Meniscus repair range of motion

Meniscus Surgery: Recovery Time Michigan Medicin

Rehabilitation following meniscal repair: a systematic revie

  1. How quickly this progress occurs varies by surgeon, but a typical range is 4-8 weeks. Patients are usually out of the brace and walking without crutches around 2-3 months. When a patient is able to return to work depends on many factors
  2. Full range of motion strengthening as tolerated (Discourage deep squatting and squatting until four months post-op
  3. Progress exercise on leg press/hack squat as tolerated with emphasis on high reps, low resistance in range of 0 to 90 degrees Increase ROM for bilateral partial squats from 30 to 45 degrees of knee flexion Emphasize high repetition and low resistance weight
  4. To improve knee extension (straightening) range of motion, you can perform the prone hang exercise : Lie on your stomach with your leg over the end of your bed. Allow gravity to slowly pull your knee into full extension. Hold this position for 15 to 30 seconds, and then bend your knee up
  5. Some meniscus tears require surgery to heal the meniscus and restore the knee's range of motion. For example: A tear on the inner two-thirds of the meniscus that won't heal on its own because.
  6. Progression of range of motion is more limited than for a standard meniscus root repair, usually limiting patients to 0-60 or 0-90 degrees range of motion for the first 4 weeks and then slowly increasing range of motion as tolerated
  7. Lastly, keep your range of motion as close to normal as possible. Focusing on both the ability to bend and straighten your knee completely will keep the tissues surrounding the knee from adaptively shortening in the time before your procedure
How Long Does It Take To Recover From A Torn Meniscus?How Much Does Torn Meniscus Surgery Cost In 2020?

How Are Meniscus Tears Treated? The first step in treating a torn meniscus is getting the injury examined by a physician who specializes in orthopedics. During the exam, they may check the tenderness of your knee joint and move your leg to get a measure of your knee's range of motion Not every knee surgery is the same, as there may be different precautions you must follow after a meniscus repair vs. an isolated ACL reconstruction. After some surgeries, you may want to push the range of motion to what is tolerable, whereas in others, pushing the range of motion past a certain degree may actually be harmful You start with exercises that focus on range of motion, like flexing and extending your knee as much as you can without pain. Rehabilitation Guidelines for Meniscal Repair.. Meniscus tears can limit flexion and extension of the knee due to pain or blockage of movement in the joint. For example, a portion of the torn meniscus can obstruct the normal mechanics of the knee joint. Range of motion exercises can restore the normal mechanics of the knee joint and desensitize the knee to pain

Arthroscopic Meniscus Repair UW Orthopaedics and Sports

  1. Arthrofibrosis, also known as stiff knee syndrome, occurs when excessive scar tissue forms around a joint, limiting range of motion and causing pain and disability. It can be a complication of knee replacement or anterior cruciate ligament surgery, with infections and bleeding as known contributing factors. Of the roughly 720,000 knee replacements performed every year [
  2. Limitations after Arthroscopic Meniscus Surgery. My 10 year old daughter just had Arthroscopic Lateral Meniscus Surgery, left knee on 5/30/13. For the first 3 days after surgery I her icing and elevating 24/7. On the 5th day she went to her first Physical Therapy appt. Her range of motion in her left knee was significantly better than she has.
  3. You will start with exercises to improve your range of motion. Strengthening exercises will gradually be added to your rehabilitation plan. In many cases, rehabilitation can be carried out at home, although your doctor may recommend working with a physical therapist. Rehabilitation time for a meniscus repair is about 3 to 6 months
  4. - You may also need to wear a brace after meniscus surgery to help stabilize your knee and control range of motion while it heals. - Physical therapy is commonly prescribed to help strengthen the knee and restore range of motion following meniscus surgery
  5. Repair and/or correction of a meniscus tear is a straightforward, safe and effective method to reduce pain and increase range of motion. Tears in the red zone have an excellent prognosis whether corrected non-surgically or surgically and patients are usually able to return to their former activities after several weeks of rest and rehabilitation
  6. Passive range of motion 0-90 degrees. Gait: Partial-weight bearing (<50%) with brace locked in extension. Crutches used with gait. Weeks 4 - 6. M.D. visit at 4 weeks post-op, will wean off the use of rehab brace. Manual. Stretching, exercises and manual treatments to improve range of motion (especially flexion)
  7. e what patient and injury factors are associated with the presence of a meniscus tear in tibial plateau fractures. We also sought to compare functional outcome, pain scores, and range of motion between patient groups with and without meniscal injury

