ACL Reconstruction — IT Band Extraphyseal (Pediatric)

UW Health Sports Medicine · UW Health Sports Rehabilitation & Sports Medicine Physician Group

Weight-Bearing

TDWB wks 1-2; PWB wks 3-6; WBAT after ~7 weeks

Key Restrictions

Brace locked in extension x 6 wks; ROM 0-60 wks 1-2 and 0-90 wks 3-6 (strict — protects periosteal stitch on tibia); TDWB x 2 wks; no impact until Phase III; meniscal repair: TDWB x6 wks, same ROM limits

Timeline & Phases

Phase I (0-8 wks: TDWB to PWB, brace locked x6 wks, strict ROM) -> Phase II (7-8 wks+: normalize gait, CKC) -> Phase III (14-16 wks+: low-amp running/impact; Biodex <25%) -> Phase IV (22-26 wks: multi-planar; Biodex <15%) -> Phase V (9-10 months: RTS, Biodex <10-15%)

Notes

Updated 1/2018; all-extraphyseal IT band reconstruction — no bone tunnels, no hardware (Tanner Stage 1-2; males <12, females <11); ROM restrictions imperative to protect periosteal tibial stitch; 5-phase protocol; RTS 9-10 months; UW Health Sports Medicine, Madison WI

Surgeon / Author

UW Health Sports Rehabilitation & Sports Medicine Physician Group

Published

2018-01-01