Post-Op Care
Medial Patellofemoral Ligament Reconstruction (MPFLR)
Download as PDF Phase I – Maximum Protection (0 to 6 weeks): Weeks 0 to 2: Brace locked at 0 degrees x 6 weeks Lateral buttress in post-op dressing to stabilize patella Ice and modalities to reduce pain and inflammation Use crutches for 7-10 days to reduce swelling. The patient may discontinue the crutches when […]
Distal Femoral Osteotomy (DFO)
Download as PDF Phase I – Maximum Protection (0 to 1 week): 0 to 1 week: Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 8 weeks; progress off as instructed by physician Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills Begin […]
Root Repair
Download as PDF Phase I – Maximum Protection (Weeks 0 to 4): Weeks 0 to 2: Use crutches for 7 to 10 days to reduce swelling, the patient may discontinue with crutches when they can ambulate without a limp Brace locked in full extension for 4 to 6 weeks per physician orders Patella mobility Begin […]
ACL Healing Response Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 2) Brace – six weeks Use crutches weight bearing as tolerated for 7 to 10 days to reduce swelling. The patient may discontinue the crutches when they can ambulate with no limp Range of Motion Patella mobility Emphasize full extension (avoid hyperextension x 4-6 […]
ACL Reconstruction Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 2) Brace – six weeks Use crutches weight bearing as tolerated for 7 to 10 days to reduce swelling. The patient may discontinue the crutches when they can ambulate with no limp Range of Motion – goal Patella mobility 90° – 100° of knee […]
ACL with Meniscus Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 4): Weeks 0 to 2: Use crutches for 7 to 10 days to reduce swelling, the patient may discontinue with crutches when they can ambulate without a limp Brace locked in full extension for 4 to 6 weeks per physician orders Patella mobility Begin […]
High Tibial Osteotomy Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 1 week): 0 to 1 week: Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 8 weeks; progress off as instructed by physician Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills Begin […]
Lateral Release (Knee) Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 2 weeks): Weeks 0 to 2: Lateral buttress in post-op dressing to stabilize patella Ice and modalities to reduce pain and inflammation Use crutches for 5 to 7 days to reduce swelling. The patient may discontinue the crutches when they can walk without pain and […]
Lateral Release with Medial Reefing Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Partial weight bearing for 2 weeks Ice and modalities to reduce pain and inflammation Aggressive patella and patella tendon mobility drills Range of motion – 0° to 30° knee flexion Begin […]
Lateral Collateral Ligament (LCL) Reconstruction Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 Weeks: Brace locked at 30° at all times for six weeks Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 6 weeks. Range of Motion Begin aggressive patella mobility ROM 30- 90° WITH VALGUS STRESS APPLIED […]
Medial Collateral Ligament (MCL) Sprain Non-Operative Protocol
Download as PDF Information: The following is Dr. Lind’s non-operative protocol. The main emphasis focuses on: Reducing inflammation Restoring full range of motion Restoring quadriceps function Phase I – Inflammatory Phase: Modalities to control inflammation Prescription anti-inflammatories Ice Clinical modalities to control inflammation Cardiovascular Exercises Stationary bike-focus on restoring range of motion Pool program as […]
Medial Reefing Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 6 weeks): Weeks 0 to 2: Brace locked at 0 degrees x 6 weeks Lateral buttress in post-op dressing to stabilize patella Ice and modalities to reduce pain and inflammation Use crutches for 7-10 days to reduce swelling. The patient may discontinue the crutches when […]
Meniscal Repair Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 4): 0 to 1 Week: Brace locked in full extension for 4 weeks Use crutches for 7 to 10 days to reduce inflammation, then weight bearing as tolerated Ice and modalities to reduce inflammation and pain Range of Motion 0° of knee extension 90° […]
