04/10/2022
Open Reduction and Internal Fixation (ORIF) of the patella is a surgical procedure to treat a fractured patella (knee cap).
after ORIF of the patella
pain, swelling, stiffness and decreased range of movement in your knee.
after ORIF of the patella
🛑1-4 weeks:
☑️Cryotherapy
☑️Patellar mobilisation as tolerated
☑️Passive (movement is assisted by physiotherapist) range of movement exercises
☑️Isometric (hold) quadriceps strengthening exercises
☑️Isometric (hold) hamstring strengthening exercises
☑️Stretching of hamstrings and quadriceps
☑️Partial weight bearing exercises
☑️Weight shifting activities
☑️Hip and ankle strengthening exercises
🛑5-8 weeks:
Continuation of modalities for pain control (ice, medication etc)
Patella mobilisation
Progression of passive range of movement exercises
Introduction of active (unassisted) range of movement exercises
Continuation of strengthening and stretching exercises for quadriceps and hamstrings
Progression of weight bearing – full weight bearing activities
Gait re –education training
Proprioception and balance training
Hip and ankle strengthening
Stationary bicycle as tolerated
Hydrotherapy
8-12 weeks:
Continuation of strengthening and stretching of leg muscles
Patella mobilisations
Full active range of movement exercises
Ambulation exercise (walking)
Gait training
Proprioception (balance) training
Stationary bicycle (increased resistance as tolerated)
Hydrotherapy.
