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ORIGINAL ARTICLES
NUMBER 1 YEAR 2007
A Study of Rehabilitation in Traumatic Meniscus Injuries
1 Faculty of Physical Education and Sport, West University, Timisoara

Correspondence to:
Mihaela Oravitan, Faculty of Physical Education and Sport, 4 Vasile Parvan Str., 300223 Timisoara, Tel. + 40-256-592129
Email: ella.oravitzan@rdslink.ro
REZUMAT
Reabilitarea care urmeaza dupa interventiile chirurgicale pe meniscul lezat are trei obiective principale: abolirea sau diminuarea durerii si a tumefactiei, obtinerea stabilitatii si recuperarea mobilitatii (scaderea flexumului si redobindirea mobilitatii in flexie). Au fost urmarite doua grupuri de pacienti (un lot martor si un lot de studiu) pe o perioada de un an (ianuarie 2004 - ianuarie 2005), selectionati din cazuistica Clinicii I de Ortopedie-Traumatologie din Timisoara. Pacientii ambelor grupuri au suferit leziuni traumatice meniscale izolate si toti au fost supusi interventiei artroscopice constind din sutura meniscala, meniscectomie partiala sau totala, urmate de tratament medicamentos antiinflamator si imobilizare. Lotul de studiu a fost constituit din 26 de pacienti care au participat la un program de reabilitare, in timp ce pacientii lotului martor (in numar de 26) nu au beneficiat, din diferite motive, de o astfel de recuperare. S-au realizat monitorizari lunare ale parametrilor genunchiului (utilizind scala KOOS - Knee Injury and Osteoarthritis Outcome Score si bilanturile articular si muscular al genunchiului). Concluzia principala a acestui studiu este aceea ca aplicarea unui program de reabilitare grabeste recuperarea fortei musculare, a mobilitatii articulare si imbunatateste considerabil toate elementele functionalitatii genunchiului afectat.

ABSTRACT
Rehabilitation which proceeds cautiously after surgery for the meniscus has three main objectives: decreasing or abolishing the local pain and swelling, obtaining stability and recovery of range of motion (decreasing of flexum, increasing of mobility). We have observed two groups of patients (a study group and a control group) over a period of one year (January 2004 - January 2005) selected from the records of the Orthopedics and Traumatology Clinic 1 in Timisoara. Both groups of patients have suffered isolated traumatic meniscus injury and have undergone arthroscopic treatment consisting of meniscus repair, partial or total meniscectomy associated to anti-inflammatory medication and immobilization. The study group was formed by 26 patients who participated to a rehabilitation program, while and the controls were represented of 26 patients who did not benefit the rehabilitation program for various reasons. A detailed record of knee parameters (using KOOS - Knee Injury and Osteoarthritis Outcome Score, articular and muscular strength testing) was filled in monthly. The main conclusion of this study consist in the fact that a rehabilitation program after meniscus surgery accelerates the strength and range of motion recovery and improves all the elements of functionality of injured knee.


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