Knee Surgery Case Study

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VI. Post-Operative Precautions
The first 6 weeks the goal is to protect the repair! Crutches and a brace are used during this time and depending on who performed the repair the brace and crutches may be removed. First 3-5 days the lower extremity (LE) will be immobilized on a rigid brace with knee flexed in 30°- 45°. As a patient you are told to avoid extension of the knee while hip is in flexion. You will be walking with the crutches as early as 24 – 48 hours after the surgery with toe touch (5%) which will continue for 2 weeks. During week 3&4 weight bearing should be 15%-40%. Finally week 5&6 crutches should be used less and patient should weight bear as tolerated. Patients should avoid unsafe surfaces and environments. Other perceptions during the first 6 weeks no hip flexion greater than 45°. No active knee flexion against gravity. Knee extension is limited pending intra-operative tension on the repair. During weeks 6-8 monitoring tenderness of the surgery site and absolutely no hamstring
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The reasons for rehabilitation after a repair is to build up muscle strength to insure the strength is there to support and protect the joints. Rehabilitation is also for areas where a patient is at their weakness and needs to learn how to improve health. After surgery the first reason for rehabilitation would to get up and moving faster and rehabilitation should continue until the muscle works as well or better than before. The precautions and restrictions are given to protect the healing tissue and surgical repair. Rehabilitation is important in the postoperative course to regain muscle strength and condition the hamstring muscle and restore hip function. Full recovery is when the patient has completed rehabilitation, the pain has decreased, and function has increased with excellent patient

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