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 and emphasize heel strike in gait.
Weeks 0-2
- Non weight-bearing
- Brace locked at 20 degrees (complex tears may require longer periods of immobilization)
- Patellar mobility
- Quad set/Straight leg raise
- Effusion Control
Weeks 2-4
- Begin WBAT (progress in 25%-50% increments)
- Brace 0 degrees extension and increase flexion stop according to strength/ROM gains
- Increase flexion and extension prn 4) Begin PRE’s, limiting knee flexion angle to less than 90 degrees. Closed chain emphasis
- Begin stationary cycling with adequate flexion
- Remove brace for passive ROM
- Begin aquatic exercises such as deep water jogging and resistance walking where available.
Weeks 4-6
- D/C brace as strength and ROM allow
- Full range of motion
- Avoid deep squat (>90 degrees) for 4 to 6 months
- Avoid cutting/pivoting for 4 to 6 months
Months 4-6
- Return to activity per M.D.
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