Talk to your healthcare provider about your concerns. Home Maintenance How Long After Quadriceps Tendon Repair Surgery. 52 0 obj <> endobj Youll receive general anesthesia (youre asleep) or regional anesthesia (youre awake but cant feel or move your arm) before the procedure. %PDF-1.5 % Lumbar fusion surgery: Patients could usually return to driving soon after the effects of the anesthesia wore off. A person should not begin doing the exercises until a doctor says it is safe to do so. Cleveland Clinic is a non-profit academic medical center. Recovering from Patellar/Quadriceps tendon repair surgery is not easy. Deciding whether or not you're ready to drive should not hinge on getting permission from your doctor. How long does it take for tendons to heal after surgery? Driving is not recommended when taking narcotic pain medication. Driving under the influence of opioids: What prescribers should know. Outcomes following long head of biceps tendon tenodesis. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Tendon repair is done to bring back normal movement to a joint. Patients are able to walk on the leg right away, but will have limitations on the amount of knee flexion for 1-2 months. Studies show that people who have open biceps tenodesis may return to sports more quickly than people who have arthroscopic biceps tenodesis. How long after knee tendon surgery Can you walk? The quadriceps tendon may be partially or completely torn. What is a bilateral quadriceps tendon rupture? Now the Xterra sits pretty high off the ground so getting my right leg in was difficult especially since it had to remain as straight as possible. quadriceps femoris muscle, large fleshy muscle group covering the front and sides of the thigh. Your surgeon can fix your biceps tendon with open surgery or arthroscopic surgery. Torn Patellar Tendon: The Regular Guy's Guide to Healing - WebMD The quadriceps tendon is the most important tendon involved in straightening the knee from a bent position. Tk@ 4:$R3\^A1^77"d2T2{*F4ti"[_c?;`T1si8FK5KAyh*eW9/}vK_3QXke}z6'Yk=#)"wmTi\Y*| a=p 6f$hP5vt`OY&gl"AfEXM!UlIrJ-ya8p$6m] Quadriceps tendon rupture is a rare but serious injury. If you received anesthesia, there should be specific restrictions related to the type of medication you were given. This tendon is located at the top of your bicep muscle. Dont take Viagra or other medication for erectile dysfunction for at least 24 hours before surgery. You feel cramps in your upper arm, especially when youve been carrying or lifting heavy objects. Your doctor can offer guidance on when you may be healed and no longer impaired by medication, but if you need an official approval that you're able to drive, you may need to arrange for an evaluation of your driving skills through your local DMV or DOT. Angela Underwood's extensive local, state, and federal healthcare and environmental news coverage includes 911 first-responder compensation policy to the Ciba-Geigy water contamination case in Toms River, NJ. How long after knee tendon surgery can you drive? official website and that any information you provide is encrypted Driving After Anesthesia Refrain from driving for the first 24 to 48 hours after receiving anesthesia. Dineen KK, DuBois JM. In turn, the patella is attached to the tibia by the patella ligament. Torn Quad - Quadriceps Tendon Rupture - SportsMD An official website of the United States government. However many plaster casts and splints are low . Your age. Braces: With an Patellar Tendon Repair procedure you will be placed in a hinged knee brace. How can I speed up tendon healing after surgery? Quadriceps Tendon Rupture - Home | Dr. David Geier - Feel and Perform Getting an evaluation from the DMV or DOT may be necessary if you've undergone a long-term recovery. Quad Tendon Autografts: A Prime Choice for ACL Reconstruction Can diet help improve depression symptoms? A. This makes the joint immobilized or unable to bend at all. hbbd```b`` qd &XD\K[`RDr 2$lZ{$]}"q`64] hbbd```b``3d#d9'14> The most common mechanism of injury was simple fall (61.5%). Wide-awake primary flexor tendon repair, tenolysis, and tendon transfer. endstream endobj 56 0 obj <>stream MacKenzie JS, Bitzer AM, Familiari F, Papalia R, McFarland EG. Youll wear an arm sling or arm immobilizer for two to four weeks after your surgery. A systematic review. Even a joint that is partially restricted by a soft brace or bandage may restrict your range of motion too much to drive safely as researched in one study. Driving After an Orthopedic Injury or Surgery. The quadriceps tendon may be partially or completely torn. Tendon repair surgeries are usually straightforward but come with some minor risks. How long after quad tendon surgery can you drive? Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. A temperature that is higher than 101 F (38.3 C). How Long After Quadriceps Tendon Repair Surgery - BikeHike endobj 8600 Rockville Pike With the anesthesia medications isoflurane, it's recommended that you wait even longer, from two to four days. Tendon injury and repair A perspective on the basic mechanisms of tendon disease and future clinical therapy. Mille F, Adam A, Aubry S, Leclerc G, Ghislandi X, Sergent P, Garbuio P. Eur J Orthop Surg Traumatol. The methodological quality of the included studies was assessed using the Coleman Methodology Score. This will be done in clinic by Mr Gordon. Mechanisms of tendon injury and repair. However, you must follow specific restrictions if youve been given anesthesia or other medications. They use the arthroscope to view your biceps tendon and labrum. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. Then strong sutures are placed into the tendon and tied back down to the top of the patella. Pain that doesn't go away when you take your pain medicine. 1 0 obj It can take longer to recover from a grade 2 or 3 strain, in some cases over 1 month. Exceptions may include an injury to your left knee, ankle, or foot. Khan, H., & Sivakumar, B. How long after quad tendon surgery can you drive? l.wAflmvE(MjIj{.3$GHBdmKsw.Cx|>|wO7o~Pb/OF)T!~E7-~i=RvP=>jZnot9'COs~[l-`&:=SHp.ZBe-)T8Z|*5d}8~,~X6>[f,a(HpKjj) f/8/O~QfpQEL5%+/@C'{BB{uOI0W |_1 The existing evidence regarding the management of quadriceps tendon rupture remains obscure. Your surgeon cuts into the area where the top of your biceps tendon connects to your labrum. Brace will be worn 12 weeks after surgery. Treatment for Quadriceps Tendon Rupture (QTR) Conservative Treatment Steps for Quadriceps Tendon Rupture (QTR) RICE (Rest, Ice, Compression, Elevation) technique should be applied immediately on sustaining quadriceps tendon rupture. By Jonathan Cluett, MD eCollection 2022 Dec. Srimongkolpitak S, Chernchujit B, Apivatgaroon A, Taweekitikul P. Arthrosc Tech. In those instances, you may be able to drive safely if your car is automatic (which means you don't need the left leg to shift gears) and if the injury doesn't change the way you sit in the seat. My recovery was my primary importance. PDF Quadriceps Tendon Repair Surgery - A Patient Guide S"VN] w7X=zPEz*mdrDEDGl-^B^iY/a'Q 6Z{ J>1ZTEX@}1-9@x!X%4wWF\2zE5GP>s6;A/6F|}#$<=PDW[7G0pRD_! This bulge is sometimes called a Popeye bulge. FOIA This type of tendon damage may be called biceps tendonitis. One of the most common questions people ask after undergoing a medical procedure is "When can I start driving again?" People who may require tendon repair surgery include those with: a deep cut that severs a. It has four parts: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius. The .gov means its official. endstream endobj startxref %%EOF Rehabilitation after Repair of the Patellar and Quadriceps Tendon Phase Two: 2 to 6 weeks after surgery Goals: 1. Between a rock and a hard place: can physicians prescribe opioids to treat pain adequately while avoiding legal sanction? In the beginning I would try to lift the leg up and into the car but there were a lot of painful moments. I finally figured out that using a small towel or bandanna to wrap and lift up my brace and get my leg in was the ticket. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. (2015, September). I still had my eBay business to bring in daily income so all was good in my book. As long as your leg is straight all should be OK is what I suspect. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Numbness or tingling in your fingers or hand. We do not endorse non-Cleveland Clinic products or services. PDF Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair Chronic Quadriceps Tendon Ruptures: Primary Repair of Quadriceps Via Bioaugmentation and Patellar Tendon Lengthening. hVKo0+:nN,Y6PHf+>P/c.8Y;0)R(`&L2EbA!YJ``e b&0fw|eM> S#[59]^g+>WVsu}Y[?`f-0|m>b(cNBPMValGDC5vivb7:+2[CV).