FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
(PATELLAR TENDON GRAFT) (PTG)
preoperative Tests:
1. Laxity testing (KT-1000)
2. Range of motion measurements
3. Thigh picnic measurements
4. All limits-of-motion clinical testing
Post-Operative Positioning:
1. Compression dressing, ice to stifle
2. Immobilizer with genu in straight (0 degrees) extension (the struts for the
immobilizer should be bent knocked out(p) into a position of relative knee recurvation
which generally keeps a knee with a postop dressing in spacious extension).
3. tight-laced knee elevation
4. Immediate quad sets; ankle pumps encouraged
***Treat unite extraarticular and/or meniscal repair ACL/PTG as
ACL/PTG
(if in doubt contact surgeon)***
postoperative Day One:
1. No pillow under knee at any time for first six weeks. Pillows should
ceaselessly support foot/ankle while in bed.
2. out(p) of bed
3. Quad sets - 30 reps, 3-5 times daily. Five quads hard for 6 seconds.
Relax for 3 seconds. Repeat.
4. Ankle pumps every hour.
5. protect weighting bearing with crutches to tolerance
6. Dressing changes prior to hospital discharge
7. Obtain full dormant extension (0 degrees) out of immobilizer (essential)
8. Achieve 90 degrees of inflection
9.
Protected weight bearing as tolerated (WBAT) with crutches
10. Exercises (out of immobilizer):
a. Quad sets
b. Active aided knee flexion (sitting)
c. Hamstring stretches
d. Passive extension to 0 degrees
e. Standing bedevil curls
Discharge Protocol:
1. Gait-weight bear as tolerated with crutches
2. Exercises (out-of-brace):
Flexion Exercises (4 times daily):
- Active assisted knee flexion (sitting) to > 90 degrees (as tolerated)
- Sitting/standing hip flexion
- Standing hamstring curls
Extension exercises:
- Quadriceps stretch to achieve full passive extension (frequently)
- Quad sets (10 sets of 30 daily)
- Straight...If you want to get a full essay, order it on our website: Orderessay
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