1. REHAB GUIDE FOLLOWING LIMB SPARING SURGERY FOR OSTEOSARCOMA ODU PHYSICAL THERAPY

2. Days 1-5 after Surgery Resting cast/splint for 3 days Moving from bed to armchair 2-3 days post-op Quad sets to facilitate improving knee strength Ankle pumps to prevent blood clots and improve circulation

3. Exercises Quad Sets Tighten muscles in the front of your thigh then push your knee down into the towel Ankle Pumps Rock foot both forward and backwards

4. 5 days post-op until discharge Walking PWB/NWB with walker/crutches for 6 weeks Knee immobilizer Peroneal splint/shoe lift as needed Knee muscle strengthening: start with assisted active exercises while laying down or seated (using slings, pullies, or springs without weightlifting for the first few weeks) Begin climbing stairs with PT Electro-stimulation if needed to help activate quads

5. Exercises Assisted Heel Slides Using a strap (not pictured), slide your heel on the surface towards your butt then return to starting position Assisted Straight Leg Raise Using a strap (not pictured), lift your leg straight up then slowly return to starting position

6. Approx 2-6 weeks post-op After discharge from hospital: Start gradually increasing weight-bearing status while walking as tolerated Stop use of knee immobilizer Begin standing exercises for improving knee strength Once sutures are removed, begin scar massage

7. Exercises Standing Hip Abduction With support, lift one leg out to the side while keeping toes pointing forward Standing Knee Extension Tighten muscles in front of the thigh and push knee back towards towel

8. Exercises Forward Step Ups Step up with involved leg first. Step down with non-involved leg first. Wall Slides Keep legs shoulder-width apart. Slowly slide down wall to ~45 degree angle and be sure your knees do not go in front of your toes. Then slide back up the wall