Meniscal Repair — Meniscus Body Repair

Sutter Health / Palo Alto Medical Foundation · Kevin Roth MD

Weight-Bearing

50% PWB wks 1-2; no WB in flexion >90°; advance to 75% wks 3-4; FWB with crutches wks 4-6; FWB d/c crutches wks 6-8

Key Restrictions

50% PWB wks 1-2; no WB in flexion >90°; running criteria-based at wks 12+ (90% quad strength, single-leg squat, hop test, single-leg balance)

Timeline & Phases

Wk 1: 50% PWB, brace locked 0°, ROM 0-90°, passive ext, quad/hamstring sets, ankle exercises; Wk 2: 50% PWB, brace locked 0°, OKC (SLR, hip strengthening), CKC (heel raises, leg press); Wks 3-4: advance to 75% WB, brace unlocked 0-90°, ROM 10°/wk, step-ups, single-leg standing, hamstring PREs; Wks 4-6: FWB with crutches, d/c brace gradually, flex within ~10° of uninvolved; Wks 6-8: FWB, d/c crutches, stationary bike, stair climber (no WB in flex >90°); Wks 8-12: FWB full pain-free ROM, lunges/leg press 0-90°, gravity-eliminated shuttle, trampoline, dynamic single-leg exercises; Wks 12+: running (criteria-based: 90% quad strength, hop test, SL squat, SL balance), agility, cutting

Notes

Isolated meniscus body repair; no WB in flexion >90° throughout; running criteria-based at 12+ weeks

Surgeon / Author

Kevin Roth MD

Published

2024