The statistically significant difference was observed in only the range of knee motion of 60° in patients underwent meniscal repair (group 2), whereas in the range of knee motion of 45°, 60°, and 75° in patients underwent partial meniscectomy (group 1) at 12th-month control Meniscus Surgery. Meniscus surgery is a common operation to remove or repair a torn meniscus, a piece of cartilage in the knee. The surgery requires a few small incisions and takes about an hour. Recovery and rehabilitation take a few weeks. The procedure can reduce pain, improve mobility and stability, and get you back to life's activities

Partial meniscectomy surgery involves trimming out the torn piece of meniscus. Usually surgeons do not limit your knee range of motion after surgery. Still it can require work to get your knee bending back to normal. I think doing some knee exercises on your own after meniscus surgery can help Meniscus Tear: Rehabilitation Exercises Table of Contents Meniscus Tear: Rehabilitation Exercises Appendix Topic Images Meniscus Tears Quad Sets quite as far, in order to avoid any painful motion. You may also want to add a cuff weight to your ankle [not more than 5 lb (2 kg)], or use soup cans in a plastic bag with the loops around your. Knee Brace-Brace should be worn for protection and reduction in the swelling around knee joint after knee surgery (meniscal repair) and the permitted range of motion should be 30-80 degrees.Exercise to Improve Knee Range of Movement after Meniscus Repair-The range of motion exercises after knee surgery (Meniscus Repair) should be done passively which means someone else should assist the.

Post-Operative Protocol for Meniscus Root Repair. Progression of range of motion is more limited than for a standard meniscus root repair, usually limiting patients to 0-60 or 0-90 degrees range of motion for the first 4 weeks and then slowly increasing range of motion as tolerated We had to push people really hard in rehab to get their range of motion back because the surgeries hurt so darn much. With year 2020 techniques to repair the meniscus arthroscopically only, and minimally invasive ACL reconstruction techniques (often utilizing less painful graft choices) and better postoperative pain control techniques, the risk. How Are Meniscus Tears Treated? The first step in treating a torn meniscus is getting the injury examined by a physician who specializes in orthopedics. During the exam, they may check the tenderness of your knee joint and move your leg to get a measure of your knee's range of motion Full range of motion restored; Full Recovery Requires an Experienced Physical Therapist. At ProFysio Physical Therapy, we have the knowledge, experience, and expertise necessary to help you regain weight-bearing ability, complete range of motion, and full use of your knee. If you are preparing to undergo meniscus repair surgery, it's not too. 1. Full pain free range of motion at the knee 2. Excellent quadriceps strength equal with the opposite leg 3. No pain with walking, stairs, or squatting 4. Ability to demonstrate proper knee and hip control with a double and single leg squat 5. Ability to perform 10 single leg step downs from an 8 inch box with good alignment 6

Want another simple, but helpful special test for mensicus pathology? The next text I perform during my clinical examination after joint line palpation is s.. Meniscus repair surgery is usually an arthroscopic surgery but may be associated with small incisions on the side of the knee, so as to prevent any damage to the nerves and vessels on the site of the back of the knee. The ranging of the knee is restricted to 90 degree of flexion for the first 4 weeks after which the range of motion is. Early reconstruction of both the ACL and MCL may lead to motion loss postoperatively. 86 Reconstructing only the medial-sided structures is supported only by limited groups. 50, 57 Many authors recommend ACL reconstruction after a period of rehabilitation to allow the MCL to heal. 54, 76, 87 Surgery is performed after achieving full range of. If you're battling knee pain but the joint still has full range of motion, hold off on surgery - even if an MRI reveals a meniscus tear. A new study in the 'New England Journal of Medicine.

