Discharge Instructions & Physical Therapy Protocol for ACL Reconstruction Quadriceps Tendon. If uncomfortable, may loosen but keep the knee ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. Patellar-Quadriceps Tendon Repair Protocol p. 1 Patellar-quadriceps Tendon Repair Protocol Applicability: Physician Practice Date Effective: 3/2017 Department: Rehabilitation Services Date Last Reviewed / or Supersedes: none Date Last Revision: 3/2017 Administration Approval: Amy Putnam, VP Physician Services Purpose: Define the protocol to be followed for all patients referred from … Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior … Quadriceps tendon repair post-operative protocol These rehabilitation guidelines are criteria based. Getting the quads to fire again after taking a piece of the quad tendon out, is so difficult as I later found out. Adductor release rehab protocol Hamstring strain The graft has an initially more difficult recovery because your quad muscles are the most important to full recovery after ACL reconstruction. The following anterior cruciate ligament (ACL) reconstruction rehabilitation protocol is specific to patients with a quadriceps tendon autograft. The protocol for revision acl cannot simply be done arthroscopically due to minimize recovery. PROTOCOL The following is a protocol for postoperative patients following ACL reconstruction. extension if steady in Full extension symmetric to contralateral knee by 2 weeks Flexion to 120 (unless meniscal repair) at therapy for 20 SLR without quad lag DC crutches WBAT Brace should be locked at 0 extension until first visit with therapist. Groin & Hip. Meniscus repair Microfracture surgery OATS protocol Patellar or Quad tendon repair Patellar stabilization/Tibial Tubercle Osteotomy Patellar tendinitis and Chondromalacia Patellar tendon debridement Patellofemoral rehabilitation PCL reconstruction Single leg exercise progression. THE QUAD TENDON REPAIR/GRAFT HARVEST SITE . Start P.T. QUADRICEP TENDON RUPTURE- REPAIR PROTOCOL . The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving pre-‐injury level of activity. at 2-3 weeks . Recovery after knee surgery entails controlling swelling and discomfort, healing, return of range-of-motion of the knee joint, regaining strength in the muscles around the knee joint, and a … Brace locked at 0 degrees for ambulation for 6-8 weeks with use of bilateral axillary crutches. ACL Reconstruction with Quad Tendon Autograft Protocol Dr. Hultman Time Frame Treatment Goals Post-Op Day -Removal of dressings, change if needed. ACL WITH QUAD TENDON GRAFT WITH MENISCAL REPAIR PHASE I (0-3 WEEKS) DATES: Appointments Physical therapy 2-3x/week, beginning 2-5 days post-op Rehabilitation Goals • Full extension symmetrical to contralateral knee before the first post-op visit at 2 weeks • PROM 0-90° • 20° SLR without quad lag People can warn you and tell you, but you never really know until you are experiencing it. If a hamstring autograft was used, please refer to the “Anterior Cruciate Ligament (ACL) Reconstruction: Hamstring Autograft” protocol on the Ohio State Sports Medicine website. At 2-3 weeks home E-stim unit (if needed) for quadriceps muscle re-ed. May start WBAT with brace locked in extension . Please note this protocol The quad tendon acl reconstruction protocol for sports patients with basic science and hamstrings and early rehabilitation. Initial Visit: Dressing change . -Cryotherapy and education in signs of infection -Patient NWB -HEP: quad sets, heel slides, SLR x 4, patellar mobilizations -Independent with conservative management, HEP, and cryotherapy
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