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					                Rehabilitation Protocol:
             OCD Refixation Femoral Condyle

             Weight Bearing And ROM        Brace use   Therapeutic
                                                       Elements
0 -6 weeks   Toe Touch weight bearing      Week 1:     PROM/AAROM to
             (20-30%) for 6 weeks          Locked in   tolerance, patella
                                           full ext.   and tib/fib joint
             ROM:                          Week2-6:    mobs (grade I&II)
             Locked in full ext.           Grad.       Quad, hamstring,
             Week2-6: gradually            Increase by gluteal sets,
             increase to full ROM by 6-8   20º each    hamstring
             weeks                         week.       stretches, hip
                                           Discontinue strengthening, SLR
                                           brace once
                                           full Quad
                                           control
                                           obtained
6-12 weeks   50% weight bearing until 8    No brace    Scar and patella
             weeks, then gradual return                mobs,
             to WBAT,                                  quad/hamstring
             gradually increase to full                strengthening,
             flexion                                   stationary bike,
                                                       continue with LE
                                                       strengthening,
                                                       Gait training
After 12     Full                                      Closed chain
weeks                                      No brace    activities,
                                                       strengthening as
                                                       tolerated

				
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posted:10/14/2011
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