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.
Gentle PROM as tolerated immediately
Static quad strengthening; transfer training
Hinge brace unlocked 0-90°
Knee PROM/AAROM to 90° flex; Work on quad, ankle, core strengthening; lower extremity stretching; ROM Goals: Knee Flex 90° Ext 0°.
Toe-Touch WB >> WBAT
Work on Knee Flex AROM; Gait training*; progressive lower extremity strengthening including quads, hams and hips. ROM goals: FAROM of knee
Progress strengthening and balance exs; Begin treadmill walking, progress to pool running, followed by treadmill running.
Implement sport specific, multidirectional drills; begin plyometrics; continue lower extremity strengthening exs
*Gait training may begin if cleared by MD at week 8