(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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