%?oU1UO|+M1UBS49pY9EE9,'EeVa^CsHy\Jg3&f,q\caH1QtPUKd1)X"f2D0#Qqu"zK QNyCToP^@.P~ Being able to move your neck, spine, shoulder, elbow, writs, knees, ankles, and feet is essential. The job was computer support so I would be sitting all day which was something I could do, but how was I going to get to the job. Antibiotic prophylaxis for preventing surgical-site infection in plastic surgery [Abstract]. How Knee Replacement Surgery May Affect The Quadriceps Muscles How long does a Grade 1 quad strain take to heal? You may also need to check with your insurance company about special driving restrictions after surgery or injuries. Tendon injuries often require surgical treatment. by Steven June 22, 2022 Driving Can I drive my car if I have a Quadriceps Tendon Rupture? SjDApqkpHD8jVU_Q(MOGk?Zm%u un-@aL$!@c5l'VcbO;*|sB/rf>(rFW{OiQKw#3:9L0~qe5. 3p8WeFpxj$84 y44 mqi HcH?q)W(PLp%iEY`a_7(3f>YM:E\8+g5}(j7\ EnUz$3&a?;S6Lt%JJh$v$[1CC#N1lh?bQZaL$? hTn {bD)85b'=k)q 2>e)3sXA. They will also likely ask the person to try to move the damaged part of their body in different directions to get a more accurate diagnosis of the injury. J of Opioid Management. Although quadriceps tears or strains are not common, this injury can make it difficult to walk or participate in day-to-day activities. Biceps tenodesis is done by detaching your biceps tendon from your labrum and moving the tendon to your upper arm bone (humerus). Learn more about this injury common in athletes who jump. Quadriceps tendinitis exercises. The mean time of follow-up was 47.5 months (3 months to 24 years). In most cases, you will return to full activity by six months. As with braces, pain can cause you to move more slowly, which increases the risk of having an accident. It is typically safe to begin some quadriceps strengthening exercises six weeks after surgery. &/ ,$ '20122D~k0 I3 They pull your biceps tendon through the incision and release it from your labrum. In most cases, a person can go home shortly after having tendon repair surgery. Inflammation: For the first 35 days, the area may feel swollen while the body works to heal itself. Quadriceps tendon tear is an injury that occurs when the tendon that attaches the quadriceps muscle (a group of 4 muscles in the front part of the femur) to the patella or kneecap tears. While both procedures treat the symptoms your torn biceps causes, people who have biceps tenotomy are more likely to develop unusually large bulges in their biceps. Biceps tenodesis treats biceps tendon tears caused by injury or overuse. They are poorly protected by fat and therefore prone to injury. Driving restrictions may also be necessary while taking prescription opioids after a surgery. Suture Bridge Transosseous Quadriceps Tendon Repair for Spontaneous Quadriceps Tendon Rupture in Patients With End-Stage Renal Disease. You can re-injure your biceps tendon by resuming sports and other activities before your tendon heals. 2 0 obj doi: 10.1016/j.eats.2022.08.022. Can bathe on the 2nd day after surgery (do not scrub, soak, or submerge the . Elasticized compression bandage around the injury can be used. Get useful, helpful and relevant health + wellness information. b Anesthesia or other sedative medications can impair driving for at least 24 hours. If you drive for a living, you may need to take this step to prove you're able to return to work. The injured tendon may need to be supported with a splint or cast to take tension off of the repaired tendon. Tendons are strong bands of tissue that attach muscles to bones. There are three stages to the timeline of tendon healing after surgery. Quad Tendon Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone How long does pain last after tendon surgery? Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. 2014. When you are able to ambulate without a limp and feel comfortable doing so, you can safely discard the crutches and walk unassisted. Phys Sportsmed. How long does it take the patellar tendon to heal after ACL surgery? It often. <> It appears that the type of surgical repair does not influence the clinical results. Like the patellar tendon, the quadriceps tendon has the potential to fully regenerate after harvest.4 days ago. MADISON, WI 53718 Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair The knee consists of four bones that form three joints. The site is secure. Copyright 2012 Elsevier Ltd. All rights reserved. Performance Is Regained Within 2 Seasons After Quadriceps Tendon Tears in National Basketball Association Players. 