WebDISTAL AND/OR PROXIMAL PATELLAR REALIGNMENT GENERAL GUIDELINES-No closed kinetic chain exercises for 6 weeks. -The same rehabilitation protocol is followed … Weboperative protocols in place for return to play after tibial tubercle realignment procedures for patellar instability. We hypothesized that return-to-play and rehabilitative guidelines will be poorly defined for patients undergoing tibial tubercle osteotomy for patellar instability. METHODS The literature on return-to-play guidelines after patellar
Patellar Realignment Physical Therapy Protocol
WebPatellar stabilization is achieved by several factors. Bony anatomy such as patellar alignment in the femoral groove, as well as ligamentous and muscular structures, … WebQuad and Patellar Tendon Repair Approved by M. Lemos, MD 10.2014; L. Scola, DPT, OCS, OMT; Review date 10.15 3 Phase I Protective Phase 1−2 Weeks Weeks 1–2 Exercises: No knee ROM exercises…keep knee locked in full extension in brace Quad sets Ankle pumps Phase II – Intermediate Phase Weeks 2 – 6 Weeks 2 - 6 shane o\u0027mara\u0027s in praise of walking
Tibial Tubercle Transfer Patella Realignment
Web• Knee stabilized isometrically at 30 degrees knee flexion • Patella taped medially • Electrodes over proximal and distal quad, not VMO • 10 sec. on/50 sec. off • 10 to 15 contractions Milestones Active quadriceps contraction with patellar glide expect a quad lag Full passive knee extension, flexion to 90 degrees WebPATELLAR REALIGNMENT PROTOCOL – MPFL RECONSTRUCTION AND TIBIAL TUBERCLE OSTEOTOMY _____ GENERAL GUIDELINES: • No closed kinetic chain exercise for 4 weeks • The same rehabilitation protocol is followed for proximal and distal realignments with the exception of range of motion limitations as noted GENERAL … WebACLR with concomitant patellofemoral realignment procedure ACLR revision reconstruction (per Dr. Shybut) MRI evidence of severe bone bruising or articular cartilage damage noted The protocol is divided into phases according to postoperative weeks and each phase has anticipated goals for the individual patient to reach. shane o\\u0027kelly hd supply