Patellar Fracture Protocol

Diagnosis can be made clinically with inability to perform a straight leg raise and confirmed with radiographs of the knee. The plan of care should be based upon the.

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However you will not move the knee before seeing us in the office for your first post-operative visit.

Patellar fracture protocol

. Transfers need to be assisted for operative leg. Because the bone fragments are too small to be fixed back into place your doctor will remove them. K wires are advanced across the fracture and out through the patellar tendon.

Rolf Brace locked at 0 degrees for ambulation for 6-8 weeks with use of bilateral axillary crutches. Passive knee flexion 0-45. A cannulated drill is used to drill over the K wires followed by placement of 35- or 40mm cannulated screws.

0-4 Weeks Knee Immobilizer. Weight bearing status. Post surgically the leg is immobilised by cylindrical plaster cast immobilisation for 3 to 4 weeks.

This type of fracture occurs when the kneecap is first pulled apart from the injury and is then crushed when the patient falls on it. ORIF Patella Fracture Post-Operative Rehabilitation Protocol Name. The fracture is reduced and held with Weber or patellar reduction clamps.

The patellofemoral joint is made up of the patella knee cap and the groove of cartilage on the femur in which it sits. The purpose of this study is to evaluate the effectiveness and safety of a fixation technique for comminuted patellar fracture fixation using modified cerclage wiring. Treatment of patella fracture.

Patient will be weight bearing as tolerated in the LROM brace. Anatomy and Biomechanics. A patellar fracture is a serious injury that can make it difficult or even impossible to straighten your knee or walk.

Dressing change Start PT. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Continuous Passive Motion CPM machine if used 6 or more hours per day in sessions.

Knee Immobilizer wear at all times. _____ xweek x _____ weeks Phase I. O NO Active knee flexion Exercises.

In most patellar fractures however the pieces of bone move out of place when the injury occurs. Patellofemoral lesion brace locked 0-30 with weight bearing unlocked for non-weight bearing. Sean Griffin GENERAL GUIDELINES.

_____ _____ Evaluate and Treat _____ Provide patient with home program Frequency. A patella fracture is a traumatic knee injury caused by direct trauma or rapid contracture of the quadriceps with a flexed knee that can lead to loss of the extensor mechanism. Summary of physical therapy protocols following surgical treatment of patella fractures Lotke and Ecker 24 Hum et al20 Quan-Yi and Jea-Wen 31 Surgical technique Anterior tension and Tension band wiring External compression plaster cast and plaster splint Ambulation begun One to two days Two weeks Two weeks.

He or she will then attach the loose patellar tendon back to the remaining patellar. Continue use of brace sleep in brace locked Weight bearing. Weight bearing as tolerated in brace with restriction 6 weeks.

_____ Date of Surgery. Un-displaced fracture is managed by cylindrical plaster cast immobilisation for 2 to 3 seeks. This allows the bones to heal without having to bear weight which may make an injury worse.

PATELLA FRACTURE NON-OP NON-OP PHYSICAL THERAPY PROTOCOL Patient Name. Patellar Fracture with ORIF PROTOCOL-Dr. Rehabilitation Guidelines for Patellar ORIF.

It is not intended to be a substitute for ones clinical decision making. Weight-bearing as tolerated with the knee locked in extension. It is surgically managed by tension band wiring around the knee.

Take immobilizer off only for physical therapy sessions. Knee Immobilizer will be converted to a hinged knee brace at the first post-op visit. Although there are several different kinds of fixation techniques for displaced comminuted patellar fracture the treatment remains a challenge for orthopaedic surgeons.

At 2-3 weeks from surgery Referring Physician will assign patients WB status depending on the type of repair and the quality of patients tissue. For displaced fracture surgical intervention is a must. Regardless of the type of patella fracture doctors recommend using crutches or a wheelchair during the first week or two after an injury.

Avoid active knee extension for 2 weeks. PATELLAR FRACTURE WITH ORIF PROTOCOL Dr. Patellar Fracture Fixation Protocol GENERAL Your surgery was performed through an incision at the front of your knee.

20 minutes of each hour at elevate. Limited ROM brace should initially be locked at 0 and then unlocked to 30 as. EMS to quads during active contractions Ice and elevation.

It is normal to experience some sharp pain in the front of the knee when working on moving your knee. Our doctors can provide you with crutches or a wheelchair. Postoperative Day 4-7 Brace.

Locked brace two crutches WBAT Range of motion. Some simple patellar fractures can be treated by wearing a cast or splint until the bone heals. The knee is composed of two joints the tibiofemoral and the patellofemoral.

The purpose of the patella and the patellofemoral joint is to allow for greater force.

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