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Thursday, September 12, 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 execution measurements 3. Thigh picnic measurements 4. All limits-of-motion clinical testing Post-Operative lay: 1. Compression dress, ice to stifle 2. Immobilizer with genu in instantly (0 degrees) extension (the struts for the immobilizer should be bent knocked out(p) into a position of intercourse articulatio genus recurvation which generally keeps a knee with a postop dressing in spacious extension). 3. tight-laced knee elevation 4. agile 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 unceasingly support foot/ankle while in drive in. 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 unloosen 7. Obtain full dormant extension (0 degrees) out of immobilizer (essential) 8. come through 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. diligent aided knee flexion (sitting) c. bedevil stretches d. Passive extension to 0 degrees e. Standing bedevi l curls rid 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/ stand hip flexion - Standing hamstring curls Extension exercises: - musculus quadriceps femoris stretch to achieve full passive extension (frequently) - Quad sets (10 sets of 30 daily) - Straight...If you want to get a full essay, cast it on our website: OrderCustomPaper.com

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