Meniscectomy and Debridement Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Week 0 to 1): Ice and modalities as needed to reduce pain and inflammation Use crutches for 2 to 5 days to help reduce swelling, the patient may discontinue crutches when able to walk without a limp or pain Elevate the knee above the heart for the […]
Microfracture – Femoral Condyle Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 1 week): Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 6 weeks Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills CPM x 6 weeks Full passive/active knee range of motion exercises […]
Microfracture – Trochlear Groove/Patella Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 1 week): Ice and modalities to reduce pain and inflammation Brace 0° to 20° for 6 weeks Use crutches (approx. 2 weeks); wean off as gait normalizes and inflammation subsides Elevate the knee above the heart for the first 3 to 5 days Initiate patella […]
Patellar Tendon Fenestration Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Partial weight bearing for 2 weeks Ice and modalities to reduce pain and inflammation Aggressive patella mobility drills Gradual progression to full flexion and extension Begin submaximal quadriceps setting, focusing on […]
Patellar Tendon Repair Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): Weeks 0-4 Brace locked in full extension for 6 weeks 50% weight bearing for 3 weeks. 75% weeks 3-4. Wean off crutches at 4 weeks. Ice and modalities to reduce pain and inflammation Patella and patella tendon mobility drills Range of motion – […]
Patellofemoral Dysfuncton Non-Operative Protocol
Download as PDF Phase I – Inflammatory Phase: Modalities to control inflammation Prescription anti-inflammatories Ice Clinical modalities as needed Evaluate and treat lumbar, sacral, and pelvic dysfunction Evaluate for corrective orthotics Implement appropriate, selective stretching Iliotibial band Hamstrings Quadriceps Gastrocnemius/soleus Piriformis Apply appropriate patella mobilizations Evaluate lateral retinaculum and apply patellar tilt mobilization when indicated […]
Posterior Cruciate Ligament (PCL) Reconstruction Post-Operative Protocol
Isolated PCL Injury Rehabilitation – conservative treatment PHASE I WEEK 1-2 PHASE II WEEK 3-6 PHASE III WEEK 7-12 PHASE IV > MONTH 3 Weight Bearing PWB (20% flat foot) Symptomatic control WBAT WBAT FWB Brace Rebound PCL Day & night (within 4 weeks of Injury) grey shear knob Rebound PCL (day & night; grey [...]
Quadriceps Tendon Repair Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Partial weight bearing for 2 weeks Ice and modalities to reduce pain and inflammation Aggressive patella mobility drills Range of motion – 0° to 30°knee flexion Begin submaximal quadriceps setting Weeks […]
Tibial Plateau Fracture Post-Operative Protocol
Phase I – Maximum Protection (0 to 1 weeks): 0 to 1 week: Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 6 weeks Brace for 6 weeks in full extension Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills Begin full passive/active […]
Tibial Tubercle Transfer Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Non-weight bearing for 4-6 weeks per physician’s instructions Ice and modalities to reduce pain and inflammation Aggressive patellar mobility drills Range of motion – 0° to 45°knee flexion Begin submaximal quadriceps […]
Postoperative Discharge Instructions – With a Brace
Download as PDF ____Arthroscopic Ligament Procedures ____Arthroscopic Lateral Release ____Proximal Distal Realignment ____High Tibial Osteotomy ____Meniscal Repair Diet Begin with liquids and light foods (jellos, soups, etc.). Progress to your normal diet if you are not nauseated. Medications Strong oral pain medication has been prescribed for the first few days. Use only as directed. Do […]
Postoperative Discharge Instructions – Without a Brace
Download as PDF ____Arthroscopic Abrasion Chondroplasty ____Arthroscopic Debridement ____Arthroscopic Meniscectomy ____Arthroscopic Synovectomy Diet Begin with liquids and light foods (jellos, soups, etc.). Progress to your normal diet if you are not nauseated. Medications Strong oral pain medication has been prescribed for the first few days. Use only as directed. Do not combine with alcoholic beverages. […]
