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Rehabilitation protocol after posterolateral corner surgery - Phase 1. Weeks 1-2 (Visits: 2-4)
Submitted by admin on October 20, 2009 - 1:27pm.
Phase 1 of rehabilitation focuses on maintaining reasonable range of motion in spite of the surgical inflammatory response.
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Part 7 of a course by Dr Frank Noyes on Posterolateral corner injuries of the knee
Phase 1 of rehabilitation focuses on maintaining reasonable range of motion in spite of the surgical inflammatory response.
Below I have given you an overview of our own rehabilitation protocol for this phase, and on the right you will be able to click through to the detailed protocols for each phase.
Phase 1. Weeks 1-2 (Visits: 2-4)
| 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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