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CPM (if available) set 0 to 90 degrees.
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The leg is to be fully extend for 30 minutes at least every 3 hours.
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WB (weight bearing) as tolerated with or without crutches and knee splint.
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Ice and elevation as necessary.
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Dressings may be reduced at 48 hours.
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ROM (range of motion) 0 to 100 degrees of flexion. Initially passive then active when able.
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Straight leg raises when lying, seated and standing.
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Controlled and assisted partial squats, 10cm step-ups and calf raises under physiotherapy guidance.
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Wall slides for flexion once able.
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Massage and soft tissue mobilisation as necessary by the physiotherapist.
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PWB to FWB without crutches as able with gradual reduction of splint use around the house (but continue to use the splint when out).
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Note: where ever possible all exercises should be "closed -chain" (weight bearing) exercises.
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Reviewed by Dr Allen at about 2 weeks for progress check, removal of any sutures if required and review of the wounds. The timing of further appointments will depend on progress.
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ROM - full extension to 110 degrees.
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Partial squats on the operated leg.
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Increased height of step-ups, calf raises and leg presses.
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Stationary bicycling and swimming.
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FWB. Always use the splint when away from home .
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ROM - full extension to 130 degrees.
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Continue with the above strengthening exercises. Swimming and pool work encouraged.
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Discontinue splint when muscle tone is sufficient.
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May begin coach and physiotherapist supervised progression back to sports specific activity.
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Once near-normal strength (80+% of other side), full range of motion, no swelling and good stability has been attained ,then may return to normal running program and may include cutting and side stepping.
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Continue strengthening exercises and sports specific training.
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Return to all normal activities.
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Take care when participating in any pivotal activities and avoid such activities whenever possible.
Home | About Your Condition
The information on these pages is presented as a rough guide to
help you understand your condition better. The information is in no way intended
to be a comprehensive coverage of the subject. As all patients and their
conditions are different, the treatment may vary from time to time. All patients
are encouraged to take steps to ensure that they are as well educated about
their conditions as possible. Other sources of information inc
PO Box 1089, Coolangatta, QLD, 4225, Australia
+61 7 55980977 +61 7 55980016 allen@bonedoctor.com.au
www.bonedoctor.com.au
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