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    Sports Medicine Protocol Patella Fracture ORIF

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    Juwita
    The Gundersen Sports Medicine Patellar Fracture ORIF Rehabilitation Program is a soft tissue healing dependent program with 5 phases to allow patients to safely progress activities following patella fracture surgery. Phase I focuses on knee immobilization, partial weight bearing, and limited range of motion. Phase II introduces braced weight bearing and increased flexion. Phase III removes knee brace restrictions and aims for full range of motion. Phase IV discontinues bracing and focuses on strengthening. Phase V is return to full activities over 3-6 months as tolerated.

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    Sports Medicine Protocol Patella Fracture ORIF

    Uploaded by

    Juwita
    48 views1 page
    The Gundersen Sports Medicine Patellar Fracture ORIF Rehabilitation Program is a soft tissue healing dependent program with 5 phases to allow patients to safely progress activities following patella fracture surgery. Phase I focuses on knee immobilization, partial weight bearing, and limited range of motion. Phase II introduces braced weight bearing and increased flexion. Phase III removes knee brace restrictions and aims for full range of motion. Phase IV discontinues bracing and focuses on strengthening. Phase V is return to full activities over 3-6 months as tolerated.

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    The Gundersen Sports Medicine Patellar Fracture ORIF Rehabilitation Program is a soft tissue healing dependent program with 5 phases to allow patients to safely progress activities following patella fracture surgery. Phase I focuses on knee immobilization, partial weight bearing, and limited range of motion. Phase II introduces braced weight bearing and increased flexion. Phase III removes knee brace restrictions and aims for full range of motion. Phase IV discontinues bracing and focuses on strengthening. Phase V is return to full activities over 3-6 months as tolerated.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views1 page

    Sports Medicine Protocol Patella Fracture ORIF

    Uploaded by

    Juwita
    The Gundersen Sports Medicine Patellar Fracture ORIF Rehabilitation Program is a soft tissue healing dependent program with 5 phases to allow patients to safely progress activities following patella fracture surgery. Phase I focuses on knee immobilization, partial weight bearing, and limited range of motion. Phase II introduces braced weight bearing and increased flexion. Phase III removes knee brace restrictions and aims for full range of motion. Phase IV discontinues bracing and focuses on strengthening. Phase V is return to full activities over 3-6 months as tolerated.

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    Patella Fracture ORIF Rehabilitation Program

    The Gundersen Sports Medicine Patellar Fracture ORIF Rehabilitation Program is an evidence-based and soft
    tissue healing dependent program allowing patients to progress to vocational and sports-related activities as
    quickly and safely as possible. Individual variations will occur depending on the surgical technique and the
    patient’s response to treatment.

     Phase I: 0 – 2 Weeks
     Knee Immobilizer: Worn at all times- taken off only for physical therapy sessions
    converted to hinged knee brace at first post-op visit
     Weight Bearing: WBAT with the knee locked in extension
     Range of Motion: AROM/AAROM/PROM 0 – 30 degrees
     Therapeutic Exercise: Isometric quadriceps/hamstrings/adductor/abductor
    strengthening, Ankle theraband exercises

     Phase II: 2 – 6 Weeks


     Knee Brace: Worn with weight bearing activities still locked in full extension-may be
    removed at night
     Weight Bearing/Range of Motion: WBAT with brace locked in extension.
    AROM/AAROM/PROM – add 15 degrees of flexion each week – Goal is 90 degrees by
    post-op week 6
     Therapeutic Exercises: Isometric quadriceps/hamstrings/adductor/abductor
    strengthening. Ankle theraband exercises, initiate straight leg raises

     Phase III: 6 – 10 Weeks


     Knee Brace: Unlocked – worn with weight bearing activities
     Weight Bearing: Full
     Range of Motion: AROM/AAROM/PROM – progress to full ROM by post-operative
    week 10
     Therapeutic Exercise: Isometric quadriceps/hamstrings/adductor/abductor
    strengthening. Ankle theraband exercises, initiate straight leg raises

     Phase IV: 10 - 12 Weeks


     Knee Brace: Discontinue
     Weight Bearing: Full
     Range of Motion : Full
     Therapeutic Exercises: Isometric quadriceps/hamstrings/adductor/abductor
    strengthening. Ankle theraband exercises, initiate straight leg raises. Start stationary
    bicycle

     Phase V: 3 – 6 Months
     Return to full activities as tolerated Date: 1/2017

    Adapted from NYU Hospital for Joint Diseases

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