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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