Meniscal Repair — Meniscus Root Repair

Sutter Health / Palo Alto Medical Foundation · Kevin Roth MD

Weight-Bearing

Touchdown WB only wks 1-6; advance to WBAT wks 6-8; FWB wks 8+; no WB in flexion >90°; brace locked 0° wks 1-2

Key Restrictions

Touchdown WB only wks 1-6; no WB in flexion >90°; no squatting or cross-legged sitting for 6 months; running criteria-based at wks 12+

Timeline & Phases

Wks 1-2: Touchdown WB, brace locked 0°, ROM 0-90°, passive ext, quad/hamstring sets, ankle exercises; Wks 3-4: Touchdown WB, brace unlocked 0-90°, ROM 10°/wk, step-ups, single-leg standing, hamstring PREs; Wks 4-6: Touchdown WB, d/c brace by wk 6, full active/passive ext; Wks 6-8: advance to WBAT, 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

Most restrictive Roth knee protocol; touchdown WB only wks 1-6; no squatting or cross-legged sitting for 6 months; no WB in flexion >90° throughout

Surgeon / Author

Kevin Roth MD

Published

2024