Repair on the femoral condyle of the knee

Aim of rehabilitation

Preoperative

  • Repair of joint homeostasis (limitation of swelling and pain through unloaded joint circulation exercises)
  • Begin and recover of muscle control in unloaded starting positions
  • Sensitize the patient to the prevention of excess load
  • Improve total condition
  • Explain rehabilitation

0 - 6 weeks post surgery

  • Recover joint homeostasis (limitation of swelling and pain) at rest and during circulation exercises
  • Recover joint mobility (repair < 5 cm²)
  • Muscle control and muscle strength during unloaded starting positions
  • Physical fitness training with no impact activities
  • Progressive increase of load with objective control
  • Sensitize the patient to the prevention of training errors during ADL activities

4 - 12 weeks post surgery

  • Maintain joint homeostasis at rest and during circulation exercises
  • Recover and maintain complete joint mobility
  • Muscle control and strength during unloaded and safely-loaded starting positions
  • Physical fitness training with no impact activities
  • Progressive increase of load with objective control
  • Reduction of the use of crutches and braces
  • Sensitize the patient to the prevention of training errors during ADL activities

3 - 6 months post surgery

  • Physical fitness training with low impact activities to maintain joint homeostasis (limitation of swelling and pain)
  • Begin loaded activities with normal speed of movement, paying attention to optimal movement control
  • Maximum muscle strength exercises in starting positions and during starting movements, paying attention to the repaired region (no load on that region)
  • Sensitize the patient to the use of ADL activities as a means of exercise
  • Sensitize the patient to the prevention of long-term static positions

6 - 9 months post surgery

  • Physical fitness training with moderate impact activities to maintain joint homeostasis
    (limitation of swelling and pain)
  • Perform high impact activities, with adaptation to foundation and/or duration
  • Maximum muscle strength exercises during complete ROM movements without high impact
  • Sensitize the patient to the need to temporarily avoid moderate impact activities after long-term static positions
  • Begin resistance training during moderate impact activities

9 - 12 months post surgery

  • Physical fitness training with moderate impact activities to maintain joint homeostasis
    (limitation of swelling and pain)
  • 1x per week, build up high impact activities through interval training to maintain muscle control. Preferably: closed skills, sport-specific, direction changes, speed variations.
  • Fall training or specific landing exercises
  • Maximum muscle strength exercises during complete ROM movements, without plyometric load forms in the repaired zone
  • Increase resistance training during moderate impact activities

> 12 months post surgery

  • Physical fitness training with moderate impact activities to maintain joint homeostasis (limitation of swelling and pain) complemented with sport-specific interval training
  • Increase high impact activities during short interval training to maintain muscle control
  • Move from closed sport-specific skills to open skills with preventive measures (avoid contact with opponent, good physical fitness, etc.)
  • Maximum muscle strength exercises during complete ROM movements and slow progression in plyometric load forms in the repaired zone
  • Increase resistance training during moderate impact activities

 

In general, resumption of “high-demand” sports is only allowed if the patient has no complaints during sport-specific training and received authorisation from his/her GP and physiotherapist.


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