Rehabilitation protocol after posterolateral corner surgery - Phase 2. Weeks 3-4 (Visits: 2-4)

Submitted by admin on October 20, 2009 - 1:38pm.

Click through for detailed protocols for each phase:

Part 7 of a course by Dr Frank Noyes on Posterolateral corner injuries of the knee

Phase 2 of rehabilitation focuses on regaining muscle control and maintaining range of motion.

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 2. Weeks 3-4 (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
	Effusion	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
2-3x/day, 20 mins	Straight leg raises (flexion)	3 sets x 10 reps
	Isometric training: multi-angle (0°, 60°)	1 set x 10 reps
	Knee extension (active-assisted, 90°-30°, per quad control)	3 sets x 10 reps
	Aerobic conditioning
2x/day, 10 mins	UBC
	Modalities
As required	electrical muscle stimulation	20 minutes
	cryotherapy	20 minutes
Goals	ROM 0°-90°
	Control inflammation, effusion
	Muscle control

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