To our therapists: Please be careful with too much flexion
of the knee when there is significant swelling still present. These protocols are guides, and are used to assist the therapist in setting
rehabilitation goals.
ACL
reconstruction
Allograft or Autograft This protocol is basic guidelines for ACL
rehabilitation. If an autograft is used, then some care on the anterior knee
is needed.
PCL reconstruction This protocol is basic guidelines for PCL
rehabilitation.
Arthroscopy
Simple arthroscopy, or soft tissue debridements Plica band removal, ligamentum mucosum
debridement or scar tissue debridement
Menisectomy
Medial, Lateral or both For any menisectomy performed, or in
combination with a soft tissue debridement or chondroplasty.
Lateral
Release Lateral release protocol If any other procedures are done in the
knee along with a lateral release, please use this protocol. Take
special note of the status of the articular cartilage on the patella and be
cautious with knee flexion if there is significant swelling.
Lateral releases can have a lateral bulge (swelling)that
is typical for the first few weeks or so.
Chondroplasty Abrasion Arthroplasty
If just a chondroplasty, then crutches can be weaned in days as the patient
adjusts to full weight bearing.
MCL Protocol
Non operative rehab For MCL sprains, with the use of a brace
for protection, be sure patient wears brace at night as well.
Patellar
Realignment: Proximal For VMO
advancement/repair or proximal patellar realignment
Distal Patellar
Realignment For Tibial tubercle Transfer and VMO
advancement
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