• Individualized to the patient depending on procedures performed and patients pre-operative activity/sport.
• Indicated for partial meniscectomy, loose body removal, plica excision, diagnostic arthroscopy, synovectomy, debridement.

Phase I

• Patient is Weight Bearing As Tolerated (WBAT)
• Stretching (e.g. hamstrings, gastroc/soleus, hip flexors)
• Active range of motion (AROM)
• 4-way SLR
• Quad sets, gluteal sets
• Ankle pumps
• Ice, Compression, Elevation (I.C.E.)
• Muscle stimulation, biofeedback if needed
• Bicycle within available ROM
• D/C electrical stimulation when no quad lag

Phase II

Criteria

• Independent ambulation with assistive device as needed, full weight bearing (FWB)
• AROM (o°-110°)
• Independent straight leg raise
• Mild/No swelling

Suggested progression           

• Continue strengthening and stretching exercises from Phase I
• Basic closed chain exercises, limited to 110 degree (e.g. mini squats, mini lunges, total Gym)
• Advanced closed-chain exercises (e.g. Fitter, Shuttle)
• Aerobic exercises (e.g. bike, treadmill, NordicTrac, stairclimber, swimming)
• Proprioceptive exercise (e.g. BAPS board, ground stars)

Phase III

Criteria

• Straight leg raise without quad lag
• Strength 4/5
• No apprehension with single leg hop on involved leg
• Able to balance on involved leg and reach with uninvolved leg 80% of distance reached with opposite leg

Suggested progression

• Continue strengthening and stretching exercises from Phase II
• Slow form jogging/running
• Weight strengthening program
• Sport specific training – lateral stepping, cariocas

Phase IV: Return to sport/discharge

Criteria

• Full/functional AROM
• Independent ambulation without deviation
• No swelling
• > 80% quadriceps and 85% hamstring strength (BIODEX test)

Suggested progression

• Plyometrics
• Advanced sport/activity specific training