Poster 281: Current practice for meniscus repair rehabilitation amongst AOSSM members

Objectives: Meniscus repair has correspondingly become more popular, with promise of preservation joint mechanics and hopes preventing secondary arthritis. However, it is not clear the optimal rehabilitation protocol, regards to duration limitation range motion weight bearing, following various meniscal tear types. The purpose this study understand current contextual landscape how practitioners recommend rehabilitating patients that undergo repair. Methods: This a cross-section observational survey study. A de-identified was designed using arthroscopic images from six cases (Fig 1): Radial at popliteal hiatus, medial meniscus posterior root repair, lateral radial tear, horizontal red-white zone bucket-handle red-red longitudinal peripheral tear. distributed American Orthopaedic Society for Sports Medicine (AOSSM) members by e-mail. Questions were elicit, surveyed surgeons, their recommendations of: 1. motion, 2. bearing status, each case. Additionally, use adjuncts, including bracing biologics, elicited same cohort. Results: 451 completed surveys obtained 2973 AOSSM (15.2%). majority after tears lost hoop integrity (83.3%) had intact (76.0%). report routine synovial rasping/trephination (86.0%) notch microfracture (66.5%), while minority involved biologic supplementations classic fibrin clot (4.9%), platelet-rich plasma (8.9%), bone marrow aspirate concentrate (2.9%). Timing return weight-bearing appear depend on stress integrity; were, average, permitted quickly (1.4 weeks partial 3.6 full bearing), versus demonstrated loss (3.9 6.2 bearing). Hoop also appears affect demonstrating longer period post-operative restriction motion. Full flexion an average 5.0 stress, 5.8 stress. Out presented, most cautious types post- followed Conclusions: Although there no consensus type should be rehabilitated initial substantially decision-making, stresses triggering conservative approach rehabilitation, both permissive bearing. brace perform in situ adjuncts biological healing, adds extrinsic biologics. [Table: see text]