Rehab Knee MPFL Reconstruction
  • Sports Medicine

  • Knee Surgery

  • Shoulder Surgery

  • Elbow Surgery

  • Hip Surgery

  • Ankle Surgery

  • Arthroscopic Surgery

Rehab Knee MPFL Reconstruction

Acute Phase I: (0-2 weeks)

Goals:

  • Alleviate acute pain and swelling

Plan:

  • Weight bearing as tolerated with crutches and brace locked in full extension when up
  • Passive ROM 0-90 when seated
  • Begin SLR in brace locked in full extension immediately
  • ICE and elevate
  • *Start PT around 1 week*
  • Sub-Acute Phase I: (2-6 weeks)

Goals:

  • Decrease swelling
  • Full ROM
  • Straight leg raise against gravity

Plan:

  • Continue Phase I exercises
  • WBAT in brace and crutches
  • Full Passive and Active ROM as tolerated
  • Aquatic therapy after incisions healed
  • Hamstring and gastroc stretching
  • Hamstring and quadriceps co-contraction
  • 4-Quad (hip flexion, abduction, adduction, extension)
  • Modalities for pain and edema control
  • Stationary bike with elevated seat, no resistance, as tolerated
  • EMG Biofeedback

Phase II: (6-10 weeks)

Goals:

  • Promote independent ambulation w/o assistive device
  • Full ROM (pain free)
  • Increase Quad strength

Plan

  • Continue Phase II exercises
  • WBAT remove brace with good quad control
  • Stationary bike
  • Gait training
  • Begin closed chain activities
  • Full ROM
  • No running/jumping sports
  • Proprioceptive and balance training BAPS and trampoline
  • Calf and hip PRE’s

Phase III: (10-14 weeks)

Goals:

  • Maintain full ROM (pain free)
  • Symmetric Quad girth and strength

Plan

  • Continue Phase II exercises
  • Advance strengthening
  • Closed chain only
  • No running/sports/jumping
  • Muscle endurance activities

Phase IV: (14+ weeks)

Goals:

  • Sports specific activities

Plan

  • Continue Phase III exercises
  • Ok to begin jogging
  • Begin agility and plyometrics program
  • Cardiovascular conditioning
  • Return to Sports: Usually @ 4 months
  • 1->80% strength vs. opposite leg
  • 2- >90% hop test
  • 3- cutting/running/jumping confidence
  • 4-physician clearance