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Preoperative Visit
- Discuss role of Physical Therapy post-operatively
- Teach normal heel-toe gait with crutches on level surfaces and stairs
- Instruct in knee strengthening, ROM, and stretching exs (post-op protocol)
- Discuss importance of post-op portal site management to prevent adhesions/pain
- Schedule postoperative follow-up
Note: Exercise prescription is dependent upon the tissue healing process and individual functional readiness in all stages. If any concerns or complications arise regarding the progress of any patient, physical therapy will contact the orthopedist.
Phase I (0-1 week)
- Weight-Bearing as tolerated
- Isometric quad/glut/HS/adductor/abductor sets
- AAROM-heel slides with sheet, supine hip ab/adduction
- Bridging
- Weight-shifting
- Single leg balance
- Standing hip ab/adduction, flex, ext (unaffected limb) without resistanceclosed chain
- Grade I to II inferior/posterior mobs. for pain
Phase II (2-3 weeks)
- Progress to ambulation without crutches with normal gait
- Continue ROM with gradual end range stretch (aggressive stretch is not necessary)
- Single leg bridging
- Stationary bike if tolerated
- Pool exercises
- Begin Lumbar Stabilization
Phase III (4-6 weeks)
- Continue stretching
- Mini-squats
- Leg press
- Lunges
- Step-ups
- Closed chain hip flex/ext/ab/adduction-unaffected limb resistance
- Stairmaster/Cross-trainer
Phase IV (6+ weeks)
- Gradual progression to full functional activities
- Begin jogging when pain free, normal gait
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