A short summary of this paper . Patients are weight bearing as tolerated with crutch use as needed post-operatively. Important not to push for extension past 0° for 6 - 8 weeks post-op to protect capsular repair. Posterior Cruciate Ligament (PCL) Reconstruction Protocol Initial precautions: Avoid knee hyperextension for 1 2/52 and isolated hamstrings work for 16/52. Patients must demonstrate specific functional criteria at each physical therapy visit before progressing to more advanced interventions. Goals: o Begin prone hangs and HSL (if PCL reconstruction) x Goals: o Walk 1-2 miles at 15 min/mile pace REINTEGRATION PHASE (Months 3- 5) x Weight Bearing and Range of Motion: o Full x Brace Use: o None o If return to sport, fitting for custom brace by 5 months o Can start jogging/running at 6 months . Rehabilitation Protocol for PCL Reconstruction This protocol is intended to guide clinicians through the post-operative course for PCL reconstruction. Associate Professor of Orthopaedics Chief - Division of Sports Medicine Tel: (212) 598-6784 Rehabilitation Protocol: ACL, MCL and PCL Reconstruction New investigations into PCL rehabili-tation protocols could potentially help to improve out-comes following PCL reconstruction and nonoperative rehabilitation. POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION REHABILITATION PROTOCOL DAVID R. MACK, M.D. Specific intervention should be based on the needs General Precautions: 1. Patients with additional surgery (i.e. Phone: 763-717-4120 | Website: TJRidleyMD.com | Instagram: @dr._ridley ACL/PCL/MCL Reconstruction Rehabilitation Protocol . COPYRIGHT*2014*CRC*©BRIAN*J. *COLE,*MD,*MBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-4 weeks Full in Brace * 0-1 week: Locked in full extension for ambulation and sleeping 1-4 weeks: Unlocked for ambulation, remove for sleeping** As tolerated Quad sets, patellar mobs, The posterior cruciate ligament (PCL) is located inside the knee, just behind the anterior cruciate ligament (ACL). General considerations. Phone: 763-717-4120 | Website: TJRidleyMD.com | Instagram: @dr._ridley ACL/PCL/MCL Reconstruction Rehabilitation Protocol . PCL +/- MCL/PLC Rehabilitation following surgery for posterior cruciate ligament (PCL) injury is an essential element of the treatment to achieve a full recovery. ACL versus PCL injuries each year and the fact that PCL tears are less frequently operated on compared to ACL tears, resulting in more research into ACL rehabilitation protocols [16, 18]. Outcomes of Conservative and Operative Managements. Now in this protocol as soon as previously also by strong prior to reconstruct your pcl reconstruction may be attained by patient. Purpose: Many knees exhibit residual ligament laxity after posterior cruciate ligament (PCL) reconstruction, which is believed to be technique related. PCL/ACL and PCL Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a PCL or PCL/ACL reconstruction. 813-684-BONE (2663) www.OMGTB.COM PCL Reconstruction Protocol The purpose of this study was to investigate the optimal graft tension, the best angle of knee flexion, and the mode of fixation in PCL reconstruction. FEATURING Sam Yasen , Raghbir Khakha. Dedham, MA . PCL Reconstruction Protocol Weeks One, Two and Three Weeks four to eight Initial Evaluation Evaluate Range of motion Joint hemarthrosis Ability to contract quad/vmo Gait (generally in brace locked in full extension/PWB) Patella Mobility Inspect for infection/signs of DVT Assess RTW and sport expectations Range of Motion (PCL) in the middle of the knee joint. Partial weight bearing as tolerated and quadriceps exercises start on the first postoperative day. Specific intervention should be based on the needs Rehabilitation Protocol After Isolated Posterior Cruciate Ligament Reconstruction. Posterior Cruciate Ligament Rehabilitation Protocol **It is important to understand that all time frames are approximate and that progressions should be based on individual monitoring. ACL Reconstruction; Autologous Chondrocyte Implantation Protocol; Meniscal Repair Protocol; Partial Meniscectomy of the Knee; PCL Reconstruction; Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement; Total Hip Arthroplasty PCL Reconstruction - Allograft NOTE: The following instructions are intended for your physical therapist and should be brought to your first physical therapy visit. Note that it is not unusal for flexion to be lacking 10-15° for up to 5 months post-op. PCL Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a PCL or PCL/ACL reconstruction. The PCL is comprised of two bundles: anterolateral bundle (ALB) and posteromedial bundle (PLB). Range of motion will be blocked from 0 - 20° in a brace for ADL's and all exercises for 4 weeks. 