Mehul R Shah, M.D. - Orthopaedic Surgeon - New York Hospital for Joint Diseases - NYU LANGONE MEDICAL CENTER
Mehul R Shah, M.D. - Orthopaedic Surgeon - New York, NY: 212-598-3897, 646-501-7067 - Lake Success, NY: 516-467-8600
Mehul R Shah, M.D. - Orthopaedic Surgeon
Mehul R Shah, M.D. - Orthopaedic Surgeon
Patient Info

Guidelines Following PCL Reconstruction

Pre-Operative

  • KT 1000 Knee Ligament Examination
  • Measure for Post-Operative Brace (Bledsoe)
  • Crutch ambulation training
  • Post-op exercise program

Post-Operative (1st Week)

  • CPM 0 - 60, progress to 70 degrees
  • Ambulate TTWB with crutches (brace locked @ 0)
  • Review / Instruct home therapeutic exercises
  • Quad Sets, SLR, patella mobilization
  • Active extension, passive flexion
  • Cryocuff PRN

1 – 6 Weeks Post-Op

  • Progress ROM 0-90degrees
  • Quadriceps re-education (electrical stimulation / biofeedback )
  • Quadricep Isometrics @ 70 degrees
  • Patella Mobilization
  • Hip PRE's
  • Cryotherapy

6 – 8 Weeks Post-Op

  • Progressive weight bearing with brace set 0 - 50 degrees
  • Gait training ( d/c crutches when gait non-antalgic )
  • Progress ROM 0 – 120 degrees
  • Leg Press 90 - 20 arc
  • S/C ergometer --- Standard ergometer
  • Multiple angle Quad Isometrics 70 - 0 degrees
  • KT 1000 @ 6 weeks

8 – 12 Weeks Post-Op

  • Functional exercise program emphasizing CKC
  • Quadricep isotonics ( 90 - 30 arc ), eccentric first
  • Emphasis on endurance

12 – 20 Weeks Post-Op

  • Restore full ROM
  • Advance functional exercise program
  • Quad isotonics (full arc /pain free)
  • Improve lower extremity flexibility KT
  • 1000 @ 3 months

20 – 28 Weeks Post-Op

  • Begin running program
  • Agility exercises
  • Progress PRE's emphasizing Quads
  • Start Isokinetic exercises
  • KT 1000 @ 6 months

28 – 40 Weeks Post-Op

  • Progress running and agility program
  • Plyometrics
  • Isokinetic test
  • Functional Test Assessment
  • Return to full activity

Summary

  • Protect the graft
  • Altered Biomechanics
  • QUADS
  • Protect the patella
  • Functional Progression

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Sports Medicine - Mehul R Shah, M.D.
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