Patellofemoral Joint (PFJ) Arthroplasty with Arthrosurface Rehabilitation Protocol
Immediately Post-Op (0-2 weeks)
- Full passive/active ROM
- Weight bearing as tolerated with crutches until first post-op appointment
- Modalities as needed
- Exercises:
- Flexion/Extension- wall slides and seated
- Patella Mobs
- Extension mobilization
- Quad/Hamstring sets
- Sit and reach hamstring stretch
- Ankle pumps
- Heel/Toe raises starting week two
- Patellar Stabilization brace given at first post-op visit (1-2 wks post-op) and to be worn for 6 weeks while walking
3-4 weeks Post Op
- Continue as above
- Balance exercises
- Bike with no resistance
5-6 Weeks Post Op
- Continue as above
- Begin double knee bends, double leg bridges, cord exercises, and leg press
- Begin bike with resistance, aqua-jogging, treadmill walking (7% incline), swimming with fins
7-8 Weeks Post Op
- Continue as above
- Begin elliptical trainer, rowing machine
- Begin golf progression if desired
10-11 Weeks Post-Op
- Begin outdoor biking, hiking, and snowshoeing
12-16 Weeks Post-Op
- Begin sports test exercises
- Begin stair stepper
16 Weeks Post Op-Op
- Return to cutting/pivoting sports once cleared by physician (skiing, soccer, football, etc.)