24 0 obj Lalonde, D., & Martin, A. If any joint has been placed in a cast or brace, you should avoid driving even if it's a soft brace or bandage since your range of motion is still restricted. Best food forward: Are algae the future of sustainable nutrition? This is especially true if you've had surgery or are nursing a serious fracture. They drill a small hole in your upper arm. endstream endobj startxref 2016 Jan;26(1):85-92. doi: 10.1007/s00590-015-1710-6. Recovery after knee surgery entails controlling swelling and discomfort, healing, return of range-of-motion of the knee joint, regaining strength in the muscles around the knee joint, and a gradual return to activities. But for some of us, like me who didnt have easy access to help, you have to make due with other ways. */k~;+{a'{}tfGTHd[k >O[iwq$fy9{~0 7 Peroneal tendonitis affects these tendons, and can make. This includes general anesthesia and conscious sedation. There are a number of factors you need to consider when determining if it's safe to start driving after surgery. And sometimes other ways is the only way possible. Khazai RS, Lee CS, Boyajian HH, Shi LL, Athiviraham A. Li M, Shaikh AB, Sun J, Shang P, Shang X. Murar_Quad-Tendon-Repair_Post-Op_3.19.20 Author: kmurray Created Date: 3/19 . Journal of PeriAnesthesia Nursing. It has been a wonderful SUV for me and has served me for over 13 years. Injury. Anti-inflammatory medications. If the strained quad is severe, it may require four to eight weeks to achieve full recovery. It was more of a morality issue because I felt I was going against doctors orders, but I didnt do any harm to my leg(s) so all was OK. or something under my butt to sit on would elevate me and help make my leg straighten out and as I suspected it worked out perfectly. endobj 2 This includes general anesthesia and conscious sedation. <> It usually takes four to six months to recover from biceps tenodesis. Most people who have biceps tenodesis surgery have physical therapy to increase shoulder range of motion and strength. 40 Allied Drive Dedham, MA 02026 781-251-3535 (office) www.bostonsportsmedicine.com REHABILITATION AFTER REPAIR OF THE PATELLAR AND QUADRICEPS TENDON The patellar tendon attaches to the tibial tubercle on the front . What's to know about extensor tendonitis? Protect the tendon repair from overstress and allow healing 2. Tang, J. Joints. This is done with several small incisions instead of one large one. Conservative, minimally invasive and open surgical repair for management of acute ruptures of the Achilles tendon: A clinical and functional retrospective study. Quadriceps muscular atrophy and muscle strength deficit were present in most of the cases. Pain Medicine. Fennell, N., & Tucker, S. (2016, March). Looking back now, driving while being in my leg brace really wasnt that big of a deal. MNT is the registered trade mark of Healthline Media. You will need to use this knee brace for at least six weeks after the operation. Driving After an Orthopedic Injury or Surgery - Verywell Health Now bear in mind that this worked for me cause my car had an automatic transmission. The effect of ankle brace type on braking response time-A randomised study. You can learn more about how we ensure our content is accurate and current by reading our. Darkened color or coolness in your hand or fingers. These muscles extend the legs at the knee and are important for standing, walking, and almost all activities involving the legs. If this is the case, the surgeon will graft an extra piece of tendon between the ends to make them meet. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Tears can be complete or partial. Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain . After that, use as necessary. You might have less pain and shorter recovery time if you have arthroscopic surgery instead of open surgery. Foot and Ankle Surgery. This site needs JavaScript to work properly. Doctors carry out tendon repair surgery to fix a tendon injury. 