[Ortho] Восстановление функции коленного сустава

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Knee rehabilitation
The femur was elongated 11cm by the Ilizarov external fixator in 2005. 
Now, we`ve performed quadriceps` myolysis, khee arthrolysis, reinsertion 
tibia tuberosity 2 cm more proximal, Z-shaped tenotomy of quadriceps. 
During the operation, we could flex the knee to 70 degrees. Passive knee 
motions started at second day after operation by Arthromot K4 on 30 
degrees flexion.
Today (16/12/2007) knee is set in motion by Arthromot on 50 degrees of 
flexion. I have some questions: 1) Cast immobilization usually is 
performed after tendon repair and reinsertion of the tibia tuberosity, 
isn`t it? But, in this case such decision is unacceptable.
What range motion and strength exercises should be selected?
2) Quadriceps was made longer, in fact. Its insufficience in knee 
extension is likely. How shall we combine quadricps strength exercises 
with rest regimen in this period? 3) When weight-bearing of the leg is 
recommended?
Бехтерев Антон



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