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Review Question - QID 1210

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QID 1210 (Type "1210" in App Search)
Which of the following injury patterns is most appropriately managed with an immediate postoperative physical therapy regimen that includes no active flexion but does allow active extension from 90 to 0 degrees?

Patellar tendon repair

9%

194/2128

Anterior cruciate ligament reconstruction

15%

327/2128

Anterior cruciate ligament reconstruction with medial collateral ligament repair

4%

87/2128

Anterior cruciate ligament reconstruction with posterolateral corner repair

13%

275/2128

Posterior cruciate ligament reconstruction with posterolateral corner repair

58%

1233/2128

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A postoperative physical therapy regimen consisting of no active flexion and active extension from 90 to 0 degrees is most appropriate for a combined PCL and posterolateral corner injury. The first 4 weeks often consist of hinged knee bracing and crutches with partial weightbearing to allow the posterolateral corner to heal along with quadriceps exercises (quad sets and straight leg raises). Active knee flexion is avoided in the immediate postoperative period as hamstring contraction has the potential to subluxate the tibia posteriorly and compromise the repair.

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