Recovery Timeline After Cartilage Tear Surgery: What to Expect - Orthopedics

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Cartilage rupture


Two weeks ago, I underwent arthroscopic surgery to remove a blood clot and torn cartilage from my right knee.
I have been in a cast for two weeks, and the doctor said that the ligaments are fine and that I need to keep the cast on for six weeks.
Will the muscles atrophy while in the cast? How long will it take before I can walk normally again?

Tina, 10~19 year old female. Ask Date: 2016/01/10

Dr. Shi Guozheng reply Orthopedics


Although it is wrapped in a cast, leg lifting exercises can still be performed to prevent muscle atrophy.
Typically, the cast is worn for more than six weeks, and if there is a reluctance to move, atrophy can easily occur.
Generally, walking can be resumed after about six weeks.

Reply Date: 2016/01/10

More Info


Recovery after cartilage tear surgery, particularly in the knee, can be a gradual process that varies significantly from person to person. Given that you underwent arthroscopic surgery to remove blood clots and repair a torn cartilage, it's essential to understand what to expect during your recovery timeline and the implications of wearing a cast for an extended period.


Initial Recovery Phase (Weeks 1-2)
In the first couple of weeks post-surgery, your primary focus will be on managing pain and swelling. It's common to have some discomfort, and your doctor may have prescribed pain medication to help with this. During this time, you will likely be advised to keep your leg elevated and apply ice to reduce swelling.


Immobilization Phase (Weeks 2-6)
Since your doctor has recommended wearing a cast for six weeks, this is a critical period for protecting the surgical site and allowing the cartilage to heal. While immobilization is necessary, it can lead to muscle atrophy (weakening and shrinking of the muscles) due to disuse. To mitigate this, your doctor may suggest gentle range-of-motion exercises for your ankle and toes to promote circulation and prevent stiffness.


Muscle Atrophy Concerns
Yes, wearing a cast for an extended period can lead to muscle atrophy. To counteract this, it's essential to follow your doctor's advice regarding any permissible movements. Once the cast is removed, physical therapy will likely be necessary to regain strength and mobility in your knee. The timeline for muscle recovery can vary, but with consistent rehabilitation, you should see improvement over several weeks.


Return to Normal Activities (Weeks 6-12)
After six weeks, once your cast is removed, you will likely begin a rehabilitation program. This phase is crucial for restoring strength, flexibility, and function to your knee. Your physical therapist will guide you through exercises tailored to your specific needs, focusing on gradually increasing your range of motion and strength.

Most patients can expect to start walking without assistance around 8-12 weeks post-surgery, depending on the extent of the injury and the success of the rehabilitation process. However, it’s important to listen to your body and not rush the recovery.

Long-Term Recovery (3-6 Months)
Full recovery from cartilage tear surgery can take several months. While many patients return to normal activities within 3-6 months, high-impact sports or activities may take longer to resume. It's crucial to maintain open communication with your healthcare team throughout your recovery to address any concerns and adjust your rehabilitation plan as needed.


Conclusion
In summary, your recovery timeline after cartilage tear surgery will involve several phases, starting with immobilization and progressing to rehabilitation. While wearing a cast for six weeks is necessary for healing, it can lead to muscle atrophy, which will require focused rehabilitation to overcome. Expect to gradually return to normal walking and activities within 8-12 weeks, but full recovery may take several months. Always follow your doctor's recommendations and consult with them if you have any concerns about your recovery process.

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