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Dr. Vonda Wright MD

Orthopedic Surgeon

Developed By: SKSDEV

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OATS Femoral Condyle

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

My Other Surgical Specialties

  • Shoulder Surgery
    • Rotator Cuff Repair
    • Subacromial Decompression (SAD) / Distal Clavicle Resection (DCR)
    • Shoulder Instability
  • Hip Surgery
    • Hip Arthroscopic Surgery
    • Rehab Protocols for Hip Surgery
  • Knee Surgery
    • Meniscus
    • ACL
    • MPFL

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About

Orthopaedic Surgeon, Author, Speaker and "The Mobility Doc," Dr. Vonda Wright is an internationally recognized authority on active aging and sports medicine.

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