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On the second postoperative day, a continuous passive motion machine was applied at a range of motion tolerated by the patient, and ambulation with a walker was encouraged.
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Overall, if greater ankle range of motion is tolerated, a low bending axis provides power and propulsive benefits during running, although individual preference and physical ability should also be considered.
Exercise progression was achieved by asking the patients to gradually increase the range of motion as tolerated.
Non-operative treatment will consist of a sling as needed and immediate progressive range of motion as tolerated.
Patients are instructed to gently flex and extend the affected elbow using the opposite hand, gradually increasing the range of motion as tolerated.
The postoperative protocol was standardized with the use of continuous passive motion as tolerated, and patients were allowed full weight bearing immediately after surgery.
The post operative regime will include immobilisation in a long-arm backslab for 2 weeks followed by progressive range of motion as tolerated.
The postoperative protocol was standardized with the use of continuous passive motion as tolerated, and patients were allowed full weight bearing immediately.
Eligible patients willing to participate will be randomised either to operative fixation, with surgery using the preferred technique of the treating orthopaedic surgeon (tension band wiring or plate fixation), or to non-operative treatment involving early range of motion as tolerated.
Five degrees (5°) was chosen as the MCID for knee extension because less loss of motion would be tolerated clinically with flexion contractures at the knee joint (Edwards et al. 2004; Gajdosik and Bohannon 1987).
Patients with the articulating spacers had a long leg splint for 1 week and they were then encouraged to perform range-of-motion exercises as tolerated, and to walk with protective weight bearing.
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