Quadriceps Tendon Repair

WEEK 1-2:

Weight Bearing

  • Full Weight Bearing with leg in brace, using crutches to aid with walking and for balance

Brace

  • Locked at 0° extension at all times during the day except when doing exercises
  • Locked at 0° during the night

ROM

  • Dr. Roth will tell you the range of motion allowed based upon intra-operative assessment
  • Range of Motion permitted is 0° - ______

Therapeutic Exercise

  • Flexion: Heel slides to permitted flexion (see ROM)
  • Knee flexion exercises to permitted flexion in prone position, with gravity extension
  • Extension: Passive knee extension using towel roll, prone hangs
  • Strengthening: Quad setting with knee support, Straight leg raises with brace locked in extension, plantarflexion/ dorsiflexion, eversion/inversion strengthening

WEEK 2-4:

Weight Bearing

  • Full weight bearing, brace locked in extension at all times when weight bearing

Brace

  • Continue to wear hinged knee brace locked in extension all day and night, except when doing exercises

ROM

  • 0-60°

Therapeutic Exercise

  • No weight bearing exercise at flexion angle > 90°
  • Continue prone knee flexion exercises
  • Continue SLR, quad sets
  • Add side lying hip, core and glut

WEEK 4-6:

Weight Bearing

  • Full weight bearing, brace locked in extension at all times when weight bearing

Brace

  • Continue to wear hinged knee brace locked in extension all day
  • May remove brace at night and when doing exercises

ROM

  • 0-90°

Therapeutic Exercise

  • No weight bearing exercise at flexion angle > 90°
  • Continue prone knee flexion exercises
  • Continue SLR, quad sets
  • Continue side lying hip, core and glut

WEEK 6-8:

Weight Bearing

  • Full Weight bearing when wearing brace as directed

Brace

  • Week 6: Unlock brace 0-45°
  • Week 7: Unlock brace 0-60°
  • Week 8: Unlock brace 0-90°

ROM

  • Continue to advance to full painless ROM

Therapeutic Exercise

  • No weight bearing exercise at flexion angle > 90°
  • Continue prone knee flexion exercises
  • Continue SLR, quad sets
  • Continue side lying hip, core and glut

MONTH 2-3:

Weight Bearing

  • Full weight bearing without crutches

Brace

  • None

ROM

  • Full

Therapeutic Exercise

  • Advance strengthening
  • Stationary bike when able
  • Hamstring work
  • Continue core/hip/glut
  • Balance, proprioception
  • Closed chain

MONTH 3-6:

Weight Bearing

  • Full weight bearing

Brace

  • None

ROM

  • Full

Therapeutic Exercise

  • Advance exercises and functional activities
  • OK to swim
  • Gradual return to sport
  • Home Maintenance Program

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