TIMETABLES ARE ESTIMATES . 2. ACL Reconstruction BPB with Meniscus Repair PHYSICAL THERAPY PROTOCOL P H A S E I I : I n te r m e d i a te P h a s e POST-OP WEEKS 6-10 C o n t i n u e a s a b o ve W i t h g o o d q u a d co n t ro l , ma y w e a n f ro m b ra ce . ACL Autograft Reconstruction with meniscus repair 2019-10-21T16:58:41-04:00 This protocol is intended to be a general outline only. Avoid ranging past 90 ___ weeks (ok to do it past 90 in therapy after week 3, under controlled pain and combined minimizing loading). Here are some of the benefits: The ability to reduce the risk of scar tissue by minimizing the amount of surgery in the first stage. 2. ACL REHABILITATION PROTOCOL, OPERATIVE WITH MENISCUS REPAIR OR MICROFRACTURE . Dr. Levene (2/2015) I. Preoperative . Therapist should use best clinical judgment. The physician reserves the right to either advance or delay this protocol as deemed necessary. Download as PDF. COX-2 if early surgery planned . Multiligament Knee Injury (ACL/PCL +/- MCL/PLC) Rehabilitation following surgery for multiligament knee injury (MLKI) or knee dislocation is an essential element of the treatment to achieve a full recovery. Post-operative Rehabilitation Protocol ACL Reconstruction with Meniscus Repair or Microfracture Phase I: Immediately postoperatively (weeks 0- 4) Goals: Protect graft and graft fixation Minimize effects of immobilization Control inflammation/swelling ROM: 0 ⦠U su a l l y i n 6 -8 w e e ks. Home / Patient Information / Knee Information / Knee Post-op Care & Rehab / ACL with Meniscus Post-Operative Protocol. Even if an exercise or activity is listed at a particular time frame, some patients may not be ready to perform it. Delay weight bearing exercises ___ weeks. It is not meant a. b. NSAID, pref. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals. University*of*Washington*Department*of*Orthopaedics*&*Sports*Medicine* Page5*of*8* PostIOperativeâACLâRehabilitation:ACLâReconstructionâ+MeniscusâRepairâ Now letâs talk about the option of doing the meniscus repair and the ACL reconstruction in one surgery. 3. Brace locked in extension for 2 weeks. ACL with Meniscus Repair | 2 Typically, after an anterior cruciate reconstruction surgery (ACL) with meniscal repair there is a protected range of motion and weight bearing period that can last up to 6 weeks. Title: Microsoft Word - ACL Reconstruction with Meniscus repair.doc Created Date: 2/13/2014 3:43:10 PM c. Bledsoe style brace for concomitant gr III MCL injury if present . ACL reconstruction with Meniscus repair Protocol Dr Bradley Bruner 01/01/2009 Guidelines: 1. Return-to-Sport after ACL with Meniscal Repair Reconstruction Protocol - Weight-bearing in full extension (with a locking brace) with crutches is allowed, No weight-bearing in flexion >45° for 4 weeks - Immediate Post-op passive ROM is fine, No active ROM past 90° for the first 4 weeks o ROM: (Peripheral Tears) ROM: (Complex Tears) Rest, ice, compression, elevation . Phase IV (Advanced ACL Protocol) â No significant swelling/inflammation, Full pain free ROM, No evidence of patellofemoral joint irritation, sufficient strength and ⦠Do not do resisted long or short arc quads, to avoid adversely stressing the graft. Phase I â Maximum Protection (Weeks 0 to 4): Weeks 0 to 2: Use crutches for 7 to 10 days to reduce swelling, the patient may discontinue with crutches when they can ambulate without a limp; However, the large hematoma produced during the ACL surgery is considered beneficial to the healing of the meniscal repair and some Use professional judgment as patients progress. Being able to evaluate the healing of the meniscus tear at the time of the ACL reconstruction. Meniscal Repair Protocol (this will delay the protocol for ACLR) 1.
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