Download Post-Operative Rehabilitation Guidelines for Tibial Spine Reduction and Fixation

0-2 Weeks:

TDWB in brace in extension with crutches
Brace in extension for sleeping 0-2 wks
Active/Passive ROM 0-90 degrees
Quad sets, SLR, Heel Slides
Patellar Mobilization

2-4 Weeks:

Advance to FWBAT
May unlock brace when quad control is adequate
D/C crutches when gait normalizes with brace
Progress with ROM
Mini Squats/Weight Shifts
No weight bearing with knee flexion past 90 degrees

4-8 Weeks:

D/C brace when quad strength adequate (typically around 5 weeks)
Achieve Full ROM by week 6
Begin Stationary Bike
Progress with closed chain exercises
Wall sits to 90 degree
Leg press 0-90 degrees
Proprioception exercises
Core stabilization

8-16 Weeks:

Lunges from 0-90 degrees
Initiate Step-up followed by Step-Down Program
Progress Strengthening exercises
Emphasis on single-leg strengthening and balance
Retrograde treadmill ambulation

>16 Weeks:

Begin run/walk progression
Agility drills
Begin Plyometric program
Sports specific exercise

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.