Download Patellofemoral Joint (PFJ) Arthroplasty Rehab Protocol

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.)