781-429-7700
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
**
***