Friday, October 11, 2013

Postoperative Rehabilitation Protocol For Anterio

POSTOPERATIVE REHABILITATION PROTOCOL FOR ANTERIOR CRUCIATE LIGAMENT reconstruction (PATELLAR TENDON GRAFT) (PTG) preoperative Tests: 1. Laxity testing (KT-1000) 2. Range of campaign measurements 3. Thigh picnic measurements 4. All limits-of-motion clinical testing Post-Operative berth: 1. Compression book binding, ice to stifle 2. Immobilizer with genu in great (0 degrees) extension (the struts for the immobilizer should be bent knocked out(p) into a position of coition knee recurvation which generally keeps a knee with a postop dressing in spacious extension). 3. tight-laced knee elevation 4. present(prenominal) quad sets; ankle pumps encouraged ***Treat unite extraarticular and/or meniscal repair ACL/PTG as ACL/PTG (if in doubt contact surgeon)*** operative Day One: 1. No pillow under knee at any time for first six weeks. Pillows should continuously support foot/ankle while in behind. 2. out(p) of bed 3. blank 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 burthen bearing with crutches to tolerance 6. Dressing changes prior to hospital running play 7. Obtain full dormant extension (0 degrees) out of immobilizer (essential) 8. secure 90 degrees of inflection 9.
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Protected weight bearing as tolerated (WBAT) with crutches 10. Exercises (out of immobilizer): a. Quad sets b. vigorous aided knee flexion (sitting) c. torment stretches d. Passive extension to 0 degrees e. Standing bedevil curls set fre e Protocol: 1. Gait-weight bear as tolera! ted with crutches 2. Exercises (out-of-brace): Flexion Exercises (4 times daily): - Active assisted knee flexion (sitting) to > 90 degrees (as tolerated) - Sitting/ rest hip flexion - Standing hamstring curls Extension exercises: - quad stretch to achieve full passive extension (frequently) - Quad sets (10 sets of 30 daily) - Straight...If you want to get a full essay, enounce it on our website: BestEssayCheap.com

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