Tibial Plateau Fracture Rehab Protocol

Keys to a Successful Outcome

  • Early passive joint motion is key.  The mechanical stimulus of the joint moving allows for improved joint surface remodeling/healing.

  • Static quadriceps exercises with passive range of motion is encouraged.

  • Goal is to achieve full range of motion within first 6 weeks.
     

Phase
Brace
WB Status
ROM
Exercises
Week 0-1
Knee immobilizer
NWB
Gentle PROM as tolerated immediately
Static quad strengthening; transfer training
Weeks 1-6
Hinge brace unlocked 0-90°
NWB
PROM/AAROM
Knee PROM/AAROM to 90° flex; Work on quad, ankle, core strengthening; lower extremity stretching; ROM Goals: Knee Flex 90° Ext 0°.
Weeks 6-12
none
Toe-Touch WB >> WBAT
AROM
Work on Knee Flex AROM; Gait training*; progressive lower extremity strengthening including quads, hams and hips. ROM goals: FAROM of knee
Weeks 12+
none
WBAT
FAROM
Progress strengthening and balance exs; Begin treadmill walking, progress to pool running, followed by treadmill running.
6 Months+
none
WBAT
FAROM
Implement sport specific, multidirectional drills; begin plyometrics; continue lower extremity strengthening exs

 

*Gait training may begin if cleared by MD at week 8

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