(OATS)/Cartilage Transplantation Rehab Protocol

Keys to a Successful Outcome

  • Range of motion exercises should be carried out frequently throughout the day to help remodel and contour healing cartilage.

  • Avoid any heavy weight lifting or excessive weight bearing for the first six weeks.

  • Wean from crutches at own pace. You do not need to rush the transition and should work on gaining confidence before walking without any assistive device.

Phase
Brace
ROM
WB
Exercises
Weeks 0-6
Post-op brace for patellar/trochlear lesions when ambulating locked 0-30°; brace not needed for femoral lesions
Immediate ROM
Toe-Touch WB crutches for femoral lesions; patellofemoral lesions WBAT
Stationary bike w/ no resistance starting at 3 weeks; isometric quad and knee ext, Active and AA knee flexion, SAQ, SLR
Weeks 6-12
None
FAROM
WBAT; wean from crutches
Progressive ankle weight resistance, partial squats and wall slides 0-30° for patellar/trochlear lesions
Months 3-6
None
FAROM
WBAT
Continue closed-chain strengthening; step up-down progression; strength machines; no knee extension
Months 6-9
None
FAROM
WBAT
Progress with full activities without restrictions

 

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