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    Calcaneus FX Repair 2013

    Uploaded by

    Huzaif Khatib
    This document outlines the physical therapy protocol for calcaneus fracture repair. It details the progression from non-weight bearing and use of a boot in the first 12 weeks to full weight bearing and advanced strengthening and balance exercises by 6 months post-op.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Calcaneus FX Repair 2013

    Uploaded by

    Huzaif Khatib
    7 views2 pages
    This document outlines the physical therapy protocol for calcaneus fracture repair. It details the progression from non-weight bearing and use of a boot in the first 12 weeks to full weight bearing and advanced strengthening and balance exercises by 6 months post-op.

    Original Description:

    Management and treat plan for calcaneal fractures

    Original Title

    Calcaneus-Fx-Repair-2013

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    © © All Rights Reserved

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    This document outlines the physical therapy protocol for calcaneus fracture repair. It details the progression from non-weight bearing and use of a boot in the first 12 weeks to full weight bearing and advanced strengthening and balance exercises by 6 months post-op.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views2 pages

    Calcaneus FX Repair 2013

    Uploaded by

    Huzaif Khatib
    This document outlines the physical therapy protocol for calcaneus fracture repair. It details the progression from non-weight bearing and use of a boot in the first 12 weeks to full weight bearing and advanced strengthening and balance exercises by 6 months post-op.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Calcaneus Fracture Repair Physical Therapy Protocol

    Waconia Office Post-op


    560 South Maple St.
    Suite 200
    NWB on surgical foot
    Waconia, MN 55387 Elevate aggressively at heart level (not above)
    Phone: 952-442-2163 Foot in posterior foot splint
    Fax : 952-442-5903
     Week 1: Bed exercises for joints above surgical sites.
    Toe AROM to tolerance.
    Chaska Office
    Gait: NWB affected leg.
    212 Medical Center Keep foot elevated while sitting. Limit time with extremity dependent
    111 Hundertmark Rd. 1 week MD visit
    Suite 460
    Chaska, MN 55318  Placement of CAM boot (on at all times)
    Phone: 952-456-7400 o OK to remove for hygiene (i.e. showers, NO soaking wound) and
    Fax: 952-456-7401
    motion exercises
    o Must sleep in boot
     Week 2: Gentle subtalar AROM when surgical incision sealed (clear with M.D.)
    Gary E. Wyard, M.D. Gentle PROM/AAROM toes-- stretch into dorsiflexion at MTPs with MTs
    Mark E. Friedland, M.D.
    Robert M. Barnett, Jr., M.D.
    stabilized.
    Christopher P. Meyer, M.D. Family/caregiver training as needed.
    Jeffrey J. Mair, D.O. Sample exercises for home program: Ankle pumps, alphabets, figure eights,
    Daniel J. Marek, M.D.
    Scott M. Holthusen, M.D. inversion/eversion.
    Peter C. Sanders, M.D.
    3-6 weeks
    Sommer Vaughan, PA-C
    Erin Maguire, PA-C NWB on surgical foot (until at least 12 weeks postop)
    Nicole Hicks, PA-C 3 week MD visit: Sutures out, X-ray
    Mitch Fogal, PA-C
    Joanne Kockelman, CPT
     Patient teaching: Edema control (compression stocking as needed).
    Desensitization techniques PRN. Gentle scar massage.
     Measure range of motion.
     Continue HEP with hip, knee, UE exercises and isometrics/general body
    strengthening and conditioning.
     Continue early AROM ankle, STJ, toes. PROM/AAROM forefoot/ toes.

    6-12 weeks
    NWB on surgical foot
    6-7 week MD visit: X-ray
     Patient teaching: Scar mobilization. Compression stocking as needed.
     AAROM/PROM ankle, subtalar joint, forefoot, toes. Measure range of
    motion.
     Begin theraband strengthening in all planes
     Continue NWB gait, foot in CAM boot at all times (sleeping as well).
     Continue home exercise program: strengthening/conditioning of
    uninvolved extremities.
    o Swimming OK but not walking in water. No aggressive kicking.

    TCOmn.com
    Equal Opportunity Employer
    Calcaneus Fracture Repair Physical Therapy Protocol pg 2

    12 weeks
    Progressive WB begins
    12 week MD visit: X-ray
     Ankle, subtalar, forefoot, toe AAROM (gentle stretch) and isometrics.
     Scar tissue mobilization. Desensitization techniques.
     Gait training: Gradual increase in weight bearing (in shoe) starting at 20lbs,
    increase 20 lbs every 2-3 days over 1 month period to FWB, may use CAM
    boot if needed
     OK to slow progression if painful.
     Over the counter orthotic (Superfeet, Spenco) may be helpful.
     Begin balance and proprioceptive training.
     Wean off assistive device when comfortably FWB with good gait pattern
    (by 16-17 weeks). Shoe modification if needed.
     Home exercise program.
     Conditioning: Pool therapy, stationary bike, low impact endurance
    training. Home exercise program.
     Protocol may be changed depending on fracture pattern.

    4 months
     Progression of gait, advanced balance and proprioception activities.
     Ankle, subtalar isometric, isotonic strengthening
     Soft tissue mobilization
     Sample exercises for home exercise program:
    o Progressive calf stretching.
    o Progressive strengthening using elastic band.
    o Single leg stance activities.
    o Step-ups, stairs. Foam standing wobble board/Baps.

    6 months
    6 month MD visit if needed
     Ankle, subtalar stretching.
     Joint mobilization.
     Advanced balance & gait training, maximize quality of gait.
     Higher impact activities O.K.
     Ankle, STJ, strength-endurance training.
     Functional assessment: e.g. timed single leg stance balance and reach,
    heel raise, squats, step ups.
     Assess shoes/orthotics.

    TCOmn.com
    Equal Opportunity Employer

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