Physical Therapy Protocols for joint preservation surgery

  • Patella Lesion

    stage 1 – proliferative phase (0-6 weeks) primary goals Do not overload the graft site with compression forces Increase Tibial Femoral and Patella Femoral Mobility Restore Quadriceps Control Proximal Hip Girdle Strengthening Emphasize PROM to tolerance early brace Hinged brace at 0-60 degrees for 3 weeks and then 0-90 degrees for 3 weeks for a total of 6 weeks controlled motion in brace weight bearing Begin touch-down immediately up to 30% of body weight with crutches for two weeks andRead more

  • Patella / Trochlea Lesion

    stage 1 – proliferative phase (0-6 weeks) primary goals Do not overload the graft site with compression forces Increase Tibial Femoral and Patella Femoral Mobility Restore Quadriceps Control Proximal Hip Girdle Strengthening Emphasize PROM to tolerance early brace Hinged brace at 0-60 degrees for 3 weeks and then 0-90 degrees for 3 weeks for a total of 6 weeks controlled motion in brace weight bearing Begin touch-down immediately up to 30% of body weight with crutches for two weeks andRead more

  • Weight bearing Femoral Condyle

    stage 1 – proliferative phase (0-6 weeks) primary goals Do not overload the graft site with compression forces Increase Tibial Femoral and Patella Femoral Mobility Restore Quadriceps Control Proximal Hip Girdle Strengthening Emphasize PROM to tolerance early brace Hinged brace with ambulation, until good quads control/SLR (approx 3-6 weeks) weight bearing Begin touch-down weight bearing for balance immediately At 14 days begin 30% weight bearing – then increase to 60% at 4 weeks and maintain for 4 weeks At approximatelyRead more

  • Weight bearing Femoral Condyle / Trochlea / Patella

    stage 1 – proliferative phase (0-6 weeks) primary goals Do not overload the graft site with compression forces Increase Tibial Femoral and Patella Femoral Mobility Restore Quadriceps Control Proximal Hip Girdle Strengthening Emphasize PROM to tolerance early brace Hinged brace at 0-40 degrees for 3 weeks and then 0-70 degrees for 3 weeks for a total of 6 weeks controlled motion in brace weight bearing Begin touch-down immediately up to 30% of body weight with crutches for two weeks andRead more

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