circulation in the affected joint and elimination of inflammation;
- strengthening of the hip muscles for the purpose of stabilizing the knee;
- prevention of contracture( limitation of movement).
Physiotherapy exercises should be performed in different positions of the body:
- sitting, passively unbending the operated leg, placing a roller under the heel;
- standing on a healthy limb;
- lying, straining the muscles of the thigh for 5-10 seconds.
All these exercises can be performed only with the permission of the attending physician in the absence of effusion( inflammatory fluid) and blood in the joint after the operation.
Later restoration of
The tasks of late rehabilitation are:
- elimination of contracture in case of its formation;
- normalization of gait and restoration of joint function;
- strengthening of muscles, stabilizing the knee.
For this, the most effective exercises in the gym and in the pool. Very useful cycling and walking. Do not forget that the first few weeks after a meniscus resection is not desirable squat and run.
Examples of exercisesSquats with the ball. Starting position: standing, slightly leaning back, the ball is located between the waist and the wall. Do squats to the angle of 900. Deeper is not necessary, since the load on the knee joint is significantly increased.
Walking backwards. It is advisable to perform this exercise on the treadmill, sticking to the handrails. The speed should not be above 1.5 km / h. It is necessary to strive for complete straightening of the leg.
Exercises on the step( a small platform, used for aerobics).After the operation, first use a low step about 10 cm, gradually increase the height. When performing the descent and lifting it is important to ensure that the shin does not deviate to the right or left. It is desirable to control this visually - in the mirror.
Exercise using a 2 meter long rubber tape that is fixed to a fixed object on one side and to a healthy leg on the other. Performing the flies aside, train the muscles of both extremities.
Jumping on the leg first through the line, then through the bench. It trains the coordination of movements and the strength of the muscles.
Balance training is conducted using a special oscillating platform. The main task is to keep the balance.
When exercising on a stationary bike, you need to make sure that at the bottom point the leg is straightened.
Jumps can be on a flat surface or on a step. For greater efficiency, you need to jump right and sideways.
Running by stepping steps and walking in water can be performed after the wound is completely healed.
Physiotherapy in the postoperative period is aimed at improving blood circulation and metabolism in the knee joint area, as well as accelerating regeneration processes. For these purposes, massage, laser therapy, magnetotherapy and muscle electrical stimulation are effective.
Massage should be performed with swelling and knee mobility restriction. For greater efficiency, it is advisable to teach the patient self-massage, which he will perform several times a day. The joint itself in the early postoperative period should not be massaged. To perform other physiotherapy procedures, you will need to visit the clinic.
Surgical restoration of the meniscus
Meniscus plays an important role in the normal operation of the knee joint, so during the operation it is not removed completely, but tries to keep the maximum amount of undamaged tissue. There are two main methods for restoring a meniscus after a surgical trauma:
- A suture that is performed in cases of a linear rupture, if no more than a week has passed since the injury. To impose it makes sense only in the zone of good blood supply. Otherwise, the fabric will never grow together and after a while there will be a repeated rupture.
- Meniscus prosthesis using special plastic plates is rarely used, usually with extensive destruction and removal of most of the cartilage tissue. In addition, there is the possibility of transplanting donor fresh frozen tissues.
In conclusion, it is worth recalling that if you have a knee injury - it is necessary to contact an experienced traumatologist. The doctor will determine the nature of the damage and will carry out the necessary treatment. Performing simple exercises for the rehabilitation and restoration of the meniscus function after the operation will very soon allow you to forget about an unpleasant incident and return to your old active life.
Recovery periods after knee replacement
Replacement of the knee joint is not such a simple matter. Your life after prosthetics will never be the same. Rehabilitation after knee arthroplasty - what should it be?
Rehabilitation is the second half of the success of knee replacement
Rehabilitation after knee replacement
To perform an operation to replace the joint is not all.
- A complex exercise program for the joint
- will be required. The load on the joint will have to be limited, as well as some types of exercises:
- for convolution
- jogging and jumping
- Many sports( light and heavy athletics, wrestling, mountain and water skis, parachute andetc.)
- For several years after the operation, it will be necessary to observe the doctor
It may seem that after the operation you will have to spare and protect the knee painfully. This is not entirely true:
A gentle mode for several days will certainly be, but the first exercises will need to start literally on the second day. And then the load will only increase .
For the development of the joint after the operation, it will take a long time, and even more nerves and patience. I'll have to work through overcoming pain. How else?
Rehabilitation is needed to ensure that :
- No contracture occurs, and the prosthesis bends and rotates with the same approximate amplitude as the once healthy joint
- The risk was not in vain( the operation is always a risk) and the expended funds
What determines the success of the
rehabilitation Halfsuccess depends on the skill and skill of the surgeon, and the second half only on the patient :
- Will he go through the entire rehabilitation program
- Will not he relax after a few weeks or even years
- Will he be engaged asnot only in the rehabilitation center, but also at home
. When performing the rehabilitation program, the patient is not alone:
- Patient should not be guessing:
- will not dangerous or undesirable exercises that hurt him
- will there be side effects
- He does not need to produceself-selection exercises
- There is no need to purchase mechanical simulators( they should be in the rehabilitation center)
Special treadmill in the rehabilitation center
All these issues are solved by leaschy doctor and Rehabilitation.
Surgeons are aware of the main dangers of the early postoperative period:
Risk of developing blood clots :
Suspected thrombosis symptoms by pain, swelling and redness below or below the knee
Risk of developing an infectious inflammation:
Elevated temperature, the surges of leukocytes in the blood can be alarming symptoms of
To prevent postoperative complications, coagulants( blood thinners) and antibiotics
are appointed. The rehabilitator visits the patient within a few hours afterie the operation and shows the first necessary exercises that it will need to perform.
After the discharge, the question of the rehabilitation center is usually put, however, studies there are not cheap, and therefore many patients decide to be engaged in the rehabilitation themselves.
But if a person does not intend to undergo rehabilitation at all( nowhere in the center or at home), then it is better to completely abandon the operation
. Is it possible to independently repair the house
? Probably, yes, because the impossible is really nothing.
But in practice alone and for a long time to restore the joint after prosthetics difficult :
- There is not enough pure specific knowledge that orthopedists-traumatologists own
- Because of the fear of pain, there is a barrier that reduces the volume and amplitude of movements.
- The self-pity, unorganized schedule andetc.
In orthopedics, mechanotherapy is practiced - a method of passive rehabilitation, when movements of the diseased limb are carried out by mechanical simulators that are always in the rehabilitation center
Exercises of the early operational period
These exercises are necessary to prevent thrombus formation and muscle atrophy and to maintain the functions of the musculoskeletal system
The first two days after the operation
- Compress and unclench the fists
- Bend and unbend arms in the elbows
- Rotation with both fists
- Similar rotation with elbows
- "Box" with paddle separation from the bed
- Straight and cross "scissors"
- Pulling up
Exercises for a healthy leg
The goals of such exercises are to fight thrombosis and weshear atrophy
- Circumference of the ankle
- Compression and unclenching of the fingers
- Leg bending in the knee
- Raising the straight leg
- Leaning on the heel and elbows, raise the buttocks
- We start to sit down with the help of the handrail, first not lowering our legs to the floor, and on the second day, we lower them
Exercises for a sick leg
- Squeeze and unclench fingers
- Pull the foot on yourself and away from yourself
- Alternately bend and unbend your legs while lying down and sitting
- In the sitting position, put your feet on the bench, raiseWe leave them without lifting the heels
The gymnastics of the first two days is performed at a slow pace :
- Between several exercises breaks from three to five minutes are made
- Some exercises are combined with the respiratory rhythm
After getting to sit on the bed with the legs down,learn to get on crutches or walkers
Walking on walkers or crutches
Walking with ancillary equipment is already on the second day of the .Walking on crutches is somewhat more difficult, since more physical strength is required. For the elderly it is preferable not to walk on crutches, but on the walker
It's easier, of course, to see or experiment with crutches before the operation, but the general technique is simple:
Walking on crutches with the help of an instructor is already on the second day
To get up,for the handrail, the other for the handle of a crutch or walker, with the support of a healthy leg
Walking on both crutches and walkers is built on the same principle :
- They serve as an additional support for the body:
We rely on the crutcharmpits, and on the walker with the hands of
- First we move forward at a distance of a small step both crutches or walkers
- With a healthy foot we make a step and tighten the sliding foot on the floor with the operated foot
- . The foot must first touch the floor with the heel, and then you can lower the entire foot
- They serve as an additional support for the body:
. The first walk withadditional support should be short-lived and performed with the help of the instructor
Two to seven days after the operation
The patient by this time independently sits in bed, having lowered his legs to the floor, and he walkst on crutches.
Repeat all previous exercises in the supine and sitting position, but more actively and in larger amplitudes
Increase the number of repetitions
The following exercises are added:
- retention of the elongated foot
- retention of the straight leg
- raised by 20-30 раз with the heel inserted under the heel
- isometric exercises with tension of buttock muscles and quadriceps femoris
- tilts and turns of the trunk with outstretched arm
- imitation of walking
- exercises in the lying position on the side( on zdofoot joint) with the roller between the legs
Starting from the second day, the development of the knee joint with the help of mechanotherapy begins - passive flexion-extension of the knee joint on the mechanical simulator with gradual increase in speed, angle and duration.
Passive flexion-extension of the knee joint on the mechanical simulator:Exercises begin two days after surgery
Ninth day after surgery
Exercise in sitting position - swing with foot
Dynamics of exercises for the operated leg in
- Lying on the side bend and unbend the leg in the ankle
- Pull the toe up and raise the foot by 10 cm( specialist's help is allowed)
- We make small flails with a sick leg
- We add exercises with the emphasis on the handrails standing:
Swing forward and raising the leg ona small angle
Rehabilitation of the house
Extract usually occurs after two weeks.
Walking on crutches will last an average of six to eight weeks, although some patients refuse them and before
at home you will repeat all those exercises that were done in the hospital in all three positions plus the will be added:
- abdominal exercises
- risings on tiptoes
It is also necessary to repeat passive mechanotherapy: at home, this can be done with a conventional elastic band.
Passive exercises for knee joint with elastic band
Task of home exercises :
- Do not allow contracture
- Restore function of knee joint
- Improve trophic of soft tissues of lower leg and hip
Late recovery period
It begins 1.5 months after the operation.
Objectives of the late recovery period - restoration of the functions of the aching limb
Adding exercises with support and load on the injured leg :
- Makhi standing on a sick leg
- Walking on bent legs, holding the handrails
- Exercises "scissors" and "bicycle", etc..
Late rehabilitation period
This period is usually considered to be a period of more than two months after the operation. However, for all its terms.
The tasks of this period are mainly adaptive :
- The patient learns to walk with a cane
- Executes exercises with weighting
- Begins to work on an exercise bike
In the photo below - exercises with thrust for knee joint development:
Exercise with traction for knee joint
How long it takes to recover
Follow-up examinations at the doctor after endoprosthetics are performed every year
Actually, the care of the joint will last a lifetime. It is impossible to forget about the prosthesis immediately after the rehabilitation.
- Six months after the operation, it is necessary to conduct a follow-up inspection of the knee from a surgeon
- Then to visit an
- doctor every year. For several years, you need to practice active active exercises
- . Then you can simply perform daily gymnastics, maintaining your normal weight.
- . Ten years after surgery,a thorough examination, since the prosthesis resource could come to an end
Video: Rehabilitation after knee replacement
If you have an endoprosthetics operation plannedknee joint, see the full methodology of the Federal Center for Traumatology, Orthopedics and Endoprosthetics:
- How is the preparation for operation
- A complete set of exercises after knee replacement in different periods of rehabilitation?
Arthroscopy of the knee joint - recovery after surgery: rehabilitation, LUK| |Are joints aching?After arthroscopy, the first few days, and maybe 2 weeks, develop edema. Therefore it is extremely not desirable to lead an active lifestyle for at least 1 week. During this period, the immobilization of the limb on which the operation was performed is recommended.
The advantages of arthroscopy
- The small cosmetic defect at the surgical site
- The short stay in the hospital( on average 1-2 days)
- Rapid recovery from knee surgery
- No need to wear gypsum long suture
- The most accurate diagnosis of diseases of the knee joint
As a rule, rehabilitation after surgery on the knee joint is necessary to pass necessarily and its terms can reach 6 months. For athletes, it is absolutely necessary to practice exercises to strengthen the muscles of the lower limb, for the best effect. Rehabilitation activities include:
- Dressings of a postoperative wound( on days 2, 4 and 9)
- Use of drugs that remove inflammation
- Passage of electrostimulation of hamstrings
- Special exercises LFK
It should be noted that the lymph after surgery on the knee joint is very importantvalue. After all, the functionality of the operated limb and the duration of rehabilitation depend on it. The exercise complex of exercise therapy is not difficult, it can safely be performed by people who have undergone arthroscopy. Among the basic exercises can be identified:
- Lying on the back of the patient should raise and lower the leg straightened at the knee joint. This exercise is desirable to perform every 2 hours, 15 times and three approaches.
- Lying on one side( the side of a healthy leg) try to lift a leg on which arthroscopy was performed. When raising a leg, it must be delayed for 10 seconds. Such an exercise should be done 10 times, every 2-3 hours.
- Perform massaging movements and at the same time try to move the kneecap down.
- Vital not long, quiet walks, but no more than 1 kilometer.
- Try to ride a bike, at least once a week and at least 15 minutes.
- Exercises aimed at reducing the hamstrings of the hip: lying on the back, bend the legs in the knees and press the heel to the floor. Such an exercise is performed daily, several times a day.
- Exercises to reduce the front muscles of the thigh: lying on the stomach, pushing the foot onto the roller, which was previously placed under it, try to straighten the leg as much as possible.
Since the knee structure is extremely complicated, all complications can arise in the postoperative period. All this depends on how long exercises of exercise therapy and other recommendations of orthopedist-traumatologist will be performed. Very rarely it happens that pain in the knee joint can continue for 12-18 months after performing arthroscopy, but this is due solely to the individual characteristics of the body. It should be noted that the most prone to the occurrence of consequences, people of advanced age, due to degenerative( age) changes in the knee joint.
Rehabilitation after the endoprosthetics of the( total) knee joint includes exercises of exercise therapy, massage, swimming and mud treatment
Endoprosthetics is an actively developed and promising area. Due to the operation to introduce into the knee implants, thousands of patients got rid of the pain and returned mobility to their limbs. The percentage of successful surgical interventions is constantly growing and now amounts to about 90%.A significant role in restoring mobility is played by the correct course of rehabilitation after prosthetics of the knee joint.
Types of knee endoprosthetics and indications for operation
Endoprosthetics are complex and expensive operations associated with the introduction of foreign material into the human body. Therefore, for her appointment, you need serious testimony. It is performed with such diseases as arthritis, arthrosis, necrosis, untreated dislocation, tuberculosis of bones. Rehabilitation after the replacement of the knee joint is also a difficult and long process. Indications for knee arthroplasty are the following:
- limb mobility impairment;
- a strong pain symptom interferes with a patient's normal life;
- lack of opportunities for conservative treatment.
There are several types of partial or full joint replacement.
- Total knee arthroplasty .This type involves the replacement of surfaces on both bones of the knee - femoral and tibia, if the surfaces and meniscus themselves are completely damaged. At the same time, metal structures are fixed on the bones, and the knee cap is replaced by a plastic-metal implant.
- Single pole prosthesis provides for the replacement of only one of the knee sections. This may be a side front or middle compartment. This operation is considered more sparing compared to the previous one, but later, with the progression of the underlying disease( eg, arthritis), it may be necessary to repeat it. These two types of surgery are primary.
- Revision( secondary) prosthetics of bone surfaces are made to replace worn out prostheses with new ones. In this case, the risk of complications is higher, the amplitude of movements and the shortening of the limb may decrease.
In the hospital, the patient spends up to 2 weeks, after removing the sutures and without complications he is discharged home. In the first day, bed rest is prescribed since the third one can get up. Postoperative period of knee arthroplasty is extremely important for further recovery. In a hospital or clinic, the patient receives medications - antibiotics and pain medications. Also, the doctor gives advice on the recovery period and gymnastics.
At home it is important to continue to do daily exercises to strengthen the muscles of the thigh and lower leg for speedy rehabilitation. For 4-12 weeks it is necessary to wear a compression knitwear. When walking, you need to use an additional support - walkers, crutches, in time you can go to the cane. This will limit the load on the operated leg in the first weeks and reduce the risk of complications.
With special care you need to take a shower, use a car and public transport. For the rest of the next life, after knee arthroplasty, one must avoid actions that overload the operated operation. These include:
- running and related sports;
- lifting and carrying weights;
- long walking on the stairs;
- unwanted is a set of excess weight.
Quite often, after surgery, many patients experience a slight edema of the operated zone and a pain symptom. But do not worry about it. With edema, you can cope with the cold( apply a cold compress for 5-10 minutes), and a moderate pulling pain is well-stopped med.preparatami, and goes through 10-12 weeks.The reason for immediate contact with a specialist should be a plentiful edema and acute pain after knee replacement, accompanied by fever and redness.
Unfortunately, complications after the replacement of the knee joint, especially the total knee joint, are not uncommon. The most common problems include:
- Blood clot formation. This is caused by stagnation of blood in the veins of the shin, and also, perhaps, against the background of receiving blood thickening drugs and physiological predisposition.
