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Posterior Cruciate Ligament (PCL) Reconstruction with Achilles Allograft
Phase I (Weeks 0-4) Weightbearing: As tolerated with crutches (may be modified if concomitant posterolateral corner reconstruction, meniscal repair / meniscal transplant or articular cartilage procedure is performed) Hinged Knee Brace Locked in full extension for...
Meniscus Allograft Transplantation
Phase I (Weeks 0-8) Weightbearing Weeks 0–2: Partial weightbearing (up to 50%) Weeks 2–6: Advance to WBAT with crutches (discontinue crutches at 4 weeks post-op if gait normalized) Hinged Knee Brace Worn for 6 weeks post-op Locked in full extension for ambulation and...
Osteochondral Allograft Implantation
Phase I (Weeks 0-6) Weightbearing: Non-weightbearing Bracing Hinged knee brace locked in extension (week 1) – remove for CPM and rehab with PT Weeks 2–6: Gradually open brace in 20° increments as quad control is obtained D/C brace when patient can perform straight leg...
Posterior Shoulder Stabilization
Phase I (Weeks 0-6) Sling immobilization at all times (in flexion, abduction and 0° of rotation) except for showering and rehab under guidance of PT Range of Motion Weeks 0–3: None Weeks 3–6: Begin passive ROM – Restrict motion to 90° of Forward Flexion, 90° of...
Latarjet Coracoid Process Transfer
Phase I (Weeks 0-4) Sling to be worn at all times except for showering and rehab under guidance of PT Range of Motion – True Passive Range of Motion Only to Patient Tolerance Goals: 140° Forward Flexion, 25° External Rotation in the 30° abducted position, 60–80°...
Biceps Tenodesis
Phase I (Weeks 0-4) Sling immobilization to be worn at all times except for showering and rehab under guidance of PT Range of Motion – PROM → AAROM → AROM of elbow as tolerated without resistance (allows biceps tendon to heal into new insertion on the humerus without...
Arthroscopic SLAP Repair
Phase I (Weeks 0-4) Sling immobilization at all times except for showering and rehab under guidance of PT Range of Motion – AAROM → AROM as tolerated Restrict motion to 140° of Forward Flexion, 40° of External Rotation and Internal Rotation to stomach No Internal...
Arthroscopic Subacromial Decompression/Distal Clavicle Excision
Phase I (Weeks 0-4) Sling immobilization for comfort Weeks 0-2 – Discontinue sling use at 2 weeks Range of Motion – PROM → AAROM → AROM as tolerated Goals: 140° of Forward Flexion, 40° of External Rotation at side, Internal Rotation behind back with gentle posterior...
Arthroscopic Rotator Cuff Repair
Phase I (Weeks 0-4) Sling immobilization with supporting abduction pillow to be worn at all times except for showering and rehab under guidance of PT Range of Motion – True Passive Range of Motion Only to Patient Tolerance Goals: 140° Forward Flexion, 40° External...
Reverse Total Shoulder Replacement
Phase I (Weeks 0-6) Sling immobilization for first 6 weeks–out of sling to do home exercise program (pendulums) twice daily Therapeutic Exercise Grip Strengthening Elbow/Wrist/Hand Exercises Teach Home Exercises — Pendulums Heat/Ice before and after PT sessions Phase...
Anterior Cruciate Ligament (ACL) Reconstruction with Bone-Patellar Tendon-Bone Autograft
Phase I (Weeks 0-4) Weightbearing: As tolerated with crutches (may be modified if concomitant meniscal repair, meniscal transplant, or articular cartilage procedure is performed) Hinged Knee Brace Locked in full extension for ambulation and sleeping (Weeks 0–1)...
Anterior Cruciate Ligament (ACL) Reconstruction with Bone-Patellar Tendon-Bone Allograft
Phase I (Weeks 0-4) Weightbearing: As tolerated with crutches (may be modified if concomitant meniscal repair, meniscal transplant, or articular cartilage procedure is performed) Hinged Knee Brace Locked in full extension for ambulation and sleeping (Weeks 0–1)...
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