Transtibial pullout repair of medial meniscus posterior root tear
Postoperative rehabilitation protocols
• Weight-bearing on the knee immobilizer was not allowed for 2 weeks postoperatively.
• Knee flexion was limited to 90° for the first 4 weeks, and
• Full weight bearing and 120° knee flexion were allowed after 6 weeks.
• Deep knee flexion was allowed 3 months postoperatively.
Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures
Rehabilitation
The patient is initially placed in a knee extension brace until quadriceps control is regained; then, physiotherapist-guided non–weight-bearing rehabilitation is commenced.
Rehabilitation includes a graded increase in non–weight-bearing flexion and extension exercises from 0° to 90° for 6 weeks, allowing limited internal rotation, followed by full range of motion and a graded return to weight bearing from weeks 6 to 8 postoperatively.
The patient is allowed to perform deep squats after the fourth postoperative month and to return to sport-related training at 5 months.