Blood Flow Restriction Therapy After Knee Surgery: Indications, Safety Considerations, and Postoperative Protocol Nicholas N. DePhillipo, A.T.C., O.T.C.,

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Presentation transcript:

Blood Flow Restriction Therapy After Knee Surgery: Indications, Safety Considerations, and Postoperative Protocol Nicholas N. DePhillipo, A.T.C., O.T.C., C.S.C.S., Mitchell I. Kennedy, B.S., Zachary S. Aman, B.A., Andrew S. Bernhardson, M.D., Luke O'Brien, P.T., M.Phty (Sports), S.C.S., Robert F. LaPrade, M.D., Ph.D. Arthroscopy Techniques Volume 7, Issue 10, Pages e1037-e1043 (October 2018) DOI: 10.1016/j.eats.2018.06.010 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Blood flow restriction (BFR) therapy application. (A) Delfi Personalized Tourniquet System for BFR with pneumatic cuff (third-generation tourniquet). (B) Application of BFR during quadriceps activation exercise after arthroscopic knee surgery. Arthroscopy Techniques 2018 7, e1037-e1043DOI: (10.1016/j.eats.2018.06.010) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 The components of blood flow restriction (BFR) consist of a personalized tourniquet system (A), which tailors the personalized tourniquet pressure to each patient after determination of the limb occlusion pressure, and a contoured tourniquet cuff (B), which is available in 3 different lengths (length use is dependent on patient thigh size). These components are then connected by a hose assembly. ∗ indicates the contoured strap of the personalized tourniquet. Arthroscopy Techniques 2018 7, e1037-e1043DOI: (10.1016/j.eats.2018.06.010) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 The immediate postoperative condition of non–weight-bearing protocols should be maintained while using blood flow restriction (BFR), having the patient engage in low-load activities (A) strictly consisting of muscle contractions. Patients may later progress to body-weight closed kinetic chain exercises (B) when advanced to weight-bearing protocols and further to low-resistance exercises (C) once postoperative restrictions are reduced. Arthroscopy Techniques 2018 7, e1037-e1043DOI: (10.1016/j.eats.2018.06.010) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions