Time frames for use of brace and crutches may be extended by the physician. Allograft Anterior Cruciate Ligament Reconstruction: Indications, Techniques, and Outcomes tary discusses the factors affecting graft selection, with emphasis on indications and the technique of allograft ACL-R, as well as the rehabilitation and outcomes specific to this surgical approach. Therefore, crutches and brace are continued for 6 weeks. ACL reconstructions performed with meniscal repair or transplant follow the ACL protocol with avoidance of open kinetic chain hamstring work for 6 weeks. The most important of these to the knee’s stability is the Anterior Cruciate Ligament (ACL). Anatomy and Biomechanics . ACL Reconstruction Protocol PG. BONE-PATELLA TENDON-BONE AUTO OR ALLOGRAFT 1 ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION POST-OPERATIVE REHABILITATION PROTOCOL AUTOGRAFT BONE-PATELLA TENDON-BONE And ALLOGRAFT PROTOCOL PHASE I-EARLY FUNCTIONAL (WEEKS 1-2 ) Goals: 1. Allograft revascularization is slower than for autografts. Phase 1 – 0-6 Weeks Post-op. Keep in mind that the increased failure rate of allograft repairs is highest in the first 12 months. Individuals with an allograft were 5 times more likely to have an ACL graft failure than those with an autograft. “Your knee needs this time to incorporate the allograft tissue. The ACL attaches from the front part 9, 51 In patients participating at a high activity level after reconstruction, allograft failure was 14.1 times more likely than autograft failure. “I don’t allow patients to return to sports until a full 12 months afterward—minimum,” states Dr. Pepin. acl reconstruction protocol pg. Protection of post-surgical knee 2. Patients who have had an allograft or hamstring used may discontinue the immobilizer after 10-14 days. It is held together by several important ligaments. An allograft ACL repair requires a longer recovery time. The knee is a simple hinge joint at the connection point between the femur and tibia bones. HAMSTRING ALLOGRAFT ACL RECONSTRUCTION REHABILITATION PROTOCOL BENEDICT FIGUERRES, MD WEIGHTBEARING BRACE ROM EXERCISES PHASE I 0-4 weeks Touch-down weightbearing with crutches with strong emphasis on foot flat and full knee extension during stance phase Locked in full extension for ambulation and sleeping* As tolerated ACL Bone Patellar Tendon Bone Reconstruction Allograft / Autograft Rehabilitation Protocol Weight Bearing Brace Range of Motion Therapeutic Exercises PHASE I 0-4 weeks As Tolerated with Crutches* Week 1: locked in full extension for ambulation and sleeping Weeks 1-4: unlocked for ambulation, remove for sleeping** ACL Reconstruction Protocol . 9 Post-Op ACL Reconstruction Return to Sport Test Instructions Patient must tolerate all exercises for strengthening, … ACL RECONSTRUCTION – HAMSTRING AUTO / ALLOGRAFT OR POSTERIOR TIBIALIS ALLOGRAFT Post-op Days 1 – 14 Dressing – POD 1: Debulk dressing, TED Hose in place – POD 2: Change dressing, keep wound covered, continue TED Hose – POD 10-14: Sutures/Staples out, D/C TED Hose when effusion resolved Appointments: Rehabilitation appointments begin within 3-5 days after surgery and meet about once per week Rehabilitation Goals: 1. POST-OPERATIVE PROTOCOL Osteochondral Allograft or Autograft Transplantation . ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION BONE TENDON BONE (BTB) REHABILITATION PROTOCOL WEEK 1 Limited activity with ice and elevation for five days to prevent hemarthrosis and minimize swelling ... graft. 2 Remove post op dressing at the first PT visit, cleanse and apply band-aids If Aquacel AG is used change at post op day 7 … Educate re: the proper use of continuous passive motion (CPM) machine and … Hamstring graft …

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