ACL Repair — Tibial Spine Avulsion Repair

NYU Langone Health · Dr. Daniel J. Kaplan, MD

Weight-Bearing

TTWB

Key Restrictions

TTWB x4 wks; brace locked in full extension 0-4 wks (ambulation and sleep); ROM 0-90 by wk 2, goal 0-125 by wk 6; PWB progressing to FWB by wk 6; straight-ahead running at 12 wks; RTS at 4-6 months

Timeline & Phases

Phase I: 0-2 wks (TTWB, brace locked, ROM 0-90, quad/ham sets, SLR); Phase II: 2-4 wks (TTWB, brace locked, ROM as tolerated — goal 0-125 by wk 6); Phase III: 4-6 wks (PWB to FWB, stationary bike, closed chain, balance); Phase IV: 6-8 wks (FWB, unlock then wean brace by wk 8); Phase V: 8-16 wks (advance CKC, Stairmaster/elliptical, running at 12 wks); Phase VI: 4-6 months (gradual RTS)

Notes

Tibial spine avulsion is an ACL-equivalent injury (ACL avulsion at tibial attachment); rehab follows ACL repair principles

Surgeon / Author

Dr. Daniel J. Kaplan, MD

Published

2024-07