Rehab Instruction
Proximal Distal Realignment
Download as PDF Bracing Brace locked 0 for ambulation Open brace 0-70 for passive range of motion exercises starting immediately post op. Keep brace locked at 0 for ambulation until quad control allows increases in ROM stops on brace. Increase flexion and extension stops as quad control allows. Sleep without brace at 4 weeks 5) […]
PCL Rehabilitation Protocol
Download as PDF Post-Op Knee immobilized at 10° flexion Quad isometrics Straight leg raises Quadriceps contractions At 2 weeks Post-op Passive range of motion–increase as tolerated Stationary bike–no resistance Non weight-bearing Begin NWB aquatic program if incisions are well healed Avoid isolated hamstring exercises until 6 months post-op. 4 Weeks Transition to full weight-bearing Brace […]
Open Wedge High Tibial Osteotomy
Download as PDF Bracing Brace locked at 20° for the first 4 weeks Remove brace under PT supervision for passive extension ROM. Open brace for ambulation following x-ray exam (approximately post-op week 5) Sleep without the brace on post-op week 6 Discontinue brace for ADLs (Activities of Daily Living) on post-op week 8. Continue brace […]
Isolated Meniscal Repair Protocol
Download as PDF Bracing Lock at 20 for two weeks (complex tears may require longer periods of immobilization) Shower without brace at 1 week post-op Sleep without brace at 4 weeks post-op Discontinue brace for ADL’s at 4-6 weeks with adequate strength and ROM If extension is difficult to obtain by week 6, D/C brace […]
Closed Wedge High Tibial Osteotomy
Download as PDF Bracing Brace locked at 20° for the first 4 weeks except for range of motion exercises Open brace for ambulation following x-ray exam (approximately post-op week 4) Sleep without the brace on post-op week 4 Discontinue brace for ADLs (Activities of Daily Living) on post-op week 6. Continue brace for rehab exercise […]
Anterior Cruciate Ligament (ACL) Rehabilitation
Download as PDF Enclosed you will find a copy of our Anterior Cruciate Ligament (ACL) Rehabilitation program and the data from our most recent follow-up study on patients who have undergone ACL surgery. The semitendinosus (hamstring) graft is utilized because of its excellent strength and low harvest morbidity. The graft is precisely placed in the […]
Proximal Distal Realignment
Download as PDF Bracing Brace locked 0 for ambulation Open brace 0-70 for passive range of motion exercises starting immediately post op. Keep brace locked at 0 for ambulation until quad control allows increases in ROM stops on brace. Increase flexion and extension stops as quad control allows. Sleep without brace at 4 weeks 5) […]
PCL Rehabilitation Protocol
Download as PDF Post-Op Knee immobilized at 10° flexion Quad isometrics Straight leg raises Quadriceps contractions At 2 weeks Post-op Passive range of motion–increase as tolerated Stationary bike–no resistance Non weight-bearing Begin NWB aquatic program if incisions are well healed Avoid isolated hamstring exercises until 6 months post-op. 4 Weeks Transition to full weight-bearing Brace […]
Open Wedge High Tibial Osteotomy
Download as PDF Bracing Brace locked at 20° for the first 4 weeks Remove brace under PT supervision for passive extension ROM. Open brace for ambulation following x-ray exam (approximately post-op week 5) Sleep without the brace on post-op week 6 Discontinue brace for ADLs (Activities of Daily Living) on post-op week 8. Continue brace […]
Isolated Meniscal Repair Protocol
Download as PDF Bracing Lock at 20 for two weeks (complex tears may require longer periods of immobilization) Shower without brace at 1 week post-op Sleep without brace at 4 weeks post-op Discontinue brace for ADL’s at 4-6 weeks with adequate strength and ROM If extension is difficult to obtain by week 6, D/C brace […]
Closed Wedge High Tibial Osteotomy
Download as PDF Bracing Brace locked at 20° for the first 4 weeks except for range of motion exercises Open brace for ambulation following x-ray exam (approximately post-op week 4) Sleep without the brace on post-op week 4 Discontinue brace for ADLs (Activities of Daily Living) on post-op week 6. Continue brace for rehab exercise […]
