Office Hours: M-F 8:30 AM - 5:00 PM
Physical Therapy Hours: M-F 7:00 AM - 8:00 PM

Autologous Chondrocyte Implantation (ACI)/DeNovo NT Implantation (Trochlea/Patella)

Phase I (Weeks 0-12)

  • Weightbearing:
    • Weeks 0-2: Non-weightbearing
    • Weeks 2-4: Partial weightbearing (30-40 lbs)
    • Weeks 4-8: Continue with partial weightbearing (progress to use of one crutch at weeks 6-8)
    • Weeks 8-12: Progress to full weightbearing with discontinuation of crutch use
  • Bracing:
    • Weeks 0-2: Hinged knee brace locked in extension– remove for CPM and rehab with PT
    • Weeks 2-4: Locked in extension for weight bearing – Can open brace for NWB ROM 0-30°
    • Weeks 4-6: Open brace to 30° for ambulation
    • D/C brace at 6 weeks post-op
  • Range of Motion – Continuous Passive Motion (CPM) Machine for 6-8 hours per day for 8 weeks
    • Set CPM to 1 cycle per minute – set at 0-30° for first 3 weeks
    • Starting at week 3 increase flexion 5-10° per day until full flexion is achieved
      • Should be at 90° by week 6 and 120° by week 8
    • PROM/AAROM and stretching under guidance of PT
  • Therapeutic Exercises
    • Weeks 0-4: Straight leg raise/Quad sets, Hamstring isometrics
      • Perform exercises in the brace if quad control is inadequate
    • Weeks 4-10: Begin isometric closed chain exercises
      • At week 6 can start weight shifting activities with operative leg in extension
    • At week 8 can begin balance exercises and stationary bike with light resistance
    • Weeks 10-12: hamstring strengthening, theraband resistance exercises 0-30°, light open-chain knee isometrics

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Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

Autologous Chondrocyte Implantation (ACI)/DeNovo NT Implantation (Femoral Condyle)

Phase I (Weeks 0-12)

  • Weightbearing:
    • Weeks 0-2: Non-weightbearing
    • Weeks 2-4: Partial weightbearing (30-40 lbs)
    • Weeks 4-6: Continue with partial weightbearing (progress to use of one crutch at weeks 6-8)
    • Weeks 6-12: Progress to full weightbearing with discontinuation of crutch use
  • Bracing:
    • Weeks 0-2: Hinged knee brace locked in extension– remove for CPM and rehab with PT
    • Weeks 2-4: Gradually open brace at 20° intervals as quad control is obtained
    • D/C brace when patient can perform straight leg raise without an extension lag
  • Range of Motion – Continuous Passive Motion (CPM) Machine for 6-8 hours per day for 6 weeks
    • Set CPM to 1 cycle per minute – set initially at 0-30°
    • Increase flexion 5-10° per day until full flexion is achieved
      • Should be at 90° by week 4 and 120° by week 6
    • PROM/AAROM and stretching under guidance of PT
  • Therapeutic Exercises
    • Weeks 0-2: Straight leg raise/Quad sets, Hamstring isometrics
      • Perform exercises in the brace if quad control is inadequate
    • Weeks 2-6: Begin progressive isometric closed chain exercises** (see comments)
      • At week 6 can start weight shifting activities with operative leg in extension
    • Weeks 6-10: Progress bilateral closed chain strengthening, begin open chain knee strengthening
    • Weeks 10-12: Begin closed chain exercises using resistance (less than patient’s body weight), progress to unilateral closed chain exercises
    • At week 10 can begin balance exercises and stationary bike with light resistance 

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Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

Achilles Tendon Repair

Phase I (Weeks 0-2)

  • Weightbearing:  Non-weightbearing using crutches
  • Brace:  Patient in plantarflexion splint
  • No Formal PT 

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Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

Quadriceps and Patellar Tendon Repair

Phase I (Weeks 4-10)

  • Weightbearing: As tolerated in the hinged knee brace locked in extension
  • Hinged Knee Brace: Progressive increase in flexion allowed under guidance of PT
    • Week 4: 0-30°,  Week 5: 0-40°,  Week 6: 0-70°, Week 8: 0-90°, Week 10: Unlocked
  • Range of Motion: PROM and AAROM as tolerated according to restrictions above
  • Therapeutic Exercise
    • Begin isometric quadriceps strengthening, straight leg raises
    • Patellar mobilization, scar massage

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Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

Arthroscopic Anterior Shoulder Stabilization

Phase I (Weeks 0-4)

  • Sling immobilization at all times except for showering and rehab under guidance of PT
  • Range of Motion – PROM -> AAROM à-> AROM as tolerated
    • Restrict motion to 90° of Forward Flexion, 45° of Abduction, 30° of External Rotation and Internal Rotation to stomach
  • Therapeutic Exercise
    • Elbow/Wrist/Hand Range of Motion
    • Grip Strengthening
    • Isometric Abduction, Internal/External Rotation exercises with elbow at side
  • Heat/Ice before and after PT sessions

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Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.