OCD Allograft Rehabilitation Protocol

Weight Bearing

• NWB

Brace

• Hinged knee brace locked in extension– remove for CPM and rehab with PT

ROM

• Continuous Passive Motion (CPM) Machine for 6-8 hours per day for 8 weeks
• Set CPM to 1 cycle per minute – set at 0-30^° for first 3 weeks
• PROM/AAROM and stretching under guidance of PT

Therapeutic Exercise

• Weeks 0-4: Straight leg raise/Quad sets, Hamstring isometrics
• Perform exercises in the brace if quad control is inadequate

Weight Bearing

• Partial WB (30-40 lbs)

Brace

• Locked in extension for weight bearing – Can open brace for NWB ROM 0-30^°

ROM

• Starting at week 3 increase flexion 5-10^° per day until full flexion is achieved

Therapeutic Exercise

• Weeks 0-4: Straight leg raise/Quad sets, Hamstring isometrics
• Perform exercises in the brace if quad control is inadequate

Weight Bearing

• Continue with partial WB (progress to use of one crutch at weeks 6-8)

Brace

• Open brace to 30^° for ambulation
• D/C brace at week 6 post-op

ROM

• Should be at 90^° by week 6 and 120^° by week 8

Therapeutic Exercise

• Weeks 4-10: Begin isometric closed chain exercises
• At week 6 can start weight shifting activities with operative leg in extension

Weight Bearing

• Progress to full WB with discontinuation of crutch use

Brace

• None

ROM

• Advance to full/painless ROM

Therapeutic Exercise

• Weeks 4-10: Begin isometric closed chain exercises
• At week 8 can begin balance exercises and stationary bike with light
• Weeks 10-12: hamstring strengthening, theraband resistance exercises 0-30^°, light open-chain knee isometrics