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OASI
Via Amadeo 24, 20133 Milano
Tel: 02-7610310 – Fax: 02-70124931
E-mail: info@oasiortopedia.it
Pagina web: www.oasiortopedia.it

ISOKINETIC
Via Vivaio 22, 20122 Milano
Tel: 02-76009310 – Fax: 02-76009152
E-mail: l.boldrini@isokinetic.com
Pagina web: www.isokinetic.com

PATIENT: ________________________

 

AGE: _______

 

SURGERY:______________________________________________________

 

REHABILITATION PROTOCOL AFTER ACL RECONSTRUCTION WITH THE QUADRUPLED SEMITENDINOSUS GRAFT (SUMMARY)

 

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FIRST MONTH
1ST Post-op week(From discharge until the 1st check-up)
  • CPM, minimum of 8 hrs/day, 10-60 degrees, adding 5 degrees per day until 90 degrees is reached (except for other indications of the surgery)
  • At night, set the CPM to slow speed
  • Apply ice on the knee for 15 minutes every 2 hours
  • Walk with crutches with partial weight-bearing
  • Isometric quadriceps exercises
  • Active movement of the ankle
2nd Post-op week(after the 1st check-up)
  • CPM 0 to 90 degrees
  • Apply ice on knee for 15 minutes every 2 hours
  • Walk with crutches with partial weight-bearing
  • Start PT-assisted exercises
  • Patellar mobilization
  • Electrostimulation (low intensity)
  • Isometric co-contraction on CPM
  • No showers (keep surgical wounds dry)
3rd Post-op week(after the 2nd check-up)
  • Stop CPM 15 days after surgery (should have achieved 110 degrees of flexion)
  • Walk with 1 crutch outside the house for safety; full weight-bearing (except for other indications)
  • May shower
  • Supervised PT as before, add the following:
    • Exercises in water (with impermeable wound dressing)
    • Resisted flexion-extension exercises with Thera-band against manual resistance by the therapist at 10-90 degrees
    • Proprioceptive exercises without loads
    • Exercise other joints (no adduction)

 

4th Post-op week
  • Full weight-bearing and abandon crutches completely
  • Achieve 120 degrees of flexion
  • Isometric contraction
  • Careful leg presses, mini-squat, or other closed-chain exercises
  • Cycling
  • Manually resisted flexion exercises
SECOND MONTH
  • Free ambulation with full weight-bearing (also for cases of meniscal suturing)
  • Proprioceptive exercises with bipedal load
  • Isotonic exercises with leg presses or other closed-chain exercises
  • Exercise other joints (include adduction)
THIRD MONTH
  • Free active extension
  • Isokinetic work
  • Swimming
  • Controlled running exercises
  • Road cycling
  • 1st knee laxity and isokinetic strength evaluation
FOURTH MONTH
  • start running on soft terrain
  • swimming
  • sport-specific drills
FIFTH MONTH
  • Return to individual low-risk sports
  • Sport-specific drills

 

SIXTH MONTH
  • Return to team sports and higher-risk sports
  • 2nd knee laxity and isokinetic strength tests
ONE YEAR
  • Strengthening and proprioceptive exercises
  • 3rd knee laxity and isokinetic strength tests