The clinical team will be keeping an eye out for complications during this early phase of rehab after posterolateral corner surgery.

First published 2009 by Dr Frank R Noyes, and reviewed August 2023 by Dr Sheila Strover (Clinical Editor)

 

Phase 1. Weeks 1-2 (Visits: 2-4)

Phase 1 of rehabilitation focuses on maintaining reasonable range of motion in spite of the surgical inflammatory response.

 

General observation Non-weight bearing, maximum protection  
  Bivalved cylinder cast  
  Must avoid hyperextension, varus loads, lateral joint opening  
Evaluation   Goals
  Pain Controlled
  Hemarthrosis Mild
  Patellar mobility Good
  ROM minimum 0-90 degrees
  Quadriceps contraction & patella migration Good
  Soft tissue contracture None
Frequency   Duration
  Range of motion  
3-4x/day, 10 mins ROM (passive, 0°-90°)  
  Patella mobilization  
  Ankle pumps (plantar flexion with resistance band)  
  Hamstring, gastroc-soleus stretches 5 reps x 30 secs
  Strengthening  
3x/day, 15 mins Straight leg raises (flexion) 3 sets x 10 reps
  Active quadriceps isometrics 1 set x 10 reps
  Knee extension (active-assisted, 90°-30°, per quad control) 3 sets x 10 reps
  Modalities  
As required electrical muscle stimulation 20 minutes
  cryotherapy 20 minutes
Goals ROM 0°-90°  
  Adequate quadriceps contraction  
  Control inflammation, effusion  

 


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