This protocol is intended to be a general guideline. The physician staff may advance, delay, or alter this protocol based on individual patient status. If so, this should be done by direct communication with the therapist, or in writing on the therapy referral form pro-vided to the patient or therapist.

Guidelines for Pre-Op Physical Therapy

  • Patient will receive instruction from Dr. Chams or one of his physician extenders on post-operative expectations, post-op Day One exercises, and use of crutches or an-other assistive device. If deemed necessary at that time, the patient may be referred for one pre-op PT visit to receive gait training, review post-op exercises, and discuss post-op expectations.
  • If seen pre-op in PT clinic, patient should be instructed in edema control and post-op exercises (quad set, SLR, ankle pumps) and the importance of resting knee in full knee ext to avoid flexion contracture.

Guidelines for Post-Op Physical Therapy (EXCEPTION FOR LATERAL RELEASE)

  • Therapy beings on Day One post-op in the outpatient clinic.
  • Patient is typically seen in clinic 1x/week for 4 to 6 weeks post-operatively (or more, depending on patient status and ADL demands).
  • If a lateral release was performed, patient should attend PT 2x/week and treatment should focus on manual therapy: patellar mobilization (especially medial glide/tilt) and distal iliotibial soft tissue mobilization.

Guidelines for MD Follow-Up Visits (including telehealth)

  • At two weeks post-op, patient will be seen in clinic for removal of stitches and follow up.
  • At six weeks post-op, patient may be seen by physician extender through telehealth video communication during an in-clinic PT session to connect with patient and treat-ing therapist about current ROM and strength status.
  • Additional follow-ups with MD staff will be scheduled as needed.

Guidelines for Wound Care

  • Original ster