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Rehabilitation Following Selected Knee Surgeries: Cartilage Restoration & Reparation Procedures

Therapy Network Seminars

Objectives

Identify and summarize the major types of surgical procedures for cartilage disorders of the knee Summarize the goals within each phase of rehabilitation for patients following surgery for cartilage disorders List 5 important factors that impact the healing process and rate of rehabilitation following articular restoration/reparation surgery Identify the necessary criteria that must be met for phase progression Compare the forces imposed on the articular cartilage/ knee joint with specific common exercises Identify the most evidence-based return to sport criteria and discuss expected outcomes following various specific surgical procedures

Description

Rehabilitation of patients following knee surgery to restore / repair cartilage can be challenging even for the most experience clinicians. The rehabilitation program requires a meticulous approach to create an optimal healing environment for the healing articular cartilage. It is imperative for the rehabilitation specialist to achieve optimal outcomes while minimizing overstressing the surgical repair. This course reviews the most updated surgical approaches, evidence-based guidelines, and specific protocols for the different surgical procedures. Although the emphasis is on taking a clinical practice guideline approach, based upon clinical reasoning, contemporary protocols are provided as a useful reference. Recent advancements in surgery will be shown and the various factors that may influence the post-operative outcome and /or necessitate modification to treatment approach will be reviewed. Video demonstration of exercise and manual interventions are utilized to reinforce correct techniques. Phase-based rehabilitation guidelines are presented, including transitioning the patient to sport- specific training programs. Effective management strategies for common clinical pitfalls will be explored, with case examples to reinforce learning. Return to sport progression is thoroughly discussed, including evidence-based return to play criteria and self-management strategies

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