Anterior Cruciate Ligament (ACL) Rehabilitation
Download as PDF Enclosed you will find a copy of our Anterior Cruciate Ligament (ACL) Rehabilitation program and the data from our most recent follow-up study on patients who have undergone ACL surgery. The semitendinosus (hamstring) graft is utilized because of its excellent strength and low harvest morbidity. The graft is precisely placed in the […]
ACL Healing Response Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 2) Brace – six weeks Use crutches weight bearing as tolerated for 7 to 10 days to reduce swelling. The patient may discontinue the crutches when they can ambulate with no limp Range of Motion Patella mobility Emphasize full extension (avoid hyperextension x 4-6 […]
ACL Reconstruction Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 2) Brace – six weeks Use crutches weight bearing as tolerated for 7 to 10 days to reduce swelling. The patient may discontinue the crutches when they can ambulate with no limp Range of Motion – goal Patella mobility 90° – 100° of knee […]
ACL Tear Pre-Operative Protocol
Download as PDF Information The following is the Steadman Hawkins Denver Clinic preoperative protocol. The main emphasis focuses on: Reducing inflammation Restoring full range of motion Restoring quadriceps function You will likely be ready for surgery following phase I/II or in about one to two weeks. If your surgery date is beyond that time frame, […]
ACL with Meniscus Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 4): Weeks 0 to 2: Use crutches for 7 to 10 days to reduce swelling, the patient may discontinue with crutches when they can ambulate without a limp Brace locked in full extension for 4 to 6 weeks per physician orders Patella mobility Begin […]
Distal Femoral Osteotomy (DFO)
Download as PDF Phase I – Maximum Protection (0 to 1 week): 0 to 1 week: Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 8 weeks; progress off as instructed by physician Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills Begin […]
High Tibial Osteotomy Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 1 week): 0 to 1 week: Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 8 weeks; progress off as instructed by physician Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills Begin […]
Lateral Collateral Ligament (LCL) Reconstruction Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 Weeks: Brace locked at 30° at all times for six weeks Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 6 weeks. Range of Motion Begin aggressive patella mobility ROM 30- 90° WITH VALGUS STRESS APPLIED […]
Lateral Release with Medial Reefing Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Partial weight bearing for 2 weeks Ice and modalities to reduce pain and inflammation Aggressive patella and patella tendon mobility drills Range of motion – 0° to 30° knee flexion Begin […]
Medial Collateral Ligament (MCL) Sprain Non-Operative Protocol
Download as PDF Information: The following is Dr. Lind’s non-operative protocol. The main emphasis focuses on: Reducing inflammation Restoring full range of motion Restoring quadriceps function Phase I – Inflammatory Phase: Modalities to control inflammation Prescription anti-inflammatories Ice Clinical modalities to control inflammation Cardiovascular Exercises Stationary bike-focus on restoring range of motion Pool program as […]
Medial Patellofemoral Ligament Reconstruction (MPFLR)
Download as PDF Phase I – Maximum Protection (0 to 6 weeks): Weeks 0 to 2: Brace locked at 0 degrees x 6 weeks Lateral buttress in post-op dressing to stabilize patella Ice and modalities to reduce pain and inflammation Use crutches for 7-10 days to reduce swelling. The patient may discontinue the crutches when […]
Medial Reefing Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 6 weeks): Weeks 0 to 2: Brace locked at 0 degrees x 6 weeks Lateral buttress in post-op dressing to stabilize patella Ice and modalities to reduce pain and inflammation Use crutches for 7-10 days to reduce swelling. The patient may discontinue the crutches when […]
