Medial Patellofemoral Ligament Reconstruction Rehab Protocol
STAGE
OBJECTIVE
TREATMENT DETAILS

Pre-operative

Restore full knee range of motion (ROM), maximise lower limb strength (focus on VMO and gluteal complex) Educate on post-operative rehabilitation; Fit and supply PF brace; teach PF taping techniques

Weeks 0-2

Soft Tissue

 

 

Strengthening

 

Mobility

 

ROM

 

Bracing

Swelling reduction & regular icing (20 min. every 2-3 hours) Compression with tubigrip, regular rest and elevation, encourage calf and quads contractions Hamstring, calf and ITB stretches

 

Static and inner range knee contractions (0-30°), calf pumps, hip coronal and sagittal resistance exercises

 

Full Weight Bearing with crutches until balance and gait pattern normalises

 

Active and passive ROM (0-90°)

 

PF brace over tubigip from day 1

Weeks 2-6

Soft Tissue

 

 

Strengthening

 

 

 

 

Mobility

 

ROM

 

Bracing

Medial PF glides to commence (no lateral glides)

Daily scar massage

 

Progress to eccentric WB quads sets (with hip in neutral and internal rotation only)

Employ biofeedback when appropriate

Stationary bike

Low resistance squat and leg press (0-45°)

 

Gait re-training aiming to optimize heel strike and toe off

 

Gradual restoration of full active and passive ROM

 

PF brace over tubigrip

Weeks 6-12

Soft Tissue

Strengthening

 

 

Aerobic

 

Bracing

Commence lateral, superior and inferior PF glides Foam roller for ITB, gluts, calf and HS releases Progress to gym-focused program Leg press and squat (0-60°), calf raises, hip abduction, hip adduction, hip flexor, HS curls Proprioceptive re-training eg wobble board and mini-tramp No open chain exercises, deep lunges

 

Add elliptical trainer / stepper machine / rower machine Freestyle swimming to commence PF taping during rehabilitation;

 

PF brace during all other activities

Weeks 12+

Strengthening

 

Bracing

 

Sports-specific activities

Progression of gym-based rehabilitation as above with increased resistance

 

Discard PF brace during normal activities; PF taping during sports for minimum 1-2 years

 

Commence jogging and swimming with flipper 2 -3 months PEP program including lateral movements, single leg hops and landing techniques Return to sports once all mile stones met and cleared by surgeon.

(03) 8640 0692

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(03) 8595 1800