Meniskusoperationen effektiv rehabilitieren: ein Blick auf aktuelle Konsensusempfehlungen

Zusammenfassung

Für Patienten, die am Meniskus operiert wurden, gibt es unterschiedliche Empfehlungen für die Nachbehandlung. Neben Rissform und -lokalisation beeinflussen Lage und Ausmaß der Verletzung das chirurgische Vorgehen und nicht zuletzt individuelle Faktoren den Reha-Verlauf. Es lohnt sich, bei der Therapie dem Rat von Experten zu folgen.

Publication History

Article published online:
17 April 2025

• Literatur

• 1 Anderson AF. The ISAKOS classifification of meniscal tears. (o. J.). Accessed July 17, 2024 at: https://www.isakos.com/assets/innovations/cc_anderson_2.pdf
• 2 Beamer BS, Walley KC, Okajima S. et al. Changes in contact area in meniscus horizontal cleavage tears subjected to repair and resection. Arthroscopy 2017; 33: 617-624
• 3 Behrendt P, Schoch W, Diemer F. Therapie von Meniskusläsionen, Rehabilitation nach Meniskuschirurgie. AGA-Knie-Knorpel-Meniskus-Komitee. 2024: 83-88
• 4 Cinque ME Chala J, Moatshe G. et al. Meniscal root tears: A silent epidemic. Br J Sports Med 2018; 52 (13) 872-876
• 5 Culvenor AG, Girdwood MA, Juhl CB. et al. Rehabilitation after anterior cruciate ligament and meniscal injuries: A best-evidence synthesis of systematic reviews for the OPTIKNEE consensus. Br J Sports Med 2022; 56 (24) 1445-1453
• 6 Dias JM, Mazuquin BF, Mostagi FQRC. et al. The effectiveness of postoperative physical therapy treatment in patients who have undergone arthroscopic partial meniscectomy: Systematic review with meta-analysis. J Orthop Sports Phys Ther 2013; 43 (08) 560-576
• 7 Diemer F, Sutor V. Praxis der medizinischen Trainingstherapie. Meniskusverletzungen. Stuttgart: Thieme; 2023. 50-61 433-442
• 8 DocMedicus. Meniskusoperation. Accessed August 15, 2024 at: https://www.gesundheits-lexikon.com/Operationen/Orthopaedie-und-Unfallchirurgie/Meniskusoperation
• 9 Dürselen L, Freutel M. Biomechanik des Meniskus. Orthopädie und Unfallchirurgie up2date 2015; 10 (03) 215-227
• 10 ESSKA The formal EU-US Meniscus Rehabilitation Consensus. An ESSKA-AOSSM-AASPT Initiative 2024. Accessed December 12, 2024 at: https://esskaeducation.org/sites/default/files/2024-07/The%20formal%20EU-US%20Meniscus%20Rehabilitation%20Consensus%20summary.pdf
• 11 Fortier LM, Verdejo FG, Gursoy S. et al. Review of meniscus anatomy and biomechanics. Current Reviews in Musculoskeletal Medicine 2022; 15 (05) 323-335
• 12 Gastaldo M, Gokeler A, Della Villa F. High quality rehabilitation to optimize return to sport following lateral meniscus surgery in football players. Ann Jt 2022; 7: 36
• 13 Herrlin SV, Wange PO, Lapidus G. et al. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears?. A five year follow-up. Knee Surgery, Sports Traumatology, Arthroscopy: official journal of the ESSKA 2013; 21 (02) 358-364
• 14 Houglum PA. Soft tissue healing and its impact on rehabilitation. Journal of Sports Rehabilitation 1992; 1: 19-39
• 15 Koch M, Memmel C, Zeman F. et al. Early functional rehabilitation after meniscus surgery: Are currently used orthopedic rehabilitation standards up to date?. Rehabilitation Research and Practice 2020; 3989535
• 16 Kopf S, Beaufils P, Hirschmann MT. et al. Management of traumatic meniscus tears: The 2019 ESSKA meniscus consensus. Knee Surgery, Sports Traumatology, Arthroscopy 2020; 28 (04) 1177-1194
• 17 LaPrade RF, Chahla J. Evidence-based management of complex knee injuries: Restoring the anatomy to achieve best outcomes. Elsevier Health Sciences 2020
• 18 Mameri ES, Dasari SP, Fortier LM. et al. Review of meniscus anatomy and biomechanics. Current Reviews in Musculoskeletal Medicine 2022; 15 (05) 323-335
• 19 Mueller BT, Moulton SG, O’Brien L, LaPrade RF. Rehabilitation following meniscal root repair: A clinical commentary. J Orthop Sports Phys Ther 2016; 46 (02) 104-113
• 20 Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age. Am J Sports Med 2002; 30 (04) 589-600
• 21 Nyland J, Lachman N, Kocabey Y. et al. Anatomy function, and rehabilitation of the popliteus musculotendinous complex. J Orthop Sports Phys Ther 2005; 35 (03) 165-79
• 22 Petty CA, Lubowitz JH. Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years’ follow-up. Arthroscopy 2011; 27 (03) 419-424
• 23 Siebert CH. S2k-Leitlinie Meniskuserkrankung : von der Ätiologie bis zum Scoring. Zeitschrift für Orthopädie und Unfallchirurgie 2017; 155 (02) 165-168
• 24 Van Oevelen A, Peiffer M, Chevalier A, Victor J. et al. The relation between meniscal dynamics and tibiofemoral kinematics. Sci Rep 2024; 14 (01) 8829
• 25 Wouters DB. Repair of a meniscus tear within 3 weeks after trauma significantly reduces the likelihood of a recurrent tear compared with later repairs. Knee Surgery, Sports Traumatology, Arthroscopy: official journal of the ESSKA 2023; 31 (06) 2246-2250