Monday, January 20, 2014

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 intercommunicate measurements 3. Thigh picnic measurements 4. All limits-of-motion clinical testing Post-Operative localisation: 1. Compression bandaging, ice to stifle 2. Immobilizer with genu in neat (0 degrees) extension (the struts for the immobilizer should be bent knocked out(p) into a position of coition stifle recurvation which generally keeps a knee with a postop dressing in spacious extension). 3. tight-laced knee elevation 4. ready quad sets; ankle pumps encouraged ***Treat unite extraarticular and/or meniscal repair ACL/PTG as ACL/PTG (if in doubt contact surgeon)*** surgical Day One: 1. No pillow under knee at any time for first six weeks. Pillows should unceasingly support foot/ankle while in do. 2. out(p) of bed 3. quaternary 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 free weight bearing with crutches to tolerance 6. Dressing changes prior to hospital exculpate 7. Obtain full dormant extension (0 degrees) out of immobilizer (essential) 8. fulfil 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. dynamical aided knee flexion (sitting) c. hamstring stretches d. Passive extension to 0 degrees e. Standing bedevil curls empty Protocol: 1. Gai! t-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: - quadriceps stretch to achieve full passive extension (frequently) - Quad sets (10 sets of 30 daily) - Straight...If you want to get a full essay, mark it on our website: BestEssayCheap.com

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