2014 May;42(2):114-8. doi: 10.3810/psm.2014.05.2063. Surgery generally takes between one and two hours. Orthopade. The quadriceps muscle becomes the quadriceps tendon that inserts onto the patella. What is the cost of a Quadriceps Tendon Rupture Repair? PDF Rehabilitation After Repair of The Patellar and Quadriceps Tendon Following an Patellar or Quadriceps Tendon Repair procedure, you may fully weight bearing and wean from walker/crutches as you are able. However, some studies have provided insight into which injuries may require the most attention when deciding whether you're ready to drive again. Imaging tests, such as ultrasounds and MRIs, can also help diagnose the precise cause and location of the tendon injury. PDF Quad/Patella Tendon Repair - South Shore Orthopedics In 70 percent of the cases, the healing process was completed after 6 months and the remaining 30 percent recovered after 12 months. Ice packs, pain medication and wearing a sling should help relieve both. If you have a manual transmission it is going to be quite another story, but I am sure there is a work-around since all you really need is your feet to shift and brake, but I cant be sure since my experience was with an automatic. Case reports and non-clinical studies were excluded. The bulges are sometimes called Popeye syndrome. In fact, for the first day, you should refrain from many things in addition to driving such as operating machinery, cooking, or doing any task that could obviously lead to injury, including handling a kitchen knife. Cast extending above the left elbow: This added 22.2 seconds to response time. All rights reserved. HTn6}W#YT=,V6.VjM;CX,Z2L sfFawh/%=}5w,ZA||PhyqSi;_[R]?6 w> Tumescent local anesthesia for hand surgery: Improved results, cost effectiveness, and wide-awake patient satisfaction. Below-the-elbow casts on the left arm: This added an average of 16.2 seconds to driving response time. Prospective multicentre study of the clinical and functional outcomes following quadriceps tendon repair with suture anchors. You'll wear a brace and do physical therapy for 3 to 6 weeks while the tendon heals. Dont drive if youre experiencing pain since it can lead you to become suddenly distracted or unable to move freely. (2016). After Quadriceps Tendon Repair Rehabilitation Protocol Phase One- Maximum Protection (Weeks 0-6) 0 to 2 weeks Brace locked in full extension for 6 weeks FULL weight bearing in Splint Ice and modalities to reduce pain and inflammation Aggressive patella mobility Range of motion 0 degrees to 30 degrees flexion Weeks 2 to 4 Return to (sedentary) work or school the day after surgery if pain is tolerable. 2016;42(1):7-52. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. The average of Coleman Methodology Score was 50.46/100. 1743 0 obj <> endobj I didnt really have friends that were readily accessible so I decided to go against the docs orders and figure out a way to drive myself. endobj Thomopoulos, S., Parks, W. C., Rifkin, D. B., & Derwin, K. A. People who may require tendon repair surgery include those with: If a person visits the doctor with a tendon injury, a doctor will carry out an initial physical examination of the injured area. The quadriceps tendon is the tendon that extends from the quadriceps muscle of the thigh to the top of the patella (kneecap). <> The quadriceps tendon (quad tendon) is the large tendon just above your kneecap. PDF Quad Tendon Repair Discharge Instructions - Rothman Ortho Driving itself wasnt such a big issue, getting into my SUV was. 2022 Jun 14;11(7):e1209-e1217. PDF Quad Tendon/Patellar Tendon Repair Post-operative Rehabilitation Protocol Younger, athletic people may be able to properly heal and complete rehab in five to eight months, but older people or people with a history of knee injuries may need up to a maximum of 18 months of rehab. In addition, if it is your right knee that had surgery, you will not be able to drive for approximately 6 weeks after surgery or until the brace is removed. <>stream endstream endobj 53 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <>stream PMC Driving . 2022 Jul 6;30(spe1):e245692. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. What is a bilateral quadriceps tendon rupture? Pain that limits your mobility can affect your driving. They will remove any damaged tendon tissue. So I figured a seat cushion or something under my butt to sit on would elevate me and help make my leg straighten out and as I suspected it worked out perfectly. In some cases, however, the tendon can tear again. Whether your game is exercise, sports or lifting weights, getting back into the game too soon can derail your recovery from biceps tenodesis. Return to sports activities can often take six months from the time of surgery. Ultrasound heat therapy to improve blood circulation, which may aid the healing process. National Library of Medicine Your surgeons close the tiny cuts in your shoulder. This movement