Tibal Tubercle Tranfer Rehabilitation

DESCRIPTION

The tibial tubercle is usually moved medially and anteriorly to improve the ā€˜Qā€™ angle and patella tracking. The strength of fixation of the transferred tibial tubercle will shape the surgeonā€™s decision on whether or not a splint is required post operatively.

ACUTE STAGE

  • Elevation of the limb
  • Isometric quadriceps – V.M.O. especially
  • Muscle pump exercises
  • P.W.B. (in cricket splint as necessary)
  • Gentle R.O.M. exercises
  • Patella mobilisation

SEVEN DAYS

Progress to include:

  • Hamstring exercises.
  • Gradually increase range of movement but do not force.
  • Remain P.W.B. if not in a splint.
  • May be able to FWB if in a cricket splint.
    (Some protection required ā€“ crutches or splint – to prevent giving way or sudden strong quadriceps contraction).

SIX WEEKS

  • Progress to F.W.B. and abandon splint
  • Begin graduated quadriceps strengthening
  • CKC activity and proprioceptive training
  • Stretching all muscle groups
  • Full range hamstring contractions

CONDITIONS FOR DISCHARGE

  • Pain free
  • No swelling
  • Full function
  • Improved timing of VMO
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