The first phase of rehabilitation (0-2 weeks postoperatively) focuses on reducing postoperative pain and controlling postoperative swelling and exudation 1. Ankle pump exercises Do as many as possible It is beneficial to promote circulation, reduce swelling and prevent deep vein thrombosis. 30 strokes each time, 3 times a day. Wang Hong, Department of Orthopedics, Wuhan Union Medical College Hospital
2. Quadriceps isometric exercises
3. Knee compression exercise: soft pillow behind the ankle of the operated limb, so that the posterior knee capsule is tensed and the knee joint is actively pressed down. Rehabilitation after cruciate ligament reconstruction
4. Patellar movement: fix the patella with the thumb and index finger and push it up and down and left and right. Post-operative rehabilitation of cruciate ligament reconstruction
5. Straight leg raising exercises for patients with anterior cruciate ligament reconstruction of the thin femoral muscle and semitendinosus muscle, try straight leg raising from the first day after surgery. 10-30 strokes each time, 3 times a day. In patients with patellar tendon (bone-tendon-bone) reconstruction of the ACL, if the pain at the patellar tendon incision is obvious, the above exercises can be performed 2-3 days after surgery and the number of times is reduced by half. 6. Functional exercises for flexion and extension within 30 degrees of the affected knee: 3 times a day, 10-15 strokes each time
7. Lateral leg raising exercises: 10-30 strokes each time, 3 times a day. Rest 30 seconds between sets.
8. Rear leg raise: 10-30 strokes each time, 3 times a day. Rest 30 seconds between sets.
Discharge instruction
Functional exercise after discharge
After 3 weeks, the knee joint should be moved within 60 degrees, and after 4 weeks, the knee joint should be flexed and extended within 90 degrees. Repeat the exercises performed during hospitalization, increasing the number of exercises to promote the recovery of muscle strength.
At 6 weeks, the knee joint can be moved up to 120 degrees, and at 8 weeks, partial weight-bearing with a brace is possible.
At 12 weeks postoperatively, the brace can be removed for pain-free floor training. Normal walking is possible, but no running or jumping.
Pedaling training (stationary) can be started. Improve lower limb flexibility with painless and well controlled lower step training. Can perform deep squatting activities after six months. Can participate in various activities after one year, but wear a knee brace during strenuous activities.