should start as soon as you are comfortable, on the day of surgery. Over time (normally 6 weeks), Mr Gordon will assess your knee and may gradually increase the range of movement set on the brace. Healing can take up to 12 weeks. This technique is the screw fixation technique. Careers. Before you can do that, however, youll need physical therapy and a healthy dose of patience so your biceps tendon can heal. All those reactions can cause problems on the road. The patient is then placed into a knee immobilizer keeping the knee straight after surgery. Driving after quad tendon surgery is the question that will come up. The majority of the studies reported good or excellent ROM and return to the pre-injury activities. Quick Answer: How Much Is Surgery For Tendon Repair, How Long Does A Tendon Repair Surgery Take, How Long Does Bicep Tendon Repair Surgery Take, Quick Answer: How Much Does Ankle Tendon Repair Surgery Cost, What To Expect After Achilles Tendon Repair Surgery, Can Surgery Repair A Partially Torn Achilles Tendon, Question: How Long Does A Quad Tendon Repair Surgery Take, Quick Answer: How Long Does Surgery Take To Repair Achilles Tendon, How Long Does Tendon Surgery To Repair Take Foot. I was supposed to start a few days after my surgery. "ydL@78 o K| Verywell Health's content is for informational and educational purposes only. Safe driving after propofol sedation. Return to driving after hand surgey - Mike Hayton . As a result, you might need to take off work or ask for help with everyday activities including driving. In the beginning my father helped out with taking me to the post office to drop of my orders, but I couldnt ask him to continue to do that since he was coming all the way from his house. Your labrum tears and your biceps tendon is either torn in the process or is disconnected from your shoulder. All data regarding mechanism and site of rupture, type of treatment, time elapsed between diagnosis and repair, patients' satisfaction, clinical outcome, return to pre-injury activities, complications and recurrence rates were extracted and analysed. This article explains factors that affect when you can drive again after certain types of orthopedic surgeries and steps to recovery. Extensor tendons connect muscle to bone and are located just under the skin. 7 soft tissue injuries of the hand. It may use a special scope with a tiny camera and a light to help do the repair. <> My anaesthetist advises that driving should be avoided for 24 hours following a general anaesthetic. You might receive a pain block that will keep your shoulder numb for several hours after your surgery. Out of 474 studies identified, 12 met the inclusion criteria. The Surgeon. Rates of subsequent shoulder surgery within three years for patients undergoing SLAP repair versus biceps tenodesis. The most frequently used repair technique was patella drill holes (50% of patients). Right knee surgery: Driving is NOT permitted for the first 3-4 weeks following right . Almost all patients are off crutches within 4 weeks of surgery. This is done with a tendon taken from another place in your foot. 2020;26(8):924-929. doi. 216.444.2606. 2014 May;28(5):601-5. 59 0 obj Please enable it to take advantage of the complete set of features! There are no set rules about when you can return to driving after surgery or an injury. Common reasons for tendon repair surgery. 30 0 obj Bunion Surgery: Everything You Need to Know, Driving after upper or lower extremity orthopaedic surgery, Driving advice after isoflurane anaesthesia, Driving under the influence of opioids: What prescribers should know, Doctor, when can I drive? 2016;474(12):2557-2570. doi:10.1007/s11999-016-5007-9. PLoS One. Your physical therapy appointment should have been made for you before your surgery day. Patellar tendonitis involves small tears in the tendon that connects the kneecap to the shin. (https://pubmed.ncbi.nlm.nih.gov/30723678/), Visitation, mask requirements and COVID-19 information. In some cases, the Achilles tendon repair surgery can be done as a minimally invasive procedure. endobj You may be able to drive if the surgery was on your left leg, your car has an automatic transmission, and you arent taking narcotic drugs for pain. Quad tendon repair with allograft post-operative physical therapy protocol Download PDF General considerations The surgical leg will be weight bearing as tolerated using crutches post-operatively.