Labral Repair

Specific rehabilitation guidelines following labral repair must take into consideration the location and size of the repair. Because the majority of labral tears occurring in the North American population are located on the anterior superior region of the labrum, the following rehabilitation guidelines are specific to these repairs (Table 1) [1,10-12]. Intraoperative analysis reveals that the following ranges of motion do not stress the anterior superior labrum are; 0° to 90° flexion, 0° to 25° abduction, and 0° to 25° external rotation (Philippon MJ, personal communication, June 2005). Postoperatively, patients are instructed to limit ROM as follows: 25° of abduction for 3 weeks, gentle external rotation and extension for 3 weeks, and 90° of flexion for 10 days. Weight bearing is limited to foot-flat weight bearing (20 lbs.) for 2 weeks. A continuous passive motion machine is used for 4 weeks. Patients typically initiate phase I immediately following surgery, phase II at week 4, phase III at week 7, and phase IV at week 9.

0 0

Post a comment