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OCS prep surgery
Mostly timesline for healing tissue
Question | Answer |
---|---|
ACL PTB | 8-12 weeks |
ACL semitendinosis graft | 12-16 weeks |
PCL | 12 weeks |
RTC small | 12-16 weeks < 1cm |
RTC medium | 16-24 weeks 1-3 cm |
RTC large | 24 weeks 3-5cm 24 weeks 3-5 cm |
RTC massive | +24 weeks 5+ cm |
Capsular shift | 12 weeks |
Lateral Ankle Reconstruction | 8-12 weeks |
Achilles Tendon Repair | 16-24 weeks |
Timelines for delayed union and nonunion | 16-18 weeks for delayed 6 months for nonunion Atrophic nonunions require grafting and stabilization hypertrophic nonunions require stab only |
olecrenon fractures undisplaced | long arm cast with elbow in 45-90 degrees for approx 3 weeks. Protected ROM with hinged brace with 90 degrees maximal flexion. expect 6-8 weeks |
what extensor tendon injuries should be repaired | >50% laceration should be repaired |
When are extensor tendon repairs the weakest | they lose 10%-50% of their strength between 5 and 21 days |
How long should extensor repairs be protected? | Zone I and II- 6-8 weeks Zone III and IV- 6 weeks Zone V to VII- 4-6 weeks |
Explain rehab for extensor tendon injury | ZOne V through VII: Dynamic splinting starts at day 3. Wrsit is held in 40 degrees extension, MCP's and IP's at 0 degrees in an elastic outrigger. Active flexion and passive extension 10X/hr. Dynamic splinting ends in 304 weeks and AROM starts. Finger |
When should flexor tendons be reapired? When are felxor tendons weakest | >60% of teh tendon is lacerated post-op days 6-12 is weakest |
Describe 3 rehab approaches to flexor tendon repair | Immob for 3-4 weeks in a DBS: wrist 10-30 degrees of flexion, 40-60 degrees of MCP flexion and full IP flexion. Early PROM: Active extension, passive flexion 3-6 weeks Early Active Mobilization: Zone II repairs; Controlled AROM with rubber band assist |