Meniscal Repair Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 4): 0 to 1 Week: Brace locked in full extension for 4 weeks Use crutches for 7 to 10 days to reduce inflammation, then weight bearing as tolerated Ice and modalities to reduce inflammation and pain Range of Motion 0° of knee extension 90° […]
Meniscectomy and Debridement Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Week 0 to 1): Ice and modalities as needed to reduce pain and inflammation Use crutches for 2 to 5 days to help reduce swelling, the patient may discontinue crutches when able to walk without a limp or pain Elevate the knee above the heart for the […]
Microfracture – Femoral Condyle Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 1 week): Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 6 weeks Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills CPM x 6 weeks Full passive/active knee range of motion exercises […]
Microfracture – Trochlear Groove/Patella Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (0 to 1 week): Ice and modalities to reduce pain and inflammation Brace 0° to 20° for 6 weeks Use crutches (approx. 2 weeks); wean off as gait normalizes and inflammation subsides Elevate the knee above the heart for the first 3 to 5 days Initiate patella […]
Patellar Tendon Fenestration Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Partial weight bearing for 2 weeks Ice and modalities to reduce pain and inflammation Aggressive patella mobility drills Gradual progression to full flexion and extension Begin submaximal quadriceps setting, focusing on […]
Patellar Tendon Repair Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): Weeks 0-4 Brace locked in full extension for 6 weeks 50% weight bearing for 3 weeks. 75% weeks 3-4. Wean off crutches at 4 weeks. Ice and modalities to reduce pain and inflammation Patella and patella tendon mobility drills Range of motion – […]
Patellofemoral Dysfuncton Non-Operative Protocol
Download as PDF Phase I – Inflammatory Phase: Modalities to control inflammation Prescription anti-inflammatories Ice Clinical modalities as needed Evaluate and treat lumbar, sacral, and pelvic dysfunction Evaluate for corrective orthotics Implement appropriate, selective stretching Iliotibial band Hamstrings Quadriceps Gastrocnemius/soleus Piriformis Apply appropriate patella mobilizations Evaluate lateral retinaculum and apply patellar tilt mobilization when indicated […]
Posterior Cruciate Ligament (PCL) Reconstruction Post-Operative Protocol
Isolated PCL Injury Rehabilitation – conservative treatment PHASE I WEEK 1-2 PHASE II WEEK 3-6 PHASE III WEEK 7-12 PHASE IV > MONTH 3 Weight Bearing PWB (20% flat foot) Symptomatic control WBAT WBAT FWB Brace Rebound PCL Day & night (within 4 weeks of Injury) grey shear knob Rebound PCL (day & night; grey [...]
Quadriceps Tendon Repair Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Partial weight bearing for 2 weeks Ice and modalities to reduce pain and inflammation Aggressive patella mobility drills Range of motion – 0° to 30°knee flexion Begin submaximal quadriceps setting Weeks […]
Root Repair
Download as PDF Phase I – Maximum Protection (Weeks 0 to 4): Weeks 0 to 2: Use crutches for 7 to 10 days to reduce swelling, the patient may discontinue with crutches when they can ambulate without a limp Brace locked in full extension for 4 to 6 weeks per physician orders Patella mobility Begin […]
Tibial Plateau Fracture Post-Operative Protocol
Phase I – Maximum Protection (0 to 1 weeks): 0 to 1 week: Ice and modalities to reduce pain and inflammation Use crutches non-weight bearing for 6 weeks Brace for 6 weeks in full extension Elevate the knee above the heart for the first 3 to 5 days Initiate patella mobility drills Begin full passive/active […]
Tibial Tubercle Transfer Post-Operative Protocol
Download as PDF Phase I – Maximum Protection (Weeks 0 to 6): 0 to 2 weeks: Brace locked in full extension for 6 weeks Non-weight bearing for 4-6 weeks per physician’s instructions Ice and modalities to reduce pain and inflammation Aggressive patellar mobility drills Range of motion – 0° to 45°knee flexion Begin submaximal quadriceps […]