19 Posterior Cruciate Ligament Reconstruction with Achilles' Tendon Allograft Matthew D. Pepe and Christopher D. Harner Over the past several years, basic science information regarding the anatomy and biomechanics of the posterior cruciate ligament (PCL) has grown, providing the clinician with an increased understanding of the treatment of these injuries. If there is a combined reconstruction involving both the PCL and the ACL, then rehabilitation will progress according to the isolated PCL protocol. Progression is both criteria-based and patient specific. Phases and time frames are designed to give the clinician a general sense of progression. Reconstruction This protocol is designed to assist you with your preparation for surgery and should be followed under the direction of a physiotherapist . • TTWB with crutches in the brace for 6 weeks. General Guidelines. High-grade symptomatic PCL tears are treated by arthroscopic single or double tunnel or tibial inlay type of reconstruction. PCL/PLC RECONSTRUCTION REHABILITATION Revised OCTOBER 2015 REHABILITATION PROGRAM PHASE 1: WEEKS 0-6: PHASE I GOALS: Protect the surgical graft(s) 0-60° ROM Regain adequate quadriceps control PRECAUTIONS: **Wear Brace at all times (even while sleeping)** **NO knee hyperextension or AROM knee flexion exercises. • Limited ROM brace should be locked at 0° for first 4 weeks with a posterior tibial pad or towel, then ROM 0-30° from weeks 4-6. You leave hospital, acl pcl reconstruction rehab protocol. PCL repair rehab protocol. The approach recommended by Dr. Mack follows four stages, and begins within 1-7 days of surgery: x Phase 1: Immediate (weeks 1-2) x Phase 2: Early (weeks 2-6) An injury to the posterior cruciate . Expectations for advancement to Phase III: • Full, pain free range of motion. PCL reconstruction that fail often do so because of technical errors by the surgeon. The most common cause of PCL tears (Figure 3) are sports injuries (37%) and trauma (56%). A PCL reconstruction rehabilitation protocol needs to be individualized to the patient's injury. It is by no means intended to be a substitute for one's clinical decision- -Throughout this protocol, time references (in weeks since surgery) represent the EARLIEST that a patient may To serve as a guide to physical therapy following your surgery, this section contains rehabilitation protocols specific to your procedure. *COLE,*MD,*MBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-4 weeks Full in Brace * 0-1 week: Locked in full extension for ambulation and sleeping 1-4 weeks: Unlocked for ambulation, remove for sleeping** As tolerated Quad sets, patellar mobs, The posterior cruciate ligament (PCL) is one of four major stabilizing ligaments in the knee. collateral ligament repair, Post-operative Rehabilitation Protocol Knee Multiple Ligament Injury Reconstruction / Repair (ACL, PCL, +/- MCL, LCL, or PLC) The goals of this protocol are to protect the reconstructions while preventing knee stiffness. In general, PCL reconstructions undergo 6 weeks of non-weightbearing and perform motion exercises on their stomach with prone knee flexion. KNEE ANTERIOR CRUCIATE LIGAMENT (ACL) RECONSTRUCTION POST-OPERATIVE GUIDELINES . Revista Brasileira de Ortopedia (English Edition), 2012. Post-operative Rehabilitation Protocol PCL and/or Posterolateral Corner Reconstruction Overview: § The PCL reconstruction fixation is not as sturdy as a typical ACL fixation, so prevention of posterior tibia translation through the first eight weeks is paramount. COMBINED ACL & PCL RECONSTRUCTION REHABILITATION PROTOCOL Dr Aukerman (Revised 10/2/17) Place patient in brown compression stocking at first PT appointment. Posterior cruciate ligament (PCL) injuries are rare in isolation. A ligament is a tough band of fibrous tissue, similar to a rope, which connects the. Post-Operative PCL Reconstruction Protocol PHASE I: Month 0-1 RANGE OF MOTION: Hinged postoperative brace: locked at 0 until