Knee Surgery: Torn Meniscus Repair - Heiden Orthopedic

  1. The knee meniscus is an important shock absorber. Surgical removal of the injured meniscus is called a partial meniscectomy and can be associated with popping. Knee popping after meniscus surgery can occur due to fluid accumulation, scar tissue, swelling and stretching of the tendon and ligaments, weakened leg muscles, changes in patellar.
  2. There's Actually Two Types of Range of Motion in the Knees: 1.) Anatomical Range of Motion. 2.) Comfortable Range of Motion. The anatomical knee range of motion is what most people are familiar with and doctors and physical therapists measure progress in the knee. Which a common knee range of motion in the measures from 0 degrees in extension.
  3. imal by 1 week after surgery. Full motion of the knee returns as the swelling disappears, usually within 4-6 weeks after the surgery. Types of surgery recommended. The surgical treatment for a torn meniscus is either to remove or repair the torn segment of the meniscus using an arthroscope and specially designed instruments
  4. 1. Radial tear of the posterior horn medial meniscus near the root insertion, with extrusion of the body segment within the medial gutter. 2. Small radial tear of the posterior horn lateral meniscus. 3. Mild cartilage abnormalities of the posterior surfaces of the femoral condyles; small, focal high-grade partial-thickness cartilage defect o
  5. Regaining Full Range of Motion After Knee Surgery. In order for you to walk, run, sit or kick comfortably, your knee—the largest joint in the body—must be able to move through an arc of about 130 degrees, from completely straight, or fully extended, to completely bent, or fully flexed. Two muscle groups control this motion: the quadriceps.
  6. A torn meniscus often can be identified during a physical exam. Your doctor might move your knee and leg into different positions, watch you walk and ask you to squat to help pinpoint the cause of your signs and symptoms. Imaging tests. X-rays. Because a torn meniscus is made of cartilage, it won't show up on X-rays

It is for this reason that full range of motion within the first few weeks can be the difference between a successful ACL surgery recovery or not. These are the 5 most helpful exercises at restoring a full range of motion in your knee. These have helped me get to 130 degree range of motion by the end of week 2 Meniscus Repair Protocol Dr. Jonathon Henry The following document is an evidence-based rehabilitation protocol for knee arthroscopy with meniscus repair. The protocol is both chronologically and criterion based for advancement through four post-operative phases: Range of Motion

Meniscus Tears - OrthoInfo - AAOS

Most often, the meniscus tears during a sudden motion in which your knee twists while your foot stays planted on the ground. The tear frequently occurs while playing sports. People whose cartilage wears down (due to age or arthritis) can tear a meniscus from a motion as simple as stepping on an uneven surface The unhappy triad refers to a sprain injury that involves three structures of the knee. These structures are the medial collateral ligament, anterior cruciate ligament, and the medial meniscus. 1  The unhappy triad is a severe injury, and it is named such because the athlete who suffers it typically becomes really unhappy Meniscus tears can range from minor to severe, depending on the extent of the damage, and they can make it difficult for the knee to function properly. What Are the Symptoms? The symptoms of a torn meniscus will vary depending on the severity of the tear This can range from minor and inconsequential to severe. Prevention is the first and most effective method for treatment of loss of motion. This is why compliance with post-operative rehabilitation is so vital to the outcome of the procedure, and why range of motion is started immediately post-operatively

Sessions with a physical therapist usually begin seven to 14 days after surgery. During physical therapy, weight bearing is allowed if you did not have a meniscus repair. A range of motion of 0 to 140 degrees is a good goal for the first two months. Don't work your quadriceps early on because this can stretch the ACL graft Short-term sequelae of meniscal injury include knee pain as well as deficits in knee range of motion. Long-term sequelae of meniscal injury include degenerative changes in the knee joint with.

A patient status post medial meniscus repair is referred to physical therapy. Which of the following would be the responsibility of the physician post-operatively? A. Determine weight bearing status B. Specify the parameters for superficial modality application C. Specify the frequency and duration of range of motion exercise Range of Motion AFTER Knee Surgery, Osteoarthritis, Bone on Bone each present their own unique problem when it comes to recovering from knee pain. The key to obtaining a deeper level of understanding with your knee healing journey is to begin looking at how the pain in all three situations are the same Restore normal range of motion You should attempt to achieve full range of motion as quickly as possible. Quadriceps isometrics exercises, straight leg raises, and range of motion exercises should be started immediately. Full extension is obtained by doing the following exercises: 1) Passive knee extension

