About These Protocols
Each protocol is a phase-based, evidence-informed rehabilitation guide covering the first six months following surgery. They are grounded in peer-reviewed literature from PubMed and international orthopaedic societies, and are designed to complement the individualised post-operative instructions provided by Dr Cosic at the time of surgery. All protocols are available as PDF downloads for physiotherapists, hand therapists, and referring clinicians.
Shoulder Rehabilitation Protocols
6 protocolsRotator Cuff Repair
Arthroscopic partial and full-thickness rotator cuff repair. 4-phase protocol covering protection through return to sport.
Bankart Repair
Arthroscopic anterior labral (Bankart) repair ± Hill-Sachs remplissage for traumatic shoulder instability.
Latarjet Procedure
Open Latarjet coracoid transfer for anterior shoulder instability with significant glenoid bone loss.
Reverse Total Shoulder Arthroplasty
Reverse total shoulder replacement for rotator cuff arthropathy or failed prior arthroplasty.
Anatomic Total Shoulder Arthroplasty
Anatomic total shoulder replacement or hemiarthroplasty for glenohumeral osteoarthritis.
Proximal Humerus ORIF
Open reduction and internal fixation of 2, 3, and 4-part proximal humerus fractures.
Elbow Rehabilitation Protocols
6 protocolsLateral UCL Reconstruction
LUCL reconstruction for posterolateral rotatory instability (PLRI) of the elbow.
Medial UCL Reconstruction
Tommy John procedure for medial elbow instability in overhead throwing athletes.
Distal Humerus ORIF
ORIF of intra-articular distal humerus fractures (AO Types B and C).
Lateral Epicondylitis
Surgical or conservative management of lateral epicondylitis (tennis elbow).
Medial Epicondylitis
Surgical or conservative management of medial epicondylitis (golfer's elbow).
Distal Biceps Repair & Reconstruction
Surgical repair or reconstruction of distal biceps tendon rupture, including cortical button and augmented construct fixation techniques.
Wrist & Hand Rehabilitation Protocols
5 protocolsThumb CMC Replacement
Basal joint arthroplasty for thumb carpometacarpal arthritis.
Four Corner Fusion
Midcarpal arthrodesis (four corner fusion) for SLAC/SNAC wrist arthritis.
TFCC Repair
Arthroscopic or open repair of triangular fibrocartilage complex tears with DRUJ instability.
Proximal Row Carpectomy
PRC for SLAC/SNAC wrist arthritis or Kienböck's disease.
Scapholunate Repair / Reconstruction
Acute SL ligament repair or chronic SL reconstruction (tendon graft, 3-ligament tenodesis).