S/P Patella Tendon Repair

Definition:
The patellar tendon works with the muscles in the front of your thigh - the quadriceps - to straighten your leg. Although anyone can injure the patellar tendon, tears are more common among middle-aged people who play running or jumping sports. A complete tear of the patellar tendon is a disabling injury. It usually requires surgery to regain full knee function.Most people require surgery to regain the most function in their leg. Surgical repair reattaches the torn tendon to the kneecap. People who require surgery do better if the repair is performed early after the injury. Early repair may prevent the tendon from scarring and tightening in a shortened position.

Symptoms
  • An indentation at the bottom of your kneecap where the patellar tendon tore
  • Bruising
  • Tenderness
  • Cramping
  • Your kneecap may move up into the thigh because it is no longer anchored to your shinbone
  • You are unable to straighten your knee
  • Difficulty walking due to the knee buckling or giving way
Causes
  • Fall from a height
  • Landing from a jump
  • Tendon weakness- tendinitis
  • Chronic disease
  • Steroid use
Treatment
  • Period of immobilization in locked knee extension brace x 6 weeks
  • Partial weight bearing with crutches x 4 weeks
  • Massage to reduce swelling
  • Passive ROM and active ROM
  • Quadriceps activation
  • Knee stabilization exercises
  • Lower extremity strengthening
  • Gait program
S/P Patella Tendon Repair Phase I

Purchase Phase

  • Crutch Walking
  • Patella Mobilization
  • Quad Sets
  • Straight Leg Raise
  • Clams
  • Prone Glute Max Knees Bent
  • Heel Slides
  • Passive Knee Extension
  • Vmo Sets 30 60 90
  • Ankle Pumps
  • Standing Hip Extension
  • Standing Hip Abduction
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Patella Tendon Repair Phase II

Purchase Phase

  • Step Overs
  • Single Leg Wall Sit
  • Straight Leg Bridge
  • Lunge Matrix
  • Stationary Bike
  • Single Leg Speed Skater
  • Adductor Straddle
  • Lotus
  • Sit On Feet
  • Gait II

S/P Patella Tendon Repair Phase III

Purchase Phase

  • Step Overs
  • Lunge Matrix
  • Speed Skaters
  • Single Leg Sit Up Squat
  • 3-Dot Squat 2 Hands
  • Single Leg Lateral Box Jump
  • Single Leg Hop On Dina Disc
  • Single Leg Tuck Jump