Table 1: Rehabilitation Protocol Used.
Week | Rehabilitation Guide |
Week 1 and 2 |
Knee in brace, fixed at 90° Avoid hip flexion beyond 60° Wound care Avoid sitting on affected ischial tuberosity Calf pumps Non-weight bearing |
Week 3 and 4 |
Knee at 60°- brace allows flexion to swing leg Start passive knee flexion and hip extension |
Week 5 and 6 |
Knee now at 20° Toe weight bear if possible |
Week 7-10 |
No brace Encourage to full weight bear Hydrotherapy Passive and active ROM avoid extremes Begin core work Begin Closed chain exercises |
Week 11-14 |
Expect normal gait Encourage strength work Progress to fast walk/jog |
Week 15-16 |
Consider isokinetic testing Heavy weight training Potentially running |