- Elevation of the limb when resting
- P.W.B. / F.W.B.
- Isometric exercises
- Muscle pump exercises
- Gentle flexion (within pain free limits)
- Check wounds
- Vastus Medialis exercises
- Progressive mobilising and strengthening exercises eg, static bike, dips,(bilat, unilat), step ups, stair climber, knee flexion etc.
CONDITIONS FOR DISCHARGE
Discharge is usually between three to six weeks post-op.
- No swelling
- Full R.O.M.
- Normal function for the individual patient
- Patient is aware of the importance of continuing exercises
- These techniques are designed to affect a degenerating joint surface by stimulating regeneration of fibrocartilage.
It is vital that the affected area is not over-loaded whilst this recovery takes place (anything from six weeks to six months).
- The tibio-femoral joint should be protected by a period of minimal weight-bearing (as dictated by the surgeon), followed by a period of gradually increasing partial weight bearing.
- The patello-femoral joint should avoid loading (ie. flexion beyond 20’ in a weight bearing situation) by squatting, stairs or open kinetic chain activities with weights.
- The joints respond well to movement, such as static cycling, as there are low joint compression forces. Patients may be advised to have a CPM machine at home for 4 -6 weeks
- Occasionally braces may be used to help the patient adhere to the necessary protocol.
- Patients should be advised that rehabilitation can be a lengthy process as intra-articular healing takes time.