Download Tibial Plateau ORIF Rehab Protocol

Tibial Plateau ORIF Protocol

0-6 Weeks Post Op

 

  • Non weight bearing x 6 weeks
  • No ROM Restrictions
  • No biking
  • Knee PROM and AAROM
  • Quad strengthening to gain full extension
  • SLR in brace at 0° until quad can maintain knee locked
  • Heel slides in brace
  • BFR- Initiate after post op day 14

6-12 Weeks Post Op

 

  • Progress off of crutches over weeks 7 and 8
  • Two crutches for week 7 and one crutch for week 8
  • Discontinue brace at 6 weeks
  • Progress ROM as tolerated
  • Normalize gait mechanics
  • Begin weight bearing strengthening; progress open chain strengthening
  • NO IMPACT
  • Core strengthening
  • Balance/proprioception exercises
  • May begin aqua therapy at week 6

12 Weeks– 6 Months Post Op

  • Goals: Strength 80% of uninvolved leg by month 4
  • Progress non-impact strengthening until 6 months
  • May introduce return to running progression/ transition to hopping/jumping at 6 months
  • Return to sport activities between 4.5-6 months as appropriate for patient