Patient Name:
Date:
Date of surgery:
OATS Procedure: Weightbearing Femoral Condyle
Stage I: Healing Phase (0-6 weeks)
**Knee immobilizer or brace thru 6 weeks
**Non-weightbearing with crutches x6 weeks (TTWB ok)
**CPM ~ 4-6 hours daily x6 weeks, start 0-60 degrees post-op, progress to 110 degrees by 6 weeks, and full ROM by 12 weeks post-op.
ROM Exercises: Week 0 - 6: 0-110 degrees
-> (goal 90 degrees flexion by week 3, 110 degrees by week 6)
Isometric quad sets and SLR: start immediately post-op
-> wear knee immobilizer during SLR
-> may apply e-stim for poor quad function
Pre Progression – Emphasize VMO Strengthening
- Multiple angle isometrics
- Eccentric closed chain isotonics
- Concentric closed chain isotonics
- Eccentric open chain isokinetics (performed in 90-30 deg arc)
- Concentric open chain isokinetics, submaximal
- Eccentric open chain isotonics
- Concentric open chain isotonics, submaximal
- Concentric open chain isotonics, maximal
- Gentle multi-directional patella mobilization immediately after surgery
- Massage/deep friction to hamstring insertions, suprapatellar quadriceps, medial/lateral gutters, and infrapatellar regions 2-3 weeks post-op
- Hamstring/adductor/abductor/quadriceps/Achilles stretching
- Whirlpool therapy if available at 2-3 weeks post-op to enhance motion
- Stationary bicycle with no resistance once 90 degrees knee flexion obtained (~4 weeks)
- Anti-inflammatory modalities as needed (US/massage/e-stim)
- Cryotherapy and compression stockings/TEDS for swelling and pain control
