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Galland/Kirby Accessory Navicular Excision Post-Surgical Rehabilitation Protocol

This document outlines a post-surgical rehabilitation protocol following a Galland/Kirby accessory navicular excision. It is divided into phases from post-op days 1-28, weeks 4-8, weeks 8-12, months 3-4, and months 4-6. Each phase progresses weight bearing status and introduces new exercises and activities, with the overall goals of managing pain, preventing swelling, achieving normal gait, range of motion, strength, and returning to full activities by 6 months post-op without contact sports until then.

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Prahoveanu Ioana
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139 views3 pages

Galland/Kirby Accessory Navicular Excision Post-Surgical Rehabilitation Protocol

This document outlines a post-surgical rehabilitation protocol following a Galland/Kirby accessory navicular excision. It is divided into phases from post-op days 1-28, weeks 4-8, weeks 8-12, months 3-4, and months 4-6. Each phase progresses weight bearing status and introduces new exercises and activities, with the overall goals of managing pain, preventing swelling, achieving normal gait, range of motion, strength, and returning to full activities by 6 months post-op without contact sports until then.

Uploaded by

Prahoveanu Ioana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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GALLAND/KIRBY ACCESSORY NAVICULAR EXCISION

POST-SURGICAL REHABILITATION PROTOCOL


POST-OP DAYS 1 – 28
• Immobilized in short leg cast (SLC)
• Crutches – non weight bearing (NWB)
• Active range of motion (AROM) hip and knee
• Wiggle toes
• Straight leg raise (SLR) x 4
• Short arc quad (SAQ)
• Upper body exercises (seated or bench only – no pushups)
• LE stretches – Hamstring, quads, ITB, hip flexors
• Elevation

GOALS
• Pain management
• Prevent swelling

WEEKS 4 – 8

• Cam walker
• Crutches – Weight bearing as tolerated (WBAT), D/C when gait is normal
- Continue appropriate previous exercises
- Scar massage/mobilization with oil/cream
- Ankle AROM – Calf pumping, alphabet, rotations
• Light Theraband ex x 4
• Towel crunches and side-to-side
- Steamboats (Theraband x 4 while standing on involved LE) in cam walker
• Mini-squats, Wall squats, Total gym
• Proprioception ex – Double leg BAPS
• Gastroc / Soleus stretching

1
GOAL
• Full DF / PF

WEEKS 8 – 12
• Transition from cam walker to ankle brace
• Continue appropriate previous and following exercises without brace
• Theraband ex x 4 – Gradually increase resistance
• Elgin
• Double leg heel raises – Emphasize involved side
• Leg press, knee extension, HS curl, hip weight machines
• Forward, retro and lateral step downs
• Proprioception ex – Single leg BAPS, ball toss, body blade
• Stationary bike
• Pool therapy

GOALS
• Normal gait
• Symmetrical range of motion (ROM)

MONTHS 3 – 4
• Continue ankle brace and appropriate previous exercises
• Single leg heel raises
• Fitter, slide board
• Treadmill – Walking progression program
• Elliptical trainer
• Stairmaster

GOALS
• Normal strength
• Walk 2 miles at 15 min/mile pace

MONTHS 4 – 6
• D/C brace
• Continue appropriate previous exercises
• Pushup progression

2
• Sit-up progression
• Treadmill – Running progression program
• Agility drills / Plyometrics
• Transition to home / gym program

GOAL
• Return to all activities

*NO CONTACT SPORTS UNTIL 6 MONTHS POST-OP*

DEVELOPED BY: ADAPTED FROM:


Mark Galland, MD Physical Therapy Section
Kenneth Kirby, PT, DPT William Beaumont Army Medical Center

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