Department of Orthopaedic Surgery, University Hospital Centre of Saint-Étienne, Saint-Étienne, France.
EA 7424 - Inter-university Laboratory of Human Movement Science, University Lyon - University Jean-Monnet Saint-Étienne, Saint-Étienne, France.
Orthop Traumatol Surg Res. 2023 Oct;109(6):103604. doi: 10.1016/j.otsr.2023.103604. Epub 2023 Mar 20.
Follow-up care including rehabilitation therapy after isolated meniscal repair remains to be standardized. Thus, no standard criteria are available for the return-to-running (RTR) or return-to-sport (RTS). The objective of this study was to identify criteria for RTR and RTS after isolated meniscal repair, based on a review of the literature.
Return-to-sport criteria after isolated meniscal repair have been published.
We performed a scoping review of the literature using the methodology developed by Arksey and O'Malley. The terms "menisc*" and "repair" and "return-to-sport" or "return to play" or "return to run" or "rehabilitation" were used to search the PubMed database on 1st March 2021. All relevant studies were included. All RTR and RTS criteria were identified, analyzed, and classified.
We included 20 studies. Mean RTR and RTS times were 12.9 and 20 weeks, respectively. Clinical, strength, and performance criteria were identified. The clinical criteria included full range-of-motion recovery with no pain, quadriceps wasting, or joint effusion. Strength criteria were a quadriceps and hamstring deficit, no greater than 30% and 15% for RTR and RTS, respectively, compared to the normal side. Performance criteria were successful completion of proprioception, balance, and neuromuscular tests. RTS rates ranged from 80.4% to 100%.
Patients must meet clinical, strength, and performance criteria before resuming running and sports. The level of evidence is low, due to the heterogeneity and generally arbitrary choice of criteria. Further large-scale studies are therefore needed to validate and standardize RTR and RTS criteria.
IV.
半月板修复术后的随访康复治疗仍需标准化。因此，半月板修复术后的跑步（RTR）或重返运动（RTS）标准尚无定论。本研究旨在通过文献回顾，确定半月板修复术后 RTR 和 RTS 的标准。
已经发表了半月板修复术后的重返运动标准。
我们使用 Arksey 和 O'Malley 制定的方法对文献进行了范围综述。在 2021 年 3 月 1 日，我们使用“menisc*”和“repair”以及“return-to-sport”或“return to play”或“return to run”或“rehabilitation”等术语，在 PubMed 数据库中进行搜索。纳入所有相关研究。确定、分析和分类所有 RTR 和 RTS 标准。
我们纳入了 20 项研究。平均 RTR 和 RTS 时间分别为 12.9 周和 20 周。确定了临床、力量和表现标准。临床标准包括无痛、股四头肌萎缩或关节积液的全关节活动范围恢复。力量标准为股四头肌和腘绳肌的缺陷，与健侧相比，RTR 和 RTS 分别不超过 30%和 15%。表现标准为本体感觉、平衡和神经肌肉测试的成功完成。RTS 率从 80.4%到 100%不等。
患者必须满足临床、力量和表现标准，然后才能恢复跑步和运动。由于标准的异质性和普遍的任意性，证据水平较低。因此，需要进一步开展大规模研究，以验证和标准化 RTR 和 RTS 标准。
IV。
