What is included in postoperative follow-up following surgery for patellofemoral arthritis?

Updated: Dec 11, 2019
  • Author: Dinesh Patel, MD, FACS; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

The type of follow-up care required depends on the type of surgical procedure performed. Postoperative physical therapy focused on quadriceps strengthening is helpful to many patients. Those undergoing TKA or patellofemoral arthroplasty may start range-of-motion exercises immediately after surgery, and, depending on their preoperative ambulatory status, patients may require a short stay in a rehabilitation hospital while they receive physical therapy.

Procedures involving anteriorization of the tibial tubercle require a period of relative immobilization after surgery and before physical therapy. Cartilage transplantation and osteochondral grafts require a period of strict non–weight bearing for several weeks to allow for the incorporation of the graft. The patient's understanding of and compliance with postoperative treatment protocols are important in the success or failure of all of these surgical treatments.


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