S/P Quadriceps Tendon Repair

Definition:
A complete tear of the quadriceps tendon is a disabling injury. It usually requires surgery to regain full knee function. Most people with complete tears will require urgent surgery to repair the torn tendon. Surgery is also an option for people with partial tears who also have tendon weakness and degeneration. Surgical repair reattaches the torn tendon to the top of 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.
Purchase 3 Phases

Symptoms
  • An indentation at the top of your kneecap where the tendon tore
  • Bruising
  • Tenderness
  • Cramping
  • Your kneecap may sag or droop because the tendon is torn
  • You are unable to straighten your knee
  • Difficulty walking due to the knee buckling or giving way
Causes
  • Heavy load on the leg with the foot planted and the knee partially bent
  • Falls
  • Direct force to the front of the knee
  • Lacerations
  • Tendon weakness (tendinitis, chronic disease, steroid use, antibiotic use, or immobilization)
Treatment
  • Period of immobilization in a locked knee extension brace
  • Weight bearing as tolerated
  • Passive ROM, then progress to active ROM
  • Massage to reduce swelling
  • Patellar mobilization
  • Quadriceps activation
  • Knee stabilization exercises
  • Lower extremity strengthening
  • Gait program
S/P Quadriceps 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 Quadriceps 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
  • Passive Knee Extension
  • Gait II

S/P Quadriceps 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