This protocol is intended to be a general outline only. The physician reserves the right to either advance or delay this protocol as deemed necessary. If so, this should be done by direct communication with the therapist, or in writing on the therapy referral form given to the patient on the day of surgery.
Guidelines for Pre-Op Physical Therapy
Patients may be required to attend one pre-op PT visit to receive gait training, issue crutches, review post-op exercises, and discuss post-op expectations.
Patient should be instructed in edema control and post-op exercises (quad set, SLR, ankle pumps, etc.) and the importance of achieving full knee ext post-op.
Guidelines for Post-Op Physical Therapy
Therapy beings on Day One post op in the outpatient clinic.
Patient is typically seen 1x/week for 4 to 6 weeks post-operatively (or more, depending on patient status and ADL demands).
• Note: If a lateral release was performed, patient should attend PT 2x/week andtreatment should focus on manual therapy: patellar mobilization (especially medial glide/tilt) and distal iliotibial soft tissue mobilization.
Guidelines for Ambulation
Bilateral axillary crutches to be used immediately post-op (patient should bring them to the surgical center).
WBAT unless otherwise notified. Discharge crutches in 1 to 2 days, or when patient demonstrates good SLR and quad control.
Guidelines for Wound Care
Surgical wounds should be covered with steri-strips, then with