Rehabilitation protocol after posterolateral corner surgery - Phase 4. Weeks 7-8 (Visits: 1-2)

Submitted by admin on October 20, 2009 - 1:50pm.

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 4 of rehabilitation focuses on re-establishing stable weight-bearing and building up the 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 4. Weeks 7-8 (Visits: 1-2)

General observation	Full weight bearing with cane when: - Pain controlled - Hemarthrosis controlled - ROM 0-120° - Voluntary quad contraction achieved
	Custom medial unloader brace or hinged soft tissue brace
Evaluation		Goals
	Pain	Mild/No RSD
	Effusion	Minimal
	Patellar mobility	Good
	ROM	0-120 degrees
	Muscle control	4/5
	Inflammatory response	None
Frequency		Duration
	Range of motion
2x/day, 10 mins	ROM 0°-120°
	Patella mobilization
	Hamstring, gastroc-soleus stretches	5 reps x 30 secs
	Strengthening
2x/day, 20 mins	Straight leg raises (flexion, extension, abduction, adduction)	3 sets x 10 reps
	Straight leg raises, rubber tubing	3 sets x 30 reps
	Knee extension (active, 90°-30°)	3 sets x 10 reps
	Closed-chain
	- Wall sits	to fatigue x3
	- Mini-squats (rubber tubing, 0°-30°)	3 sets x 20 reps
	Balance training
3x/day, 5 mins	Cup walking
	Aerobic conditioning
1-2x/day, 15 mins	UBC
	Stationary bicycle
	Gait retraining
	Progress program
	Continue to observe for varus thrust, hyperextension
	Modalities
As required	electrical muscle stimulation	20 minutes
	cryotherapy	20 minutes
Goals	Full weight bearing
	Muscle control
	Control inflammation, effusion
	ROM 0°-120°

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