POST-OPERATIVE REHABILITATION PROTOCOL for MPFL RECONSTRUCTION
DR. ANSWORTH ALLEN, MD
0-2 Weeks :
- WBAT, Brace locked at 0 degrees for ambulation and sleeping
- ROM: 0-30º with emphasis on full extension
- SLR supine with brace locked at 0 degrees, Quad Sets Ankle Pumps
2-4 Weeks :
- WBAT, Brace locked at 30 degrees for ambulation and sleeping
- ROM: 0-60 degrees (Maintain full extension)
- Proprioception training
- SLR, quad sets, ankle pumps
4-6 Weeks :
- WBAT, Brace locked at 60 degrees for ambulation and sleeping
- ROM: 0-90 degrees (Maintain full extension)
6-14Weeks :
- D/C Brace and wean from crutches
- Progressive Squat program
- Initiate Step Down program
- Leg Press, Lunges
- Isotonic Knee Extensions (90-40 degrees, closed chain preferred)
- Agility exercises (sport cord)
- Versaclimber/Nordic Track
- Retrograde treadmill ambulation
14-22 Weeks :
- Begin forward running (treadmill) program when 8” step down satisfactory
- Continue Strengthening & Flexibility program
- Advance Sports-Specific Agility Drills
- Start Plyometric program
>22 Weeks :
- Advance Plyometric program, Return to Sport (MD Directed)
*Please note that the instructions provided above are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Allen supersede the instructions above and should be followed.