day 3 10-70 by day 7 0-90 by day 21 0-100 by day 28 WEIGHT BEARING: Patient touchdown weight bearing until day 21 Lock brace in full extension during weightbearing Patients will use a hinged brace LOCKED IN FULL EXTENSION for 4 Weeks post-op. PCL Reconstruction Protocol Weeks One, Two and Three Weeks four to eight Initial Evaluation Evaluate Range of motion Joint hemarthrosis Ability to contract quad/vmo Gait (generally in brace locked in full extension/PWB) Patella Mobility Inspect for infection/signs of DVT Assess RTW and sport expectations Range of Motion Patients must demonstrate specific functional criteria at each physical therapy visit before progressing to more advanced interventions. 0-3 Weeks: Weight Bearing TTWB, Brace locked at 0 degrees; ROM (Prone only): Passive flexion 0-70 degrees . April 2, 2017. PCL reconstruction rehab protocol. PCL RECONSTRUCTION PROTOCOL - PHASE 2 Goals: • Protect the graft • Full patellofemoral and tibiofemoral ROM • Initiate weight bearing and encourage normal gait pattern • Initiate weight bearing strengthening exercises Precautions: Avoid excessive hyperextension until 12 weeks Avoid open chain isolated hamstrings exercises and CKC flexion >70° until 16 weeks • Normal gait. Download Download PDF. Please note this protocol is a guideline. Home / Rehab Protocols / Knee PT / Post-Operative Posterior Cruciate Ligament (PCL) Reconstruction Rehab Protocols. NO hamstrings strengthening** POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION REHABILITATION PROTOCOL Dr. Walter R. Lowe This rehabilitation protocol has been developed for the patient who has posterior cruciate ligament (PCL) reconstruction using a secure graft with internal fixation. The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a PCL or PCL/ACL reconstruction. -This PCL reconstruction protocol is criterion based. Posterior Cruciate Ligament (PCL) and/or Multiligament Reconstruction October 2018 This protocol is designed to assist you with your rehabilitation after surgery and should be followed under the direction of a physiotherapist. Most postoperative PCL reconstruction protocols brace the knee in extension for 4 weeks, supporting the tibia to prevent posterior translation and excessive stress on the graft. 9. Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol; Hip/Knee. Operative outcomes across 21 studies showed a failure rate of 12% for isolated PCL reconstructions and combined PCL surgeries (1). Wear during daytime only and d/c at night. PCL & PCL/ACL RECONSTRUCTION PROTOCOL PHASE III: Begins approximately three months post-op, and extends to nine months post-op. In sports, the most common cause of a PCL tear Goals: The PCL is tight when the knee is bent, so most PCL injuries occur at that time. A brief summary of PCL reconstruction rehab guidelines is pictured below in table 1. Rehabilitation protocols are an important tool that you can use to: Assure you are following the precautions and time restrictions based on the tissue healing time frames following injury or surgery. The PCL reconstruction rehabilitation is unique in that extreme knee flexion places a higher . The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving pre-injury level of activity. This is of no functional significance and is unavoidable. NE Baptist Outpatient Care Center. Since this is a rare operation, only a few surgeons have the experience and knowledge to perform the surgery correctly AND understand the important elements of rehabilitation in order to prevent postoperative failure. COMBINED ACL & PCL RECONSTRUCTION REHABILITATION PROTOCOL ! Full PDF Package Download Full PDF Package. Past protocols which delayed mobilisation and weight bearing have been associated with a variety of problems notably • Prolonged knee stiffness • Loss of full extension • Delay in strength recovery • Anterior knee pain • Bone demineralisation 1. . PCL Reconstruction with Allograft Rehabilitation Protocol Weight-bearing Brace Range of Motion Exercises Phase 1 0-6 weeks Full in bracea 0-4 weeks: Locked in full extension for ambulation and sleeping 4-6 weeks: Unlocked for ambulation, remove for sleepingb ROM -passive flexion only, advance to 90 degrees by 6 weeks To perform categorical analysis and discuss some critical points as soon as also... 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