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Options after a meniscus tear
After a meniscus tear there are 5 options:• Leave alone and allow symptoms to settle reducing activity levels – safe if this results in no pain and no swelling in the knee• Arthroscopic surgery to remove the torn fragment – a very common and successful procedure• Arthroscopic surgery to repair the torn fragment – performed…

Returning to Sport
Introduction This section describes the techniques to try and optimise return to sport following ACL reconstruction. The first section summarises the overall principles of getting back to sport, and this is then followed by more in-depth concepts for specific sports. Various different rehabilitation experts have contributed to this section. Getting an individual back to their…
Meniscal Repair
This information sheet provides information on the nature and purpose of the procedure in addition to an outline of the post-operative rehabilitation. Purpose and description of the procedure This operation involves repair of the meniscus or footballer’s cartilage in the knee. The cartilage acts as a protective weight bearing “shim” helping to transmit weight between…

The Operation
The ‘keyhole surgery’ operation to reconstruct the ACL involves replacing it with other strong tendons from areas around the knee. Two main grafts are in common use: the Hamstring Tendon graft and the Patella Tendon graft. Both are considered to be equally good and the choice usually depends on the surgeon’s preference. Currently the Hamstring…
Phase 2
Initial Post Op Phase – First 2 Weeks Aim The aim of this phase is to regain the range of joint movement and to allow swelling in the knee to settle. The most important aim is to regain normal and full extension (straightening) of the knee. After seeing the physiotherapist on the ward the next…
Joint Loading and Biomechanics
Joint Loading and Biomechanics Loading of a joint can have variable effects on the articular cartilage. Sudden impact loading can cause specific damage and in addition repetitive loading may also promote degenerative change whereas appropriate load within the required range will help with nutrition and function of the joint. The articular cartilage acts as a…