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Medial Patella Femoral Ligament (MPFL) Reconstruction

Dr. Bowen's PT Protocol

No. of Weeks Post Op

Precautions

Exercise Types

0-1

  • Use of locked brace 0
  • Closed chain ROM exercises
  • Quad sets, ham sets and SLR with brace on
  • Discontinue use of crutches at one week

2-4

  • Use of locked brace 0
  • Should have 90 on knee flexion at this point
  • 0 of knee extension ROM
  • No active open chair quad activation
  • Progression of knee flexion ROM by 10-15 per week
  • LE strength and endurance exercises for quads, hamstrings, gastroc/soleous and gluteals

4-6

  • Use of brace but unlocked to allow for full knee flexion ROM
  • Should have approximately 130 of knee flexion by this point
  • Progressions of knee flexion ROM by 10-15 per week
  • LE strength and endurance exercises for quads, hamstrings, gastroc/soleous and gluteals

6-10

  • Discontinue use of brace after 10 weeks post surgical
  • Should have approximately 150 of knee flexion by this point (equal of opposing side
  • Progression of knee flexion ROM by 10-15 per week
  • LE strength and endurance exercises for quads, hamstrings, gastroc/soleous and gluteals

10-12

 

  • LE strength and endurance exercises for quads, hamstrings, gastroc/soleous and gluteals

     

12-20

 

  • LE strength and endurance exercises for quads, hamstrings, gastroc/soleous and gluteals
  • Begin open chain quads at 12 weeks
  • Begin progression of plyometric exercises at week 12
  • Isokinetic strength testing and functional strength (hop test of Star excursion test) test at 20 weeks post surgical