S/P Quad/Patellar Tendon Repair Protocol

Pre-op

  • TTWB crutch gait instruction
  • ROM precautions (add 15 per week limited to 90 until 6 week)
  • Icing
  • Therapeutic exercise:
    • A.A.ROM for flexion (see above) and extension
    • Quad sets
    • Anti-phlebetic ankle exercises
  • Water precautions

Post-op

  • First PT visit 5-7 days post surgery
  • Passive or active-assistive ROM for full extension and 15-45 flexion per MD discretion
  • TTWB crutch gait for 2 weeks with brace locked at 0
  • Brace locked at 0 for all activities except therapeutic exercise
  • Therapeutic exercise:
    • A.A.ROM for flexion (see above) and full extension
    • Isometric quad, ham, adductor and abductor
    • Leg raises without knee motion
    • Ankle theraband exercises
  • Water precautions

Week 2-6

  • PT as necessary to meet goals
  • Passive or active-assistive ROM. Add 15 flexion each week with a goal of 90  at 6 weeks. Advance beyond 90 after 6 weeks.
  • Remove staples from incision and re-apply steri-strips at 2 weeks
  • WBAT crutch gait with brace locked at 0
  • Therapeutic exercise:
    • As above
    • Upper extremity exercise okay

Week 6-12

  • PT as necessary to meet goals
  • DC brace at 6 weeks. Progress to FWB gait as tolerated
  • Therapeutic exercise:
    • A.A.ROM and gentle stretching
    • Lower extremity PRE's with low weight / high repetition protocol -Stationary bicycle
    • Stairclimber per MD
    • Impact activities per MD


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