Meniscus repair - More intensive rehabilitation; one option is avoidance of weight bearing for 4-6 weeks, with full motion encouraged; the authors prefer to allow full weight bearing with the knee braced and locked in full extension for 6 weeks, while encouraging full motion when the knee is not bearing weigh ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as soccer, football, basketball and volleyball. Ligaments are strong bands of tissue that attach one bone to. When Meghan first started at Essex, she had minimal range of motion. She was lacking 10 degrees of full extension and her knee flexion was only at about 90 degrees. After just one week in the warm water therapy pool , Meghan improved to minus 5 degrees and 100 degrees of knee flexion

Indications and Techniques for Meniscus Repair

Meniscus Injuries And Tears. The meniscus of the knee is a crescent shaped fibrocartilaginous structure that provides a cushion on both sides of the knee between the femur (thigh bone) and the bones of the lower leg. When torn, this structure causes pain and affects the range of motion at the knee. Surgical repair is a common solution If surgical repair of the meniscus is required, alteration to the rehabilitation program is warranted; although controversy exists regarding the duration of immobilization, WB progression, and the timing for return to pivoting sports. 9 Cannon and Vittori 25 and others 90, 121, 128 reported an increase in meniscal healing when a concomitant ACL. Medial Meniscus Anatomy. The medial meniscus is a fibrocartilage semicircular band that covers the knee joint medially, placed between the medial condyle of the femur and the tibia. C-shaped with a triangular cross-section. Average width of 9 to 10 mm. The average thickness of 3 to 5 mm The other factor that can limit your range of motion is the torn portion of the meniscus. While the torn piece of the meniscus is not one of the specifc meniscus tear symptoms, it can cause quite a bit of problems. When the meniscus tears, there may be a portion of it that becomes mobile C) After meniscus repair, initially avoid knee flexion beyond 60° to 70° during weight-bearing exercises for about 2 months because flexion beyond this range can displace the repaired meniscus in a posterior direction D) After meniscus repair the knee is immobilized in approximately 45° of flexio

Meniscus Tear Repair Surgery: What To Expect & Recovery Tim

  1. g of an operation is important to prevent stiffness after surgery and obtain the best results. It is helpful when: range of motion is adequate; swelling is reduce
  2. ROM (range of motion) Goals: Extension (straighten knee): Full Flexion (bend knee): 135 degrees Therapeutic Exercise: Calf Stretching, Quad sets, four-way straight leg raises (SLR), Heel slides, prop knee extension. Learn exercises for post op regimen
  3. The results of the treatment showed significant benefits for ACL repair, range of motion improvement, and pain alleviation . Despite these promising results, injections of PRP alone seemed ineffective in enhancing meniscal healing
  4. If your torn meniscus was trimmed/removed (called a partial meniscectomy, which is much more common), you may do all the above exercises and progress your range of motion and activity slowly. If your torn meniscus was repaired with suture, you will be wearing a knee immobilizer to keep your knee straight
  5. Passive range of motion 0-90 degrees. Weeks 2 - 4. Nurse visit at 14 days for suture removal and check-up. Manual. Continue with soft tissue mobilization, patellar glides, range of motion. Exercises. Continue with previous exercises; increase core/gluteal strength. Balance/proprioception exercises (e.g., single-leg standing balance)

Meniscus Tear: Should I Have Surgery? Michigan Medicin

  1. Mobility or range of motion exercises which can be used in the early stages of a rehab program for a medial cartilage meniscus injury to increase the range of motion at the joint. Flexion-extension exercise
  2. After MSC transplantation, the patient underwent a routine postoperative protocol for meniscus repair. Range-of-motion exercise without restriction was encouraged immediately after the transplantation. Partial weight bearing with a knee immobilizer and crutches was allowed for the first 4 weeks
  3. Knee Arthroscopy with Meniscal Root Repair/ Meniscus Radial Tear Repair The intent of this protocol is to provide a general framework for meniscal root repair rehabilitation. Within this framework there are specific guidelines for activity progression which directly relate to tissue tolerance and directional preference of movement
  4. It can stop knees being extended beyond the safe range of motion because hyperextension at the knee is one of the most common reasons for a torn meniscus. Additionally, joint support knee braces are equipped with unique springs that can offer support to the knee as a shock absorber and help with weight-bearing of your body
  5. I had a meniscus tear repair in March 2018. Did all the rehab and took to cycling which helped greatly. Swelling gone and range of movement is very good. However, I have not been able to return to running mainly 5k and 10k races as still get pain in the meniscus area and left or right movements can be painful
  6. The meniscus is a piece of cartilage that acts like a cushion between your thigh and shin bones. Each knee has two menisci joints. Meniscus tears are one of the most common injuries during activities that involve putting pressure on the knee or rotating the knee.

