RESUMO
The postoperative rehabilitation team plays a crucial role in optimizing outcomes after articular cartilage surgery. A comprehensive approach to postoperative physical therapy that considers the type of surgery, location in the knee, concurrent procedures, and patient-specific factors is imperative. While postoperative rehabilitation protocols should be specific to the patient and type of surgery performed and include phased rehabilitation goals and activities, the key principles for postoperative rehabilitation apply across the spectrum of articular cartilage surgeries and patients. These key principles consist of preoperative assessments that include physical, mental, and behavioral components critical to recovery; education and counseling with respect to expectations and compliance; and careful monitoring and adjustments throughout the rehabilitation period based on consistent communication among rehabilitation, surgical, and imaging teams to ensure strict patient compliance with restrictions, activities, and timelines to optimize functional outcomes after surgery.
Assuntos
Cartilagem Articular/cirurgia , Traumatismos do Joelho/cirurgia , Articulação do Joelho/cirurgia , Procedimentos Ortopédicos/reabilitação , Artroplastia Subcondral/reabilitação , Transplante Ósseo/reabilitação , Cartilagem Articular/lesões , Transplante de Células/reabilitação , Condrócitos/transplante , Humanos , Educação de Pacientes como Assunto , Cuidados Pós-Operatórios , Período Pós-Operatório , Cuidados Pré-Operatórios , Recuperação de Função Fisiológica , Transplante Autólogo/reabilitação , Transplante Homólogo/reabilitaçãoRESUMO
The efficacy of the rehabilitative process following articular cartilage repair in the knee can be the factor that determines the patient's long-term success, especially for return to sport. Articular cartilage repairs show great promise in allowing patients to return to their former level of function and, when complimented with an appropriate postoperative rehabilitation program, can be highly successful in allowing return to even very high level athletics. This article seeks to overview the most recent evidence regarding the general rehabilitation process for the common types of cartilage repair, discuss common complications which may arise, and determine an athlete's readiness to return to sport. We also address postoperative pain control, evaluation of a patient's progress through rehab, and adjustments to be made when there are comorbidities present.
