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. 2013 May 3;7():133–143. doi: 10.2174/1874325001307010133

Table 1.

Proposed Postoperative Treatment Scheme

0-10 Days Up to 3 Weeks 3-6 Weeks 7-12 Weeks 4-6 Months From 7 Months
Pain treatment Analgesia Ice application Analgesia Lymph drainage Muscle stimulation Thermotherapy Lymph drainage Electrotherapy Muscle stimulation Electrotherapy Muscle stimulation
Weight bearing Foot sole contact 3 point walk with crutches Foot sole contact 3 point walk with crutches Foot sole contact Walking with crutches Building up full weight bearing Full weight bearing from 8th week Full weight bearing
Mobilization Orthesis: 0/0/60° femoral condyle, 0/0/30° patella and trochlea Patella mobilization in all directions Active motion in pain-free region Patella mobilization in all directions Orthesis/CPM*/CAM*: 0/0/90° femoral condyle and patella and trochlea from week 4 Increase time interval Active motion Patella mobilization in all directions Weaning off orthesis Orthesis/CPM*/CAM*: 0/0/90° femoral condyle, patella and trochlea from week 4 Increase time interval Active motion 0/0/90° for all defect locations from 6th week Full flexion allowed when full weight bearing achieved Patella guidance 0/0/120° Patella guidance Release motion
Electrotherapy Quadriceps Isometrics Muscle stimulation Quadriceps isometrics Movement of leg in extension Muscle stimulation Leg press Leg press Leg press
Proprioception Manual therapy of foot joints Rubbing/brushing sole of foot PNF pattern with other leg Foot resting on ball Different foot sole contact while sitting in many different knee positions PNF* pattern with operated leg with knee extended Foot resting on ball PNF* pattern with operated leg including knee flexion Trampoline Soft floor mats Equilibrium training PNF* pattern with operated leg including knee flexion Trampoline Soft floor mats Equilibrium training
Walking Mobilization 3 point walk Walking in water Walking stairs with crutches Walking in front of mirror Weaning off crutches Stepper Walking long distances on different ground Increase velocity Walking on soft ground Jogging
Sport Aquatraining Aquatraining Swimming Ergometry Aquajogging Biking Swimming Biking Ergometry 0/0/120° Jogging, skiing after 9-12 months Skating after 12 months Biking Contact sport after 18 months
*

CPM: Continuous passive motion; CAM: Continuous active motion; PNF: Proprioceptive neuromuscular facilitation.

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