Meniscal Repair - Physiopedi

Each patient is unique, but most recovery from surgery in days or weeks. Along with surgery, there will be 4-6 months of rehab in order to regain function and strength. Meniscus tear rehab consists of exercises that strengthen the quadriceps muscle and help regain range of motion Once you achieve the range of motion required to pedal full circles, continue riding the bike daily to maintain that range of motion. This will also be a good time to start focusing on building up your strength. To do this try bumping up the resistance. Make sure you ease into it for the first couple weeks, increasing the resistance every few days

How Long Does it Take to Walk or Work after Meniscus

Surgical intervention is usually required to repair the damage or remove floating pieces. Rehabilitation. Healing. Progressive range of motion and strengthening of structures around your knee joint may cause symptoms to subside. If symptoms continue, however, referral to a physiotherapist may be necessary. Return to Activity After surgery, the patient undergoes a routine postoperative protocol for meniscal repair. Range-of-motion exercises without restriction are encouraged immediately after the surgical procedure. Partial weight bearing with a knee immobilizer and crutches is allowed for the first 4 weeks. After 4 weeks, partial weight bearing without the knee. Whenever possible, meniscus repair has become the procedure of choice for treatment of meniscal tears. However, some researchers have reported less favorable results in older patients Before surgery is performed to repair a meniscus, physical therapy is considered the first line of defense. ( 7 ) Physical therapy for about 4-6 weeks (and sometimes longer) is recommended to help strengthen and stretch the muscles that support the knee, which will slowly rebuild functionality and range of motion

Meniscus Surgery Rehab: Knee Range of Motion Exercises. There is numerous way to improve your knee range of motion. Shown in the video are just some of the many ways we like to improve knee range of motion. In general, we can classify the exercises as either passive, active-assisted, or active range of motion exercises It may be difficult to move your knee over its full range of motion, and your knee may feel locked in a certain position. These restrictions on movement lead to stiffness in the knee. 3 Meniscal arrows are short absorbable rods that lock into the tissue and can be used to securely hold the edges of a meniscal tear together. As with all tissue repairs, the surgical repair is only a temporary measure while the tissue heals. The average success rate for meniscal repairs is 90% reducing significantly in older age groups

58 best images about Injury Prevention & Recovery for

Knee Exercises for Runners: Meniscus Tear, Range of Motion and Stability 12980 Shares I've been on the PT bandwagon, since I realized it would keep me running injury free in 2007 Restore range of motion using exercises within the limits specified by the surgeon (LOE 4) If a meniscal repair has been performed, extreme flexion and rotation should be limited until the wound in the meniscus has healed (8 to 12 weeks). Restore muscle function using targeted strengthening exercises for the quadriceps, hamstrings, hip Surgical Indications/ Operative Treatment Meniscectomy/Meniscus Repair and Meniscal Allograft Transplantation... 26 Post-Operative Therapy range of motion, strength, endurance, activities of daily living (ADL), cognition, psychological behavior, and efficiency/velocity measures which can be quantified. Subjective reports of pain and. Early range of motion exercises are usually encouraged. Severe 2nd-degree and most 3rd-degree sprains require casting for ≥ 6 weeks. Some 3rd-degree injuries of the medial collateral ligament and anterior cruciate ligament require arthroscopic surgical repair

A torn meniscus is one of the most common knee injuries and DOES NOT always require surgery. GET PT FIRST!!!! These exercises are great for an acute meniscus tear when our goal is to regain and maintain muscle activation and to increase range of motion that is limited from the injury A chronic injury could also result in a 'buckling' of your knee when weight is placed on it and loss of range of motion. If you're suffering from a lateral meniscus tear, meniscal cysts are more likely to develop in the knee. This cyst is a collection of fluid that causes more swelling and inflammation in your knee The major goal of the rehabilitation program is to normalise walking, normalise pain-free range of motion, prevent muscle wastage and maintain cardiovascular fitness. Rehabilitation after meniscus surgery should focus on early mobilisation of the knee joint and quadriceps and hamstring strength

