0-2 WEEKS
The primary goal in the early postoperative period is to ensure full knee extension and quadriceps control.
From the moment the quadriceps can tolerate the pain. contraction, straight leg raise, side lying add. and usa. movements are started.
After the drain is removed, active flexion-extension is performed by sliding the heel. It is beneficial for it to reach 90 degrees at the end of the second week.
- Post-op, quadriceps contraction and active ankle flexion-extension movements are performed immediately.
- Patellar mobilization is performed by pulling left and right and upward. (by hand)
- After the stitches are removed, manual friction is applied around the wound.
- Active or passive knee flexion can be done while lying prone.
- With a knee brace (in extension) and crutches. Walking with partial load is allowed.
3-6 WEEKS
Good quadriceps contraction and leg control should be ensured during this period. The movements of the previous period are continued.
At the end of the third week, mini squats (45 degrees) are started.
Towards the end of the period, when good quadriceps contraction and leg control are achieved, the knee brace and crutches are abandoned. (There is no need to wear the knee brace except for walking and lying down)
7-10 WEEKS
Control of all muscle groups is increased, proprioceptive training becomes important and full weight training is provided. This is the period when walking training is provided. Swimming and pool exercises can be used for lower extremity control and walking training.
- Double leg calf raise exercises with or without support are started.
- Proprioceptive training begins.
- Cycling without resistance or with low resistance.
- Can do step-ups with steps lower than 20 cm.
- 90 degree squats are started.
11-15 WEEKS
- Walking on different surfaces and inclines
- Single leg squat and calf raise exercises
- Can do step-ups with steps higher than 20 cm.
- Can do lateral step-ups with steps lower than 20 cm.
- Starts running
16-20 WEEKS
- Backward and lateral running can be started
- Full squat
- With polymetry exercise can be started (such as rope jumping and double leg jumping if sufficient strength is reached).
6 MONTHS AND AFTER
- S and 8 You can start running like this.
- Can do zig zag runs.
- Can do acceleration and deceleration runs. Stair running can be given.
- He can return to sports.
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