A patient underwent an arthroscopy for patella debridement. Quads are now grade 2 as there was significant pain/swelling post op that was difficult to control. He is unable to extend the knee against gravity due to pain/weakness. Walking is also painful/difficult. The patient has a signficant Q angle however the orthopod is not suggesting any further realignment surgeries.

I have been getting him to do closed chain activities to reduce the patella pain, but he is still unable to extend the knee against gravity. He has been rehabbing everyday for a couple of months. Any suggestions???

I NEED HELP!!! Thanks

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