Palpation of the medial meniscus is enhanced by knee flexion and internal tibial rotation, and for the lateral meniscus with flexion and external rotation. (27) Range of motion may be limited in flexion or extension. Displaced (vertical or bucket handle) tears may present as a rubbery movement block Your surgeon will use a small camera and tool to remove a portion of the torn meniscus. Meniscus surgery ranges from $7,500 to $12,000 or more. Meniscus Repair: If the meniscus tear occurs in a part of the meniscus with adequate blood supply for recovery, your doctor may repair the torn meniscus instead of removing it. You will receive a brace. Regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Your orthopaedic surgeon or physical therapist may recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day

Physical Therapy Exercises for a Knee Meniscus Tea

Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers After any knee injury or surgery one of the most obvious changes is a lack of knee flexion. You have trouble bending your knee: Knee Flexion Besides pain and difficulty running / walking, this is often the most alarming change for people. To go from having ~120 degrees knee flexion (roughly heel to butt) to onl significantly better then the active motion only program when stability, ROM and complications were evaluated. Sekiya32, Barber and Click2, Mclaughlin15 and Mariani13 all reported improved outcomes when CPM was used following combined procedures (ACL and meniscal repair, ACL and multiple ligament repair) over 100 degree range of motion and no more crutches. I had ACL reconstruction and meniscus repair 3 weeks ago. I was weight bearing 1 hour after surgery. Icing 24 hours a day for 5 days and had 10 days of celebrex for inflammation. I was off crutches with the brace after 4 days. Out of the immobilizer brace after 10 days Normal knee range of motion usually refers to how much the knee bends and straightens. There is also a small amount of rotation at the knee, typically measured when the knee is bent. Normal active knee range of motion is: Knee Flexion: 135 o i.e. fully bent; Knee Extension: 0 o i.e. fully straight; Internal Knee Rotation: 10

There is a significant discrepancy in ACL stress, and range of motion, between going to full extension and full flexion. This is one reason some will end up locked in a brace for 10-14 days, before being allowed to bend the knee. The decision is to eliminate all bending to minimize ACL stress Be sure to follow the more conservative protocol with regards to range of motion, weight bearing, and rehab progression when there are concomitant injuries (i.e. meniscus repair). Post-operative considerations If you develop a fever, intense calf pain, excessive drainage from the incision, uncontrolled pain or any other symptom Functional evaluation including strength and range of motion testing is one method of evaluating a patient's readiness to return to activity. Return to intense activities following a Bankart repair requires both a strenuous strengthening and range of motion program along with a period of time to allow for tissue healing

Case Study: Management of 55-year-old Female with Left

Meniscus Tear Recovery Time Without Surgery: What to Kno

A patient who presents with either mechanical symptoms of catching and locking, or range-of-motion deficits will often benefit from surgery. Surgical treatment options include partial meniscectomy or meniscal repair. TYPE OF AVAILABLE EVIDENCE: Prospective and retrospective cohort studies, case-control series The most common complication and cause for poorer outcomes following ACL reconstruction is motion loss, particularly loss of full knee extension. The inability to fully extend the knee results in abnormal joint motions, scar tissue formation in the front of the knee joint, and subtle changes in normal knee mobility These Level 1 exercises should be done for 1-4 weeks after surgery. The goal of these exercises is to regain neuromuscular control of the quadriceps, strengthen the hip and maintain knee and ankle range of motion on the affected leg. Perform these exercises 1-3 times per day, only within pain-free range of motion AMA Guides: Recent History 3 Third edition published in 1988 Emphasis on range of motion Third Edition, second printing, February 1989 Effective Texas WC system 1991-2001 Fourth Edition published in 1993 Diagnosis related estimate Effective Texas WC system 200

Minimally Invasive Arthroscope Surgery for the ACL, MeniscusCartilage and Ligament Tears of the WristChronic Knee Pain, Knee Instability, and Degenerative KneeClassification and Surgical Repair of Ramp Lesions of the