- Infection. The risk of infection is about 2%, for prevention, it is necessary to take medication prescribed by a doctor, avoid colds and other diseases, and prevent their protracted course.
- Osteolysis is a process where the tissue begins to break down at the points where the bone meets the prosthesis. This is due to the body's reaction to the metal structure, subsequently osteolysis can lead to the need for repeated surgical intervention.
A successful implant placement operation assumes the appointment of a group III disability in the following cases:
- endoprosthetics of both legs;
- replacement of bone surfaces not only of the tibia but also of the femur;
If the operation was unsuccessful, disability is put on an individual basis, depending on the severity of the consequences. Lifetime disability after knee replacement is prescribed if rheumatoid arthritis is the cause of the disorders.
Features and objectives of rehabilitation
The rehabilitation program has two objectives:
- mobility recovery;
The development of the knee joint after endoprosthetics should include the following types of movements:
- muscle tension of the thigh and lower leg;
- flexion and extension of the thigh, knee and ankle joint;
The total time of gymnastics is 10-15 minutes. Exercises should carry a moderate load.
Terms, stages and methods of restoring the function of the knee
The recovery period after prosthetics is 10-12 weeks on average. At this time, you need to slowly and smoothly move with the support, gradually build up the strength and amplitude of movements. Any exercise or movement must be stopped when feeling pain, fatigue or overstrain in the muscles. Recovery after knee replacement can be accelerated if all the doctor's recommendations are followed.
After the operation, a fluid is accumulated in the joint bag, which is removed by means of a drainage system. Lymphatic drainage or apparatus massage of the knee joint after endoprosthetics is included in the complex of mandatory measures in the first day. Physioprocedures( warming up and mud cure) the ratio among orthopedists is ambiguous. In German clinics, they are actively practiced and, according to local experts, accelerate the recovery period. Domestic doctors treat these methods skeptically, believing that they increase the risk of infection.It should be remembered that the endoprosthesis is not a new healthy joint, but a mechanism that allows you to move and live without pain. Like any other mechanism, it gradually wears out.
Therapeutic physical training, recommended by domestic specialists, is a combination of static and dynamic exercises with a lack of rotation of the operated knee. The difference between LFK after knee arthroplasty and other techniques is that most of the movements are made from a lying or sitting position.
Video: "Exercises after arthroplasty of the knee joint"
There are many types of rehabilitation gymnastics. For example, neurophysiological exercises Brugger designed to correct painful sensations due to movements performed in an upright position. Another kind of complex of neurophysiological exercises can be called the gymnastics offered by Milligan. Western clinics also practice swimming and swimming in the pool and hippotherapy. When choosing a recovery method, it is important to build on the availability of specialists in this area. Without observing the doctor, exercises can cause irreparable harm to one's health.
Endoprosthetics can significantly improve a patient's life. However, it must be understood that this operation is not a panacea, and it will impose certain restrictions on the rest of life.
Arthroscopy of the knee joint: operation and consequences
The complexity of the operation also affects the duration of subsequent rehabilitation. Advantages of arthroscopy are very minor injuries, small size of the incision, short recovery period. But all the same, the operation itself requires careful preparation, a detailed study of the trauma and an accurate diagnosis. The effectiveness of such treatment is said in reviews - arthroscopy of the knee joint chooses the majority of those suffering from a knee injury.
Methods of anesthesia
The operation begins on the knee joint with anesthesia. Doctors use the following basic methods of anesthesia:
- local anesthesia - simple in execution, safe and does not require the involvement of an anesthesiologist;It is used less often than others, since it operates for a short period;
- conductive anesthesia - used with 1% lidocaine solution blocking several basic nerves;The duration of this type of anesthesia is 1.5 hours;
- spinal anesthesia with the use of marcain is the most common form of anesthesia;its advantages include the possibility of prolonging the duration of anesthesia with a catheter, as well as maintaining a permanent connection with the operated;
- general anesthesia - carried out with the involvement of an anesthesiologist, you can control the duration of the action.
During arthroscopy of the knee joint, anesthesia is chosen based on the manner in which the operation will be performed and what level of complexity.
The process of arthroscopy
Before surgery, a tourniquet is placed on the thigh of the patient, or a so-called turnstile, which does not allow blood to enter the joint cavity. This makes it possible for the doctor to see the operable site better. All tools are inserted through three holes from 5 mm to 7 mm in size. Inspection and further action is also facilitated by the introduction into the joint cavity of a special fluid that is delivered through one of the instruments.
The meniscus is removed through the incisions, ligament repair and other manipulations are performed. After the end of the operation and removal of all instruments and fluids, a medicine is introduced that promotes rehabilitation. It can be various anti-inflammatory drugs. Arthroscopic sanitation of the knee joint is used to exclude the possibility of new lesions. After surgery, sterile pressing bandages are applied to the knee.
Post-operative complications of
As in many other cases involving surgical intervention, arthroscopy of the knee joint can cause some complications, among which it is worth highlighting:
- caused by anesthesia - are not directly related to arthroscopy itself;
- problems with the vascular system - arise when the vein or artery is being bruised;
- sprain of the ligaments - the cause is an excessive increase in the distance between the bones when examining the meniscus;
- arthritis - in case of infection in the wound;
- hemarthrosis - is extremely rare;occurs as a result of severe hemorrhage in the joint.
It should be noted that the risk of these complications is low, and depends mainly on human factors. Therefore, after treatment it is worthwhile to refer to the specialists having many years of experience in this field.
As a rule, arthroscopy of the knee joint involves the passage of a rehabilitation course after surgery. The recovery period can exceed 6 months, and for greater efficiency it is desirable to engage leg-strengthening exercises for up to 1 year.
The period of outpatient treatment includes:
- dressings under the supervision of a doctor( conducted on the 1st, 3rd and 9th days after the operation);
- use of drugs that prevent inflammation;
- lymphatic drainage;
- various loads( their degree depends on the complexity of the operation performed).
In addition, after arthroscopy, rehabilitation of the knee joint suggests:
- stimulation of the hip muscles with electricity;
- use of "Artromot" - a drug used for passive movements in the joint;
- special course of exercise therapy.
A patient who has undergone the first stage of rehabilitation can proceed to the second, which consists of a set of exercises. These lessons are simple, everyone can repeat them at home - this is the main advantage of the therapeutic and sports complex( LFK).The following are the main exercises for the lfk after arthroscopy of the knee joint:
- In the supine position on the back, raise and lower the straight leg( lifting the leg 15 times, repeating the exercise 3 times, performing every 2 hours);
- In the supine position on the side( the side of a healthy leg), lift the operated leg( raising the leg for 10 seconds, repeating 10 times every 2 hours);
- When massaging, move the kneecap( 10 times, 2 times a day);
- To go for short distances( at the same time the speed should be small, the run is prohibited);
- Ride every week on a bicycle( for 15 minutes).
There are other complexes, more extended, they are all aimed at recovery after arthroscopy of the knee joint. If all the exercises are performed without difficulties, then after the rehabilitation treatment complex, you can begin to play sports.
In general, the postoperative recovery period will require the patient at least 3 campaigns to the doctor for advice. At the initial stage, joint punctures can be performed( in case of edema).In case the arthroscopic operation on the knee joint was successful and the patient feels well, the seams will be removed in the very near future.
No matter how successful the operation is, the knee structure will never be the same. From what will be the subsequent recovery, depends on the patient's further actions. The better the rehabilitation after arthroscopy of the knee joint, the less the consequences are expected. For example, if activity is too active, the joint fluid flows into the postoperative period, which can lead to infiltration inside the joints.
There may be a problem with postoperative scarring. The consequences of arthroscopy of the knee joint are unforeseen, and therefore can concern not only the operated place, but also the area around it. It is necessary to try to avoid infection of the scars, because in rare cases surgical help is required in inflammatory processes.
Sometimes, limited movement can evolve into an algodystrophic syndrome, expressed in the form of pain. The time of development of this disease can last from 12 to 18 months, and therefore immediately it can not be detected. People with advanced age are most prone to undesirable consequences after arthroscopy.
The cost of arthroscopy of the knee depends on the complexity of the operation and the clinic that the patient chose. The price varies from 15 000 rubles.and may exceed 40,000 rubles. The patients' comments indicate how effective this method of treatment is.
I was given arthroscopy a year and a half ago, the operation was successful. Now the joint works well, during the rehabilitation period I performed all exercises and doctor's recommendations. Now I can again do my favorite sport - cycling. Of course, you need to be careful of injuries, so I use a bandage.
After the arthroscopy, thanks to the skill of the doctor and restorative procedures, I quickly "got to my feet" in the literal sense of the word. The matter is that, skiing, I very unsuccessfully stopped and got a strong knee injury. I did not immediately ask for help, but later I learned that I almost got a meniscus tear. It's good that everything is already behind, I'll be more careful from now on. After arthroscopy, I do not notice significant changes in the work of the knee.