Knee Unit- Patellofemoral Syndrome Surgical

Question 1

What is the purpose of surgery for PF syndrome?

Answer 1

• Alter the alignment of the PF joint
• Correct soft tissue imbalances
• Decrease an abnormal Q angle
• Improve tracking of the patella
• Debride the articular surface of the patella

Question 2

Lateral Release of Retinaculum

Answer 2

-Performed arthroscopically or open procedure
-Releases the lateral structures supporting the pf joint
>Specifically the superficial and deep portions of the lateral retinaculum

Question 3

What are the goal of treatment?

Answer 3

• Control of postoperative joint effusion
• Restoration of quadriceps function
• Regaining ROM
• Adequate patellar mobility to prevent adhesions

Question 4

What is in the maximum protection phase for PF syndrome surgical?

Answer 4

• Exercises initiated day of surgery
• AAROM – AROM - stretching
• Patellar mobilization
• Strengthening
• Modalities

Question 5

What is involved in the controlled mobility phase?

Answer 5

-Increase ROM - stretching
-Open and closed chain strengthening
-Joint mobilization
-Proprioceptive/balance training
-Gait training
-Aerobic conditioning
>Swimming, walking program

Question 6

Return to function phase?

Answer 6

• Continue stretching
• Simulated functional tasks
• Advance agility exercises
• Specific exercise for sport or occupation
• Consider bracing for high demand activity