Brace: locked in extension until 1st post-op visit (7-10 days post-op), including at night. Then unlocked. May remove brace for exercises/PT and hygiene.
ROM: full ROM w/no weight bearing at flexion angles > 90°
Goal: Full extension by 2 weeks post-op
Strengthening: quad sets, heel slides, SLR, etc.
Daily Patellar Mobilization
Avoid tibial rotation
Phase 2: 4-8 Weeks
WBAT (wean from crutches)
Wean brace
ROM: progress to full ROM w/PROM as tolerated at flexion angles > 90°
Strengthening: partial wall sits, no greater than 90°
Phase 3: 8-12 Weeks
FWB w/o crutches
ROM: full active ROM
Strengthening: progress closed-chain exercises, lunges 0-90°, hamstring work, leg press 0-90°, begin stationary bike
Phase 4: 12+ Weeks
FWB w/ normal gait pattern
ROM: full
Strengthening: running, jogging, plyometrics, sport specific drills
