Patella Fracture Rehab Protocol

Keys to a Successful Outcome

  • ROM exercises should not be forceful or too painful

  • The brace should be locked in extension until 6 weeks while weight bearing

Phase
Brace
ROM
WB
Exercises
Weeks 0-2
Locked in extension, worn at all times except therapy
PROM allowed to 30°; check op note for exact measurement
WBAT w/ brace locked in ext
Isometric quad,ham,add,abd strengthening; ankle theraband exercises
Weeks 2-6
Locked in extension, worn at all times except therapy
Add 15° flexion each week; goal 90° by 6 wks
WBAT w/ brace locked in ext
Advance previous exercises; add straight leg raise, patellar mobilization
Weeks 6-10
Unlocked, worn at all times
Progress as tolerated
WBAT in unlocked brace
Advance previous exercises
Weeks 10-12
None
Progress as tolerated
WBAT without brace
Start stationary bike. bilateral leg press in safe range (30-45°), concentric only
Months 3-6
None
Progress as tolerated
WBAT
Begin wall squats if good control, full activities as tolerated

 

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