Pretrgana kita kolena

Pred enim mesecem sem si pretrgal spodnjo kito kolena.Prosim za prevod rehabilizacije. Link: http://www.emedicine.com/orthoped/topic...

Time After Surgery Weightbearing Immobilization Therapy

0-3 d None, with use of crutches Hinged knee brace locked in extension 1. Motion - None

2. Modalities and/or exercises - None

4-13 d Toe touch with crutches Hinged knee brace locked in extension 1. Motion - Active flexion to 45° and passive extension to 0° (no active extension) 3 times a day

2. Modalities and/or exercises - Swelling control with ice, gentle medial and lateral patellar mobilization, gentle isometric hamstring exercises, contralateral isometric quadriceps exercises 3 times a day
2-4 wk Partial (25-50%) with crutches Hinged knee brace locked in extension 1. Motion - Active flexion to progress to 90° and passive extension to 0° (no active extension) 3 times a day

2. Modalities and/or exercises - Swelling control with ice, gentle medial and lateral patellar mobilization, gentle (~25%) isometric quadriceps exercises (sets, no straight leg raises), continue with ipsilateral hamstring exercises and contralateral quadriceps exercises 3 times a day
4-6 wk Progress to weightbearing as tolerated, crutches discontinued when good quadriceps control is obtained Hinged knee brace locked in extension 1. Motion - Active flexion to progress as tolerated and passive extension to 0° (no active extension) 3 times a day

2. Modalities and/or exercises - Swelling control with ice, gentle medial and lateral patellar mobilization, gentle (~25%) isometric quadriceps exercises (sets, no straight leg raises), continue with ipsilateral hamstring exercises and contralateral quadriceps exercises 3 times a day
6-12 wk Weightbearing as tolerated Hinged knee brace locked in extension until good active quadriceps control and normal gait are obtained 1. Motion - Progress to full 3 times a day

2. Modalities and/or exercises - Swelling control with ice, more aggressive medial and lateral patellar mobilization, begin straight leg raises without resistance, continue with ipsilateral hamstring exercises and contralateral quadriceps exercises 3 times a day; start stationary cycling at 8 weeks
12-16 wk Complete weightbearing No immobilization Progress with quadriceps strengthening (isokinetic) exercises and start neuromuscular retraining
16-24 wk Complete weightbearing No immobilization May start running and sport specific training

>6 mo
Complete weightbearing No immobilization May return to jumping and contact sports when obtain 85-90% of strength of contralateral extremity on isokinetic strength testing


For tenuous repairs, whether for acute or chronic tears, a more conservative program is used and tailored to the situation. Generally, strict immobilization is recommended for 6 weeks followed by range of motion exercises. Strengthening exercises are then started approximately 3 months after the repair and followed shortly thereafter by neuromuscular retraining. Return of quadriceps bulk and strength usually is delayed, and return to premorbid athletic activities may take approximately 9-12 months.

Follow-up care: After an adequate repair allowing for an aggressive postoperative rehabilitative program, the follow-up care goals, with intervals dated as time after surgery, are as follows:


3-5 days - Adequate pain control, decrease in swelling and wound check

2 weeks - Active flexion to 45°, full passive extension

4 weeks - Active flexion to 90°, maintenance of full passive extension

6-8 weeks - Full active flexion

3 months - Straight leg raise with no extension lag

6 months - Symmetric quadriceps size and strength

Nimam pri sebi odpustnice. Pretrgana je spodnja kita pogačice(Patellar Tendon Rupture). Zdravim se v Trbovljah,kjer niso ravno specialisti za te zadeve in ker imam čas brskati po netu, sem pač našel to stran, kjer je podroben opis zdravljenja.Mislim, da sem v zaostanku z rehabilitacijo, ker po 6 tednih še kar hodim po berglah, masaža z ledom in zelo malo gibanja. Zdravnik mi pravi, da imam že atrofirane mišice,
ne da mi pa konkretnega nasveta, kaj naj delam.

Jaz pa ti priporocam, da cimprej poklici v Smarjeske toplice ali Zrece. Tam so specializirani za kolena.