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781-429-7700 (P)
781-429-7701 (F)
team@ortho.boston
Patella Fracture Rehab Protocol
Keys to a Successful Outcome
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ROM exercises should not be forceful or too painful
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The brace should be locked in extension until 6 weeks while weight bearing
Phase | Brace | ROM | WB | Exercises |
|---|---|---|---|---|
Weeks 0-2 | Locked in extension, worn at all times except therapy | PROM allowed to 30°; check op note for exact measurement | WBAT w/ brace locked in ext | Isometric quad,ham,add,abd strengthening; ankle theraband exercises |
Weeks 2-6 | Locked in extension, worn at all times except therapy | Add 15° flexion each week; goal 90° by 6 wks | WBAT w/ brace locked in ext | Advance previous exercises; add straight leg raise, patellar mobilization |
Weeks 6-10 | Unlocked, worn at all times | Progress as tolerated | WBAT in unlocked brace | Advance previous exercises |
Weeks 10-12 | None | Progress as tolerated | WBAT without brace | Start stationary bike. bilateral leg press in safe range (30-45°), concentric only |
Months 3-6 | None | Progress as tolerated | WBAT | Begin wall squats if good control, full activities as tolerated |
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