Post op

6-8 weeks

how long does it take tissue to heal

• PF/DF ROM

• posterior talar mobs

• wound site

what are the “important” things to look at for a pt post op achilles tendon repair

• DF

• INV

• EV

what ankle strength measurements can you take from a post op achilles tendon repair

True (just dont crank on it)

T/F: you can take a PROM on DF ROM with a pt post op achilles tendon repair

6 weeks; 2 weeks

a post op achilles tendon repair is typically immobilized for ___________ and NWB for _________ during that time period

0-30

a post op achilles tendon repair is restricted to _________ degrees of motion until 6 weeks

True (they are already doing it in the boot)

T/F: you can start a post op achilles tendon repair with isometric PF exercises

running = ~16-20 weeks

sport = ~6-8 months

when does a post op achilles tendon repair typically return to running andreturn to sport

PF (DF will come back with time, if A/PROM of PF is not restored it will shut down the calf)

which is more important to get back for a post op achilles tendon repair, DF or PF

• extension ROM

• patellar mobs

• lachmans

• quat set

• wound site

what are the “important” things to look at for a pt post op ACL

flat in supine

how should a post op ACL pt be positioned for ROM

F (just look at quad set, they are going to be in pain)

T/F: you should assess strength for a post op ACL pt

extension

__________ ROM is the most important for a post op ACL pt

2-3 weeks

you should get the post op ACL pt’s knee to full extension by ________

assess single leg squat quality

how do you know when a post op ACL pt is ready to leave the brace

6+ months

when should a post op ACL pt be ready to start cutting

9-12 months

when should a post op ACL pt be ready to return to sport

3 months

you shouldn’t do anything that isolates the hamstrings with a post op meniscus repair until at least _________

• extension ROM

• patellar mobs

• quad set

• wound site

what are the “important” things to look at for a pt post op meniscus repair

6 weeks; 12 weeks

a post op meniscus repair typically has flexion ROM restrictions for ________ but should be full ROM by _________

6 weeks

a post op meniscus repair is usually locked in their brace and WBAT for _________

run = 3-4 months

sport = 6 months

when would a post op meniscus repair be expected to return to run and return to sport

• extension ROM

• patellar mobs

• quad set

• wound site

what are the “important” things to look at for a pt post op MPFL reconstruction

90-50 degrees (0-20 degrees is where the patella has no contact, patella is stable in flexion)

at what ROM should a post op MPFL reconstruction perform LAQs

run = 4+ months

sport 5-6 months

when would a post op MPFL reconstruction be expected to return to run and return to sport

• ROM

• patellar mobs

• MMT

• wound site

• function

what are the “important” things to look at for a pt post op TKR

0-120 (less than 12o and they tend not to do well)

what is the ROM foal for a TKR

F

T/F: you should start joint mobs for a THR pt soon after surgery

call 911

what do you do if a THR pt hip dislocates

• ROM

• MMT

• wound site

• function

what are the “important” things to look at for a pt post op THR

T

T/F: most THR pt don’t need outpatient PT

quad and hip

eccentric control of the _________ and ____________ helps allow for better function after a THR/TKR

• ROM

• joint mobility

• wound site

what are the “important” things to look at for a pt post op RCR

IR (start this at about 3 months, puts a lot of stress on supraspinatus)

the initial goals post RCR is to restore shoulder ROM in all motions expect ______________

• scapula

• biceps/triceps

what is being strengthened at the 4 week mark post RCR

ER/IR

what is being strengthened at the 6 week mark post RCR

10-12 months

how long until you would expect a RCR pt to fully return

no

should you assess strength post SLAP repair

• ROM

• joint mobility

• wound site

what are the “important” things to look at for a pt post op SLAP repair

1 and 3

SLAP repair types _____ and _____ have no bicep involvement

2 and 4

SLAP repair types _____ and _____ have bicep involvement

• no flexion > 90 - 1 month

• no ER past 30 - 3 weeks

• no extension past neutral - 3 weeks

what are the ROM limitations post SLAP

6-8 months

how long until you would expect a SLAP pt to fully return

SLAP

would you expect a post RCR or SLAP pt to return to sport faster

no

should you assess strength post op bankart repair

yes (quad sets, no hamstrings)

should you assess strength post op MPFL reconstruction

yes (MMT)

should you assess strength post op TKR

yes (MMT)

should you assess strength post op THR

• ROM

• wound site

what are the “important” things to look at for a pt post op bankart repair

F (might lengthen what the doctor fixed, don’t do that)

T/F: codman’s/pendulums are a good traction ROM exercise for pt post bankart repair

8 weeks

don’t initiate strength training to a post op bankart repair until _________

6-8 months

when would you expect a post op bankart repair to return fully

none (risk for dislocating)

what kind of joint mob should you do with a post op TSR

• ROM

• wound site

what are the “important” things to look at for a pt post op TSR

subscapularis; 6 weeks; 12 weeks

since the docs cut through the __________ muscle for a TSR, active extension and IR are limited until _______ and resisted extension and IR are limited until ________

10-12 months

when would you expect a TSR to fully return

none

what kind of joint mob should you do with a post op reverse shoulder replacement

• ROM

• wound site

what are the “important” things to look at for a pt post op reverse shoulder replacement

T

T/F: it is expected for a reverse shoulder replacement pt to got gain full ROM

• AROM: 80-120 degrees elevation, ER 30 degrees

• light household activities

• at 4+ months

what is the criteria for discharging